Review article: Indeterminate colitis--definition, diagnosis and management.
Aliment Pharmacol Ther
; 25(1): 13-7, 2007 Jan 01.
Article
em En
| MEDLINE
| ID: mdl-17229217
ABSTRACT
BACKGROUND:
The term indeterminate colitis is imprecise and without a generally accepted definition. Nevertheless, it is a term that is commonly used by gastroenterologists, pathologists and surgeons.AIM:
To offer an opinion supported by published data, about the appropriate use of the term indeterminate colitis by addressing a series of questions.METHODS:
A PubMed database search was performed using the keywords, 'colitis' and 'inflammatory bowel disease' each combined individually with the following adjectives 'indeterminate', 'unclassified', 'undefined', 'undiagnosed' and 'non-specific'.RESULTS:
There is no generally accepted definition of indeterminate colitis. All current applications of the term rely on exclusionary criteria and there is no confirmatory diagnostic test. Nevertheless, the diagnosis of indeterminate colitis appears to be durable in a subgroup of patients, suggesting that this group represents a unique phenotype.CONCLUSIONS:
Indeterminate colitis has expanded from a strictly defined, postcolectomy pathological diagnosis to become, in addition, a clinical diagnosis without generally accepted criteria. A diagnosis of indeterminate colitis should be qualified with descriptors for the diagnostic criteria applied.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Colite
Tipo de estudo:
Diagnostic_studies
Limite:
Humans
Idioma:
En
Revista:
Aliment Pharmacol Ther
Assunto da revista:
FARMACOLOGIA
/
GASTROENTEROLOGIA
/
TERAPIA POR MEDICAMENTOS
Ano de publicação:
2007
Tipo de documento:
Article
País de afiliação:
Estados Unidos