Inflammatory bowel disease in children and adolescents: recommendations for diagnosis--the Porto criteria.

  title={Inflammatory bowel disease in children and adolescents: recommendations for diagnosis--the Porto criteria.},
  author={Johanna C Escher and Jorge Amil Dias and Katarzyna Bochenek and Stephan Buderus and Mirjam Bueno de Mesquita and Yoram Bujanover and Hans A. Büller and Sonny K. F. Chong and Salvatore Cucchiara and John M. E. Fell and Jobst Henker and Hans Hildebrand and Jean-Pierre Hugot and Urszula Jedynak and Huw R. Jenkins and Sanja Kola{\vc}ek and Sibylle Koletzko and Izabella Lazowska and Arie Levine and Paolo Lionetti and Jan Maly and Scott Montgomery and Simon H. Murch and M. Stephen Murphy and Anders Paerregaard and Bhupinder. Sandhu and Andrew Sawczenko},
  journal={Journal of pediatric gastroenterology and nutrition},
  volume={41 1},
Ulcerative colitis and Crohn disease may present before the age of 20 years in 25% to 30% of all patients with inflammatory bowel disease. Reported incidence figures vary considerably depending on the collection of data. Multicenter, multinational collaboration is needed when studying pediatric inflammatory bowel disease. The essential first step is uniformity in the work-up and criteria used for diagnosis. The Porto diagnostic criteria presented here provide the tool that is needed. These… 

Inflammatory Bowel Disease-Experience of a Pediatric Gastroenterology Unit

Mucosal healing and remission of the disease was achieved in all of the patients under biologic therapy and no serious or life-threating event was reported with their use.

Classification of Pediatric Inflammatory Bowel Disease

This chapter will review, in sequence, the diagnostic evaluation of IBD; the differentiation of acute self-limited colitis from Crohn disease; the differentiate of ulcerative colitis (UC) fromCrohn disease); the classification of ulcers into subtypes; and the classification and phenotyping of Crohn Disease.

Differentiating Ulcerative Colitis from Crohn Disease in Children and Young Adults: Report of a Working Group of the North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition and the Crohn's and Colitis Foundation of America

Background: Studies of pediatric inflammatory bowel disease (IBD) have varied in the criteria used to classify patients as having Crohn disease (CD), ulcerative colitis (UC), or indeterminate colitis

[Diagnostic guideline of Crohn's disease].

This is the first Korean diagnostic guideline for CD and needs revision with further data on CD in Koreans.

Accuracy of abdominal ultrasound and MRI for detection of Crohn disease and ulcerative colitis in children

US and MR entero- and colonography have a high accuracy for diagnosing inflammatory bowel disease in children but cannot be used to distinguish Crohn disease and ulcerative colitis.

The role of endoscopy in inflammatory bowel disease.




Diagnostic Role of Upper Gastrointestinal Endoscopy in Pediatric Inflammatory Bowel Disease

Upper gastrointestinal tract endoscopy should be part of the first-line investigation in all new cases suspected of IBD, and factors predictive of upper gastrointestinal involvement in IBD are assessed.

Value of Rectosigmoidoscopy with Biopsies for Diagnosis of Inflammatory Bowel Disease in Children

Histology onBiopsies from rectum and sigmoid is insufficient for a correct diagnosis of Crohn's disease or ulcerative colitis in children and an ileocolonoscopy with biopsies should be performed in all children.

The Role of Esophagogastroduodenoscopy in the Initial Evaluation of Childhood Inflammatory Bowel Disease: A 7-Year Study

Endoscopic and histologic abnormalities were found in the upper gastrointestinal tracts of a significant number of children with inflammatory bowel disease and can contribute to the patient's clinical condition.

Is Ileoscopy With Biopsy Worthwhile in Patients Presenting With Symptoms of Inflammatory Bowel Disease?

Ileoscopy with biopsy is useful in carefully selected patients presenting with symptoms of inflammatory bowel disease, and main indications are diagnosis of isolated ileal disease in the presence of a normal colon and differential diagnosis in patients with pancolitis and predominantly left-sided colitis.

Gastral Antral Biopsy in the Differentiation of Pediatric Colitides

Upper gastrointestinal endoscopy with biopsy is useful in the differentiation of inflammatory bowel disease confined to the colon, particularly when colonoscopic findings are indeterminate.

The diagnostic value of colonoscopy compared with rectosigmoidoscopy in children and adolescents with symptoms of chronic inflammatory bowel disease of the colon.

Seventy-eight young patients with symptoms of chronic inflammatory bowel disease (IBD) of the colon have been investigated to determine to what degree colonoscopy adds important information for the

Focally enhanced gastritis in children with Crohn's disease and ulcerative colitis

The presence of FEG suggests underlying IBD, which is particularly common in children with Crohn's disease, but it does not reliably differentiate between Crohn’s disease and ulcerative colitis.

Histological diagnosis of chronic inflammatory bowel disease in childhood.

There is a spectrum of histological appearances in endoscopic biopsies in chronic inflammatory bowel disease in childhood ranging from definite Crohn's disease to definite ulcerative colitis with indeterminate features in between.

Inflammatory bowel diseases with onset in childhood. Clinical features, morbidity, and mortality in a regional cohort.

The incidence of IBD is low in childhood, and Childhood-onset CD does not differ in clinical presentation, disease course, or prognosis from adult-ONSet CD, however, growth retardation is a problem among male CD patients.

Age and Family History at Presentation of Pediatric Inflammatory Bowel Disease

Except for higher platelet counts, a lower BMI, and a higher frequency of positive family history in young children with CD, there were no significant differences in the presentation of young childrenwith IBD compared with older children.