Differential Diagnosis of Inflammatory Bowel Disease: Endoscopic Findings and Diagnosis of Intestinal Behçet’s Disease and Simple Ulcer Syndrome View Full Text


Ontology type: schema:Chapter     


Chapter Info

DATE

2018

AUTHORS

Jae Hee Cheon

ABSTRACT

Intestinal Behçet’s disease (BD) can be diagnosed if characteristically shaped ulcers are observed in the small or large intestine, and other clinical findings meet the BD diagnostic criteria. Intestinal BD and inflammatory bowel diseases (IBDs), including Crohn’s disease and ulcerative colitis, have many overlapping clinical manifestations and similarities. They share fluctuating clinical courses with repeated remission and relapse, similar extraintestinal manifestations, and similar gastrointestinal symptoms. Gastrointestinal involvement in BD may affect the entire gastrointestinal tract from the mouth to the anus. Intestinal BD ulcers vary in shape, number, and distribution, but a typical endoscopic feature of intestinal BD is a few round or oval-shaped, deeply penetrating ulcers with discrete margins at the ileocecal area. Intestinal BD patients often require surgical interventions owing to frequent complications, such as massive bleeding, fistula formation, and free bowel perforation. Another disease entity, simple ulcer syndrome, has been described as deep, discrete ulcerations with a “punched-out,” round or oval appearance in the ileocecal region. They are similar to ulcers seen in intestinal BD but do not fulfill the clinical criteria of BD. Recently, novel diagnostic criteria encompassing patients with ileocolonic ulcers who do not fully satisfy the diagnostic criteria for systemic BD were proposed. More... »

PAGES

85-99

References to SciGraph publications

Book

TITLE

Advances in Endoscopy in Inflammatory Bowel Disease

ISBN

978-4-431-56016-6
978-4-431-56018-0

Author Affiliations

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/978-4-431-56018-0_9

DOI

http://dx.doi.org/10.1007/978-4-431-56018-0_9

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1091477104


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