Article information
Resumen
Se presentaron alrededor de 1.000 comunicaciones sobre enfermedad inflamatoria intestinal en la DDW 2008. Nuestra intención en este trabajo es resumir lo más importante presentado con respecto a métodos diagnósticos, tabaco, cáncer, en relación con las EII. La resonancia megnética parece que está adquiriendo cada vez más importancia en el diagnóstico de la enfermedad de Crohn. Siguen acumulándose datos que demuestran que el tabaco influye negativamente en la evolución de la enfermedad de Crohn también cuando es tratada en unidades muy especializadas, incluso con dosis moderadas. Al incluir los estudios de base poblacional, el cáncer colorrectal no es tan frecuente como señalan los estudios procedentes de centros de referencia. Sin embargo, su incidencia sigue justificando las medidas de vigilancia, aunque cada vez más datos sugieren que un buen control de la inflamación es clave para disminuir la incidencia del cáncer.
Palabras clave:
Enfermedad de Crohn
Colitis ulcerosa
Colorrectal cancer
Magnetic resonance
Tabaco
Clostridium difficile
Abstract
At DDW 2008 around 1000 abstracts on inflammatory bowel disease were presented. Our goal in this report is to sumaries the most important new data on diagnosis, smoking and cancer related to IBD. MRI is emerging as a basic diagnostic tool in Crohn's disease. New data are accumulating demonstrating that smoking has a negative impacto on natural history of CD even when treated in very specialized units, and with moderate tobacco use. When population-based studies are considered, colorrectal cancer is not so a frequent complication as has been reported in referente centres. However, its incidente does fully justify surveillance, although more and more data show that the key point to disminsh the incidence of cancer is a good control of inflammation.
Key words:
Crohn's disease
Ulcerative colitis
Colorrectal cancer
MRI
Smoking
Clostridium difficile
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