지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 대한소아소화기영양학회 Pediatric Gastroenterology, Hepatology & Nutrition Pediatric Gastroenterology, Hepatology & Nutrition 제16권 제3호
- 발행연도
- 2013.1
- 수록면
- 178 - 184 (7page)
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초록· 키워드
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Purpose: The clinical presentations of inflammatory bowel disease (IBD) prior to diagnosis are so diverse or vague that many of them waste time before final diagnosis. This study was undertaken to know the medical history of the pediatric patients until the final diagnosis could be reached. Methods: The medical records of all pediatric patients who were diagnosed with IBD (Crohn’s disease [CD] in 14 children, ulcerative colitis [UC] in 17) during the last 13 years were reviewed. We investigated the length of the diag-nostic time lag, chief clinical presentation, and any useful laboratory predictor among the routinely performed examinations. Indeterminate colitis was not included.Results: The mean ages of children at the final diagnosis was similar in both diseases. As for the pre-clinical past history of bowel symptoms in CD patients, 5 were previously healthy, 9 had had 1-3 gastrointestinal (GI) symptoms, weight loss, bloody stool, anemia and rectal prolapse. With UC, 9 were previously healthy, 8 had had 1-3 GI symptoms, bloody stool, anorexia. The average diagnostic time lag with CD was 3.36 months, and with UC 2.2 months. Body mass index (BMI) and the initial basic laboratory data (white blood cell, hemoglobin, mean corpuscular volume, serum albumin, and serum total protein) were lower in CD, statistically significant only in BMI. Conclusion: IBD shows diverse clinical symptoms before its classical features, making the patients waste time until diagnosis. It is important to concern possibility of IBD even in the mildly sick children who do not show the characteristic symptoms of IBD. (Pediatr Gastroenterol Hepatol Nutr 2013; 16: 178∼184)
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참고문헌 (19)
참고문헌 신청
Atakan Ye?il / 2011 / Red Cell Distribution Width: A Novel Marker of Activity in Infl ammatory Bowel Disease / Gut and Liver 5 (4) : 460 ~ 467
Bager P / 2011 / The prevalence of anemia and iron deficiency in IBD outpatients in Scandinavia / Scand J Gastroenterol 46 : 304 ~ 309
Benchimol EI / 2009 / Increasing incidence of paediatric inflammatory bowel disease in Ontario, Canada: evidence from health administrative data / Gut 58 : 1490 ~ 1497
Dilauro S / 2010 / Ileitis: when it is not Crohn's disease / Curr Gastroenterol Rep 12 : 249 ~ 258
Garcia Rodriguez LA / 2000 / Detection of colorectal tumor and inflammatory bowel disease during follow-up of patients with initial diagnosis of irritable bowel syndrome / Sc
Bager P / 2011 / The prevalence of anemia and iron deficiency in IBD outpatients in Scandinavia / Scand J Gastroenterol 46 : 304 ~ 309
Benchimol EI / 2009 / Increasing incidence of paediatric inflammatory bowel disease in Ontario, Canada: evidence from health administrative data / Gut 58 : 1490 ~ 1497
Dilauro S / 2010 / Ileitis: when it is not Crohn's disease / Curr Gastroenterol Rep 12 : 249 ~ 258
Garcia Rodriguez LA / 2000 / Detection of colorectal tumor and inflammatory bowel disease during follow-up of patients with initial diagnosis of irritable bowel syndrome / Sc
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