IBD Highlights
Eleonora Giannetti, Caterina Strisciuglio, Felice Crocetto, Annalisa Alessandrella, Massimo Martinelli, Erasmo Miele, Annamaria Staiano
1Centro di Riferimento Regionale per le Malattie Infiammatorie Croniche Intestinali dell’Età Evolutiva Dipartimento di Scienze Mediche Traslazionali, Sezione di Pediatria, Università di Napoli “Federico II”
The diagnosis of pediatric- onset IBD (PIBD) can be challenging in choosing the most informative diagnostic test and correctly classifying PIBD into its different subtypes. The revised criteria depart from existing criteria by defining two categories of ulcerative colitis (UC; typical and atypical). A novel approach based on multiple criteria for diagnosing IBD-unclassified (IBDU) is proposed.These revised criteria recommend upper GI endoscopy and ileocolonscopy for all suspected PIBD patients, with small bowel imaging (unless typical UC after endoscopy and histology) by magnetic resonance enterography (MRE) or wireless capsule endoscopy.