臨牀消化器内科 Vol.16 No.10(2)


特集名 重症潰瘍性大腸炎に対する最新の戦略
題名 重症潰瘍性大腸炎の診断基準
発刊年月 2001年 09月
著者 古賀 秀樹 川崎医科大学内科学消化器II
著者 飯田 三雄 川崎医科大学内科学消化器II
【 要旨 】 潰瘍性大腸炎は,活動性に応じた治療が必要である.その活動性を評価するには,(1) 重症度分類(厚生省特定疾患調査研究班作成など),(2) 活動性指数(Seo's complex integrated disease activity index, 12-point disease activity index, simple clinical colitis activity indexなど),(3) 内視鏡的活動性(Hanauer's 15-point scale,厚生省(現厚生労働省)特定疾患調査研究班作成など)等を使用する.それぞれに関して若干の解説を加え,典型的な重症潰瘍性大腸炎症例を呈示する.
Theme The Newest Strategies for Severe Ulcerative Colitis
Title Diagnostic Criteria for Severe Ulcerative Colitis
Author Hideki Koga Division of Gastroenterology, Department of Medicine, Kawasaki Medical School
Author Mitsuo Iida Division of Gastroenterology, Department of Medicine, Kawasaki Medical School
[ Summary ] Appropriate management of ulcerative colitis first requires determination of its clinical activity. The activity of this condition can be evaluated by classification of its clinical severity, by activity indices, such as Seo's complex integrated disease activity index and the simple clinical colitis activity index, and/or by endoscopic activity classification. In this report, we reviewed the above-mentioned indices and classifications. A typical case of severe ulcerative colitis was also briefly described.
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