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Classification of Inflammatory Bowel Disease in Children

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Pediatric Inflammatory Bowel Disease

Abstract

The classification of the pediatric inflammatory bowel diseases (IBD) can sometimes be challenging and uncertain. For decades, gastroenterologists have attempted to classify the phenotype and disease type of patients in order to aid with treatment choice, prediction of outcomes, and research. From consensus meetings in Vienna and Montreal, the evolution of the classification of IBD is a fascinating story. Advances in classification systems have aided in advances in our understanding of IBD in terms of genetic and clinical research and helped guide clinical practice. Most recently, the Paris modification of the Montreal classification has attempted to address the intricacies of childhood-onset IBD by specifying unique phenotypes in this population. The first part of the chapter will review various guideline documents, which aim to assist physicians when applying a phenotypic classification to pediatric patients with IBD. The second part of this chapter will describe the development and refinement of IBD phenotypic classifications.

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Acknowledgments

We are grateful to Dr. Athos Bousvaros who authored the first edition of this chapter and allowed its use as the basis for this new edition. Eric Benchimol is supported by a New Investigator Award from the Canadian Institutes of Health Research, Crohn’s and Colitis Canada, and the Canadian Association of Gastroenterology.

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Authors and Affiliations

  1. Division of Gastroenterology and Nutrition, Hamilton Health Sciences, McMaster Children’s Hospital, Hamilton, ON, L8S 4K1, Canada

    Mary E. Sherlock MB BCh BAO, PhD, FRCPC

  2. Division of Gastroenterology, Hepatology and Nutrition, Children’s Hospital of Eastern Ontario, Department of Pediatrics and School of Epidemiology, Public Health and Preventive Medicine, University of Ottawa, 401 Smyth Road, Ottawa, ON, K1H 8L1, Canada

    Eric I. Benchimol

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  1. Mary E. Sherlock MB BCh BAO, PhD, FRCPC
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Correspondence to Mary E. Sherlock MB BCh BAO, PhD, FRCPC .

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Editors and Affiliations

  1. Division of GI, Hepatology & Nutrition, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA

    Petar Mamula

  2. Division of GI, Hepatology & Nutrition, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA

    Andrew B. Grossman

  3. Division of GI, Hepatology & Nutrition, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA

    Robert N. Baldassano

  4. Division of GI, Hepatology & Nutrition, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA

    Judith R. Kelsen

  5. Division of Pediatric Gastroenterology & Nutrition, University of South Carolina School of Medicine - Greenville, Greenville, South Carolina, USA

    Jonathan E. Markowitz

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Sherlock, M.E., Benchimol, E.I. (2017). Classification of Inflammatory Bowel Disease in Children. In: Mamula, P., Grossman, A., Baldassano, R., Kelsen, J., Markowitz, J. (eds) Pediatric Inflammatory Bowel Disease. Springer, Cham. https://doi.org/10.1007/978-3-319-49215-5_15

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