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Evidence-based diagnosis and clinical practice guidelines for intestinal Behçet’s disease 2020 edited by Intractable Diseases, the Health and Labour Sciences Research Grants
Behçet's disease (BD) is an intractable systemic inflammatory disease characterized by four main symptoms: oral and genital ulcers and ocular and cutaneous involvement. The Japanese diagnostic criteria of BD classify intestinal BD as a specific disease type. Volcano-shaped ulcers in the ileocec...
Autores principales: | , , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer Singapore
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7297851/ https://www.ncbi.nlm.nih.gov/pubmed/32377946 http://dx.doi.org/10.1007/s00535-020-01690-y |
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author | Watanabe, Kenji Tanida, Satoshi Inoue, Nagamu Kunisaki, Reiko Kobayashi, Kiyonori Nagahori, Masakazu Arai, Katsuhiro Uchino, Motoi Koganei, Kazutaka Kobayashi, Taku Takeno, Mitsuhiro Ueno, Fumiaki Matsumoto, Takayuki Mizuki, Nobuhisa Suzuki, Yasuo Hisamatsu, Tadakazu |
author_facet | Watanabe, Kenji Tanida, Satoshi Inoue, Nagamu Kunisaki, Reiko Kobayashi, Kiyonori Nagahori, Masakazu Arai, Katsuhiro Uchino, Motoi Koganei, Kazutaka Kobayashi, Taku Takeno, Mitsuhiro Ueno, Fumiaki Matsumoto, Takayuki Mizuki, Nobuhisa Suzuki, Yasuo Hisamatsu, Tadakazu |
author_sort | Watanabe, Kenji |
collection | PubMed |
description | Behçet's disease (BD) is an intractable systemic inflammatory disease characterized by four main symptoms: oral and genital ulcers and ocular and cutaneous involvement. The Japanese diagnostic criteria of BD classify intestinal BD as a specific disease type. Volcano-shaped ulcers in the ileocecum are a typical finding of intestinal BD, and punched-out ulcers can be observed in the intestine or esophagus. Tumor necrosis factor inhibitors were first approved for the treatment of intestinal BD in Japan and have been used as standard therapy. In 2007 and 2014, the Japan consensus statement for the diagnosis and management of intestinal BD was established. Recently, evidence-based JSBD (Japanese Society for BD) Clinical Practice Guidelines for BD (Japanese edition) were published, and the section on intestinal BD was planned to be published in English. Twenty-eight important clinical questions (CQs) for diagnosis (CQs 1–6), prognosis (CQ 7), monitoring and treatment goals (CQs 8–11), medical management and general statement (CQs 12–13), medical treatment (CQs 14–22), and surgical treatment (CQs 23–25) of BD and some specific situations (CQs 26–28) were selected as unified consensus by the members of committee. The statements and comments were made following a search of published scientific evidence. Subsequently, the levels of recommendation were evaluated based on clinical practice guidelines in the Medical Information Network Distribution Service. The degree of agreement was calculated using anonymous voting. We also determined algorithms for diagnostic and therapeutic approaches for intestinal BD. The present guidelines will facilitate decision making in clinical practice. |
format | Online Article Text |
id | pubmed-7297851 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Springer Singapore |
record_format | MEDLINE/PubMed |
spelling | pubmed-72978512020-06-19 Evidence-based diagnosis and clinical practice guidelines for intestinal Behçet’s disease 2020 edited by Intractable Diseases, the Health and Labour Sciences Research Grants Watanabe, Kenji Tanida, Satoshi Inoue, Nagamu Kunisaki, Reiko Kobayashi, Kiyonori Nagahori, Masakazu Arai, Katsuhiro Uchino, Motoi Koganei, Kazutaka Kobayashi, Taku Takeno, Mitsuhiro Ueno, Fumiaki Matsumoto, Takayuki Mizuki, Nobuhisa Suzuki, Yasuo Hisamatsu, Tadakazu J Gastroenterol Original Article—Alimentary Tract Behçet's disease (BD) is an intractable systemic inflammatory disease characterized by four main symptoms: oral and genital ulcers and ocular and cutaneous involvement. The Japanese diagnostic criteria of BD classify intestinal BD as a specific disease type. Volcano-shaped ulcers in the ileocecum are a typical finding of intestinal BD, and punched-out ulcers can be observed in the intestine or esophagus. Tumor necrosis factor inhibitors were first approved for the treatment of intestinal BD in Japan and have been used as standard therapy. In 2007 and 2014, the Japan consensus statement for the diagnosis and management of intestinal BD was established. Recently, evidence-based JSBD (Japanese Society for BD) Clinical Practice Guidelines for BD (Japanese edition) were published, and the section on intestinal BD was planned to be published in English. Twenty-eight important clinical questions (CQs) for diagnosis (CQs 1–6), prognosis (CQ 7), monitoring and treatment goals (CQs 8–11), medical management and general statement (CQs 12–13), medical treatment (CQs 14–22), and surgical treatment (CQs 23–25) of BD and some specific situations (CQs 26–28) were selected as unified consensus by the members of committee. The statements and comments were made following a search of published scientific evidence. Subsequently, the levels of recommendation were evaluated based on clinical practice guidelines in the Medical Information Network Distribution Service. The degree of agreement was calculated using anonymous voting. We also determined algorithms for diagnostic and therapeutic approaches for intestinal BD. The present guidelines will facilitate decision making in clinical practice. Springer Singapore 2020-05-07 2020 /pmc/articles/PMC7297851/ /pubmed/32377946 http://dx.doi.org/10.1007/s00535-020-01690-y Text en © The Author(s) 2020 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. |
spellingShingle | Original Article—Alimentary Tract Watanabe, Kenji Tanida, Satoshi Inoue, Nagamu Kunisaki, Reiko Kobayashi, Kiyonori Nagahori, Masakazu Arai, Katsuhiro Uchino, Motoi Koganei, Kazutaka Kobayashi, Taku Takeno, Mitsuhiro Ueno, Fumiaki Matsumoto, Takayuki Mizuki, Nobuhisa Suzuki, Yasuo Hisamatsu, Tadakazu Evidence-based diagnosis and clinical practice guidelines for intestinal Behçet’s disease 2020 edited by Intractable Diseases, the Health and Labour Sciences Research Grants |
title | Evidence-based diagnosis and clinical practice guidelines for intestinal Behçet’s disease 2020 edited by Intractable Diseases, the Health and Labour Sciences Research Grants |
title_full | Evidence-based diagnosis and clinical practice guidelines for intestinal Behçet’s disease 2020 edited by Intractable Diseases, the Health and Labour Sciences Research Grants |
title_fullStr | Evidence-based diagnosis and clinical practice guidelines for intestinal Behçet’s disease 2020 edited by Intractable Diseases, the Health and Labour Sciences Research Grants |
title_full_unstemmed | Evidence-based diagnosis and clinical practice guidelines for intestinal Behçet’s disease 2020 edited by Intractable Diseases, the Health and Labour Sciences Research Grants |
title_short | Evidence-based diagnosis and clinical practice guidelines for intestinal Behçet’s disease 2020 edited by Intractable Diseases, the Health and Labour Sciences Research Grants |
title_sort | evidence-based diagnosis and clinical practice guidelines for intestinal behçet’s disease 2020 edited by intractable diseases, the health and labour sciences research grants |
topic | Original Article—Alimentary Tract |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7297851/ https://www.ncbi.nlm.nih.gov/pubmed/32377946 http://dx.doi.org/10.1007/s00535-020-01690-y |
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