Inflamatuvar Bagirsak Hastaliklari : Guncel Haberler

.: PREFACE
Ön Söz
Preface
Prof. Dr. Ülkü DAĞLI
Başkent Üniversitesi Tıp Fakültesi, Gastroenteroloji BD, Ankara
Article Language: TR
İnflamatuvar bağırsak hastalıkları, gastrointestinal kanalın etyolojisi bilinmeyen, remisyon ve relaps dönemleriyle seyreden kronik hastalıkları olup, ülseratif kolit ve Crohn hastalığı iki majör klinik formudur. İnflamatuvar bağırsak hastalıklarının görülme sıklığı tüm dünyada giderek artmaktadır. Hastalığın görülme sıklığındaki artış; çevresel faktörlerdeki değişikliğin yanısıra, bilgi paylaşımının ve tanı olanaklarının artmasına da bağlı olabilir.

Ülseratif kolit ve Crohn hastalığının ayırıcı tanısı, diffüz veya atlamalı tutulum, mukozal veya submukozal hastalık şeklinde basit olarak formülleştirilmiştir. Ancak bazen her iki hastalığın da ortak bulguları veya atipik formları olabilir. Her iki hastalığın da farklı klinik tutulum ve aktivasyonu olabilir ve doğru tanıya ulaşmakta güçlük çekebiliriz. Bu hastalarda tedavi seçeneklerinin iyi bilinmesi gereklidir. Hangi olguda hangi tedavinin uygun olduğunun belirlenmesi için hastanın bütün olarak değerlendirilmesi gerekir. Hastalığın lokalizasyonu, aktivasyonu, komplikasyonları, daha önceki tedavilere yanıtı ve tedavi yan etkilerinin bilinmesi önemlidir. İnflamatuvar bağırsak hastalıkları hakkında bilinenler son yıllarda yapılan çalışmalarla hızla değişiklik göstermektedir.

Bu çalışmadaki amacımız; inflamatuvar bağırsak hastalıkları hakkında bilinenleri en son gelişmeler ışığında, sistematik şekilde okuyucuya aktarmaktır. İnflamatuvar bağırsak hastalığı olan olgular sadece gastroenterologlara değil; iç hastalıkları, çocuk hastalıkları, genel cerrahi, enfeksiyon hastalıkları, poliklinik yapan aile hekimliği uzmanları ve pratisyenlere başvurmaktadır. Bu nedenle inflamatuvar bağırsak hastalıkları ile ilgili akla gelen soruların yanıtlarının içerikte yer almasına çaba sarf edilmiştir. Konular; günlük pratiğimizde sık rastlanan sorunların yanısıra, seyrek karşılaştığımız ancak kolay çözümleyemediklerimiz de göz önüne alınarak belirlenmiştir.

Bu çalışmanın inflamatuvar bağırsak hastalıkları konusunda okuyucuya yardımcı olmasını diler, gelişen bilimle değişen bilgilerle devamının geleceği inancıyla saygılarımı sunarım.

Prof. Dr. Ülkü DAĞLI
Editör
Inflammatory bowel diseases are chronic diseases of the gastrointestinal tract of unknown etiology and progress with periods of remission and relapse. Ulcerative colitis and Crohn's disease are two major clinical forms. The incidence of inflammatory bowel diseases is increasing all over the world. The increase in the incidence of the disease may be related to the increase in information sharing and diagnostic opportunities as well as the change in environmental factors.

The differential diagnosis of ulcerative colitis and Crohn's disease is simply formulated as diffuse or segmental involvement, mucosal or submucosal disease. However, sometimes both diseases may have common signs or atypical forms. Both diseases may have different clinical involvement and activation, and we may have difficulty in obtaining the correct diagnosis. Treatment options should be well known in these patients. In order to determine which treatment is appropriate in each case, the patient should be evaluated as a whole. It is important to know the localization, activation, complications, response to previous treatments and treatment side effects of the disease. What is known about inflammatory bowel diseases is changing rapidly with recent studies.

In this study, our aim is to give the known facts about the inflammatory bowel disease to the reader in light of the latest developments about intestinal diseases, in a systematic way.

Cases with inflammatory bowel diseases are referred not only to gastroenterologists but also to family practitioners and general practitioners, pediatric diseases, general surgery, infectious diseases polyclinics. Therefore, efforts have been made to answer the questions that come to mind about inflammatory bowel diseases in the content. In addition to the common problems in our daily practice, the issues were determined by taking into account the rare cases that we encounter infrequently and cannot easily resolve.

I present my regards and hope that this issue helps the reader about the inflammatory bowel disease and I believe that with the progress in science and and with the changing knowledge further study will follow.

Prof. Dr. Ülkü DAĞLI
Editor

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