China News Service, Guangzhou, September 19 (Cai Minjie, Bai Tian) "2020 Digestive System Diseases and Relief Forum" was held in Guangzhou on the 19th.
Li Mingsong, director of the Gastroenterology Department of the Third Affiliated Hospital of Guangzhou Medical University, said in an interview on the margins of the forum that in the past 20 years, the incidence of inflammatory bowel disease (IBD) in the Mainland has increased rapidly due to changes in eating habits, life rhythm and environment. The triangle and the Yangtze River Delta have the fastest growth. The disease has become one of the common and difficult diseases of the digestive system.
In order to standardize endoscopic diagnosis and treatment of inflammatory bowel disease and nutrition diagnosis and treatment, more than one hundred experts across the country jointly formulated the "China Inflammatory Bowel Disease Nutrition Diagnosis and Treatment Consensus" and the "Chinese Inflammatory Bowel Disease Digestive Endoscopy Consensus", which were released for the first time at this conference , To provide principled and directional guidance for digestive endoscopy and nutrition diagnosis and treatment of inflammatory bowel disease in the Mainland.
Inflammatory bowel disease was once known as a "Western disease". Previously, it was very rare in the Mainland. The disease mostly started in adolescents. It has recurrent, progressive, and disabling characteristics. It not only affects the digestive tract, but also other organs. It can also cause complications such as internal and external infections and tumors of the digestive tract. It is a systemic disease involving clinical multidisciplinary.
Frequent abdominal pain, recurrent diarrhea, mucus and bloody stools. In severe cases, you have to go to the toilet seven or eight times a day. You can only eat liquid food. Occasionally eating the wrong food may lead to intestinal perforation and leakage... Such a "grinding" daily life, a 34-year-old child Cai (a pseudonym) has been suffering for 6 years, "taking this disease as part of his life, and may have to fight it for a lifetime."
What she got was a chronic disease that was difficult to cure-"Crohn's disease", a type of inflammatory bowel disease.
"Inflammatory bowel disease affects multiple organs and systems. Some patients with ulcerative colitis progress to later stages of cancer, and some suffer from Crohn's disease in their teens. In severe cases, anal fistulas occur and stools are discharged from the vagina. The situation is painful; some patients have caused cancer in the stomach and other organs, such as cervical cancer and skin cancer." Li Mingsong introduced.
Due to the unclear etiology and pathogenesis of inflammatory bowel disease, the diagnosis and differential diagnosis of the disease are highly complex and challenging.
Unlike other diseases, there is currently no "gold standard" for the diagnosis of this disease.
Digestive endoscopy is an indispensable basic diagnosis and treatment method and technology in the systemic examination for the diagnosis of inflammatory bowel disease.
Li Mingsong suggested that any patients with unexplained chronic abdominal pain and diarrhea, especially adolescents and children with fever, weight loss, growth retardation and anal fistula, should undergo digestive endoscopy in a timely manner to confirm the diagnosis and differential diagnosis.
In addition, most patients with inflammatory bowel disease face the problem of nutritional disorders. "Wasting is a common feature of these patients, because nutrients are difficult to absorb, and they must pay great attention to their daily diet. Liquid food." Li Mingsong said: "At present, the nutritional diagnosis and treatment of patients with inflammatory bowel disease in my country is generally not standardized. In the future, there is still a long way to go to popularize the standard of diagnosis and treatment of inflammatory bowel disease and improve the level of diagnosis and treatment." (End)