Diagnostic Criteria in IBD (with Comments)
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The reader should already notice the fact that symptoms accompanying IBD are not specific and could be attributed to almost any disease of the lower gastrointestinal tract. Of course, an advanced gastroenterologist or any physician experienced in recognizing IBD would come up with the diagnosis only by the symptoms. Thus, the first major diagnostic tool is a clinical examination, which consists of a thorough medical history and a physical examination. However, to achieve the diagnosis, the process of recognizing the disease should be filled with proper additional studies. In this chapter, tools for setting an appropriate diagnosis, main diagnostic criteria of IBD and diseases from which to distinguish the IBD are discussed. We mostly relied on guidelines by the European Crohn’s and Colitis Organisation (ECCO), which gathers the greatest specialists in the field of IBD from around the Europe.
KeywordsDiagnosis Endoscopy Radiology Classification
Inflammatory bowel disease
European Crohn’s and Colitis Organisation
Erythrocyte sedimentation rate
Irritable bowel syndrome
Anti-neutrophil cytoplasmic antibodies
Anti-Saccharomyces cerevisiae antibodies
Antibodies to Escherichia coli outer membrane porin C
Antibodies to bacterial flagellin
Magnetic resonance imaging
Small bowel capsule endoscopy
Crohn’s Disease Activity Index
Authors would like to acknowledge the senior doctor Anna Mokrowiecka Ph.D. MD and the Department of Gastroenterology at the Barlicki Hospital, Medical University of Lodz for providing the endoscopic images of patients with IBD.
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