Japanese Criteria of Crohn's Disease (CD) and Western Criteria were Compared in Clinical View Points Tsuneyoshi Yao 1 1Department of Gastroenterology, Fukuoka University Chikushi Hospital Keyword: Crohn病 , 診断基準 , 単純性潰瘍 , indeterminate colitis , granulomatous gastritis pp.127-133
Published Date 2001/2/25
DOI https://doi.org/10.11477/mf.1403103103
  • Abstract
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 Six of eight criteria in Western countries included ① clinical features, ② radiologic and endoscopic findings, ③ macroscopic findings of surgical specimens, and ④ pathological findings.

 When ten cases with so-called “simple ulcer” which had ileocecal ulcer were analyzed according to the Western criteria of CD, all the ten cases were diagnosed as definite CD. However, according to Japanese criteria these ten cases were not considered definite CD.

 On the other hand, CD cases with solely aphthous lesions were not diagnosed as definite CD according to Western criteria.

 Conclusion : Criteria for CD should not include clinical symptoms and should be composed mainly of characteristic findings (longitudinal ulcer, granuloma) . However, granulomatous diseases such as tuberculosis or Yersinia enterocolitis should be excluded beforehand.

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