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Vol. 151. Issue 1.
Pages 26-33 (July 2018)
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Vol. 151. Issue 1.
Pages 26-33 (July 2018)
Review
DOI: 10.1016/j.medcle.2018.05.006
Crohn's disease
Enfermedad de Crohn
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María Pilar Ballester Ferré
Corresponding author
mapibafe@gmail.com

Corresponding author.
, Marta Maia Boscá-Watts, Miguel Mínguez Pérez
Servicio de Medicina Digestiva, Hospital Clínico Universitario de Valencia, Valencia, Spain
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Tables (4)
Table 1. Leonnard-Jones diagnostic criteria.
Table 2. Montreal classification.
Table 3. Harvey–Bradshaw Index.
Table 4. Surgical indications in Crohn's disease.
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Abstract

Crohn's disease is a chronic inflammatory bowel disease of unknown aetiology associated with an impaired immune response, with periods of activity and remission. It is characterized by patchy and transmural lesions which can affect the entire gastrointestinal tract, from the mouth to the anus. The most frequent symptoms are abdominal pain and diarrhoea, which can seriously affect patients’ quality of life. The increasing incidence and prevalence of the disease in our area has had a large impact on clinical practice, with the rapid development of diagnostic and therapeutic techniques. To reduce the risk of complications, primary care physicians and gastroenterologists should be familiar with the management of the disease.

Keywords:
Diagnostic-therapeutic management
Crohn's disease
Inflammatory bowel disease
Resumen

La enfermedad de Crohn es una enfermedad inflamatoria intestinal crónica de etiología desconocida asociada a una respuesta inmunológica alterada que cursa con períodos de actividad y remisión. Puede afectar a cualquier tramo del tracto gastrointestinal, desde la boca hasta el ano, principalmente de forma transmural y parcheada. Los síntomas más frecuentes son el dolor abdominal y la diarrea, pudiendo afectar gravemente la calidad de vida de los pacientes. El aumento de su incidencia y prevalencia en nuestro medio ha condicionado un creciente impacto en la práctica clínica habitual así como un rápido desarrollo de técnicas diagnósticas y terapéuticas. Es por ello que tanto médicos de familia como especialistas deben estar familiarizados con el manejo de la enfermedad.

Palabras clave:
Manejo diagnóstico-terapéutico
Enfermedad de Crohn
Enfermedad inflamatoria intestinal

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