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Krohn, Kathrin; Pfeifer, Michaela; Manzey, Petra and Koletzko, Sibylle (2020): Chronisch entzündliche Darmerkrankungen — die biopsychosoziale Realität im Kindes- und Jugendalter. In: Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz, Vol. 63, No. 7: pp. 839-845 [PDF, 260kB]


The prevalence of inflammatory bowel diseases (IBD) in children is rising. These complex diseases typically take an unpredictable course with disease flares. This review serves to illustrate the psychosocial consequences and risks of inflammatory bowel diseases in children and adolescents against the background of the essential medical aspects.Pediatric gastroenterologists should perform diagnostic procedures and medical care. Central elements of diagnostic workup include upper and lower endoscopy with multiple biopsies and imaging procedures. Therapeutic options comprise immunomodulating and immunosuppressive agents, nutrition therapy and surgical interventions. With its various symptoms, complications, diagnostic procedures, and therapies, including side effect concerns, the disease is challenging for young patients and their families. Quality of life, social life, and education may be impaired. There is also an increased risk for mental-health problems. An interdisciplinary approach with the involvement of various healthcare professions such as medical doctors, psychologists, social workers, dieticians, and nurses is necessary to satisfy the needs of children and adolescents with these complex medical conditions and their families.

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