胃と腸50巻7号

2015年06月発行

今月の主題 診断困難な炎症性腸疾患

主題

indeterminate colitis（広義）の経過

著者： 平井郁仁¹ 矢野豊¹ 高津典孝¹ 別府孝浩¹ 石原裕士¹ 二宮風夫¹ 小野陽一郎¹ 古賀章浩¹ 金城健¹ 佐藤祐邦¹ 大門裕貴¹ 久部高司¹ 松井敏幸¹ 東大二郎² 二見喜太郎² 今村健太郎³ 田邉寛³ 池田圭祐³ 岩下明德³

所属機関： ¹福岡大学筑紫病院消化器内科 ²福岡大学筑紫病院外科 ³福岡大学筑紫病院病理部

ページ範囲：P.885 - P.895

文献概要

要旨●indeterminate colitis（以下，IC）は，Crohn病と潰瘍性大腸炎の鑑別診断困難例とされてきたが，その概念や定義は時代とともに変遷しつつある．本稿では，まず欧米におけるICの文献的レビューから，ICとinflammatory bowel disease unclassifiedを区別して用いる現状について解説した．さらにICの頻度，経過中の診断確定率，臨床的パターンについて述べ，自施設での経験例を提示した．

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