Evaluation of proctitis

最后审阅: 20 Aug 2025
最后更新: 27 Aug 2025

小结

鉴别诊断

常见

  • Idiopathic ulcerative proctitis
  • Crohn proctitis
  • Sexually transmitted proctitis
完整详情

不常见

  • Celiac disease
  • Radiation proctitis
  • Ischemic proctitis
  • Proctitis related to nonsteroidal anti-inflammatory drug use, caustic agent
  • Diversion colitis
  • Mpox
完整详情

撰稿人

作者

Jordan E. Axelrad, MD, MPH

Associate Professor of Medicine

Director of Clinical and Translational Research

Inflammatory Bowel Disease Center at NYU Langone Health

NYU Grossman School of Medicine

New York

NY

利益声明

JEA declares research grants from BioFire Diagnostics; consultancy fees, honorarium, or advisory board fees from Biomerieux, Janssen, Pfizer, BMS, Adiso, Fresenius, and Abbvie. JEA is supported through the Clinical Investigator Research Award funded by the Crohn’s and Colitis Foundation (#878246), the Judith & Stewart Colton Center for Autoimmunity, and the NIH NIDDK Diseases K23DK124570.

鸣谢

Dr Jordan E. Axelrad would like to gratefully acknowledge Dr Alan C. Moss, a previous contributor to this topic.

利益声明

ACM declares that he has no competing interests.

同行评议者

Srikrishna Nagri, MD

Gastroenterologist

Dartmouth-Hitchcock Nashua

Nashua

NH

利益声明

SN declares that he has no competing interests.

Terry Bolin, MBBS

Associate Professor of Medicine

Gastrointestinal and Liver Unit

The Prince of Wales Hospital

Sydney

New South Wales

Australia

利益声明

TB declares that he has no competing interests.

Peer reviewer acknowledgements

BMJ Best Practice topics are updated on a rolling basis in line with developments in evidence and guidance. The peer reviewers listed here have reviewed the content at least once during the history of the topic.

Disclosures

Peer reviewer affiliations and disclosures pertain to the time of the review.

参考文献

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关键文献

Workowski KA, Bachmann LH, Chan PA, et al; Centers for Disease Control and Prevention. Sexually transmitted diseases treatment guidelines, 2021. MMWR Recomm Rep. 2021;70:1-187.全文  摘要

Daniel R, Mark P, Gauri G, et a​l. British Association of Sexual Health and HIV (BASHH) United Kingdom national guideline for the management of sexually transmitted enteric infections. International Journal of STD & AIDS. Aug 2023;34(9):588-602.全文

Vries HJC, Nori​ AV, Larsen HK, et al. European guideline on the management of proctitis, proctocolitis and enteritis caused by sexually transmissible pathogens. J Eur Acad Dermatol Venereol. Jul 2021;35(7):1434-43.全文

Lichtenstein GR, Loftus EV, Afzali A, et al. ACG clinical guideline: management of Crohn's disease in adults. Am J Gastroenterol. 2025 Jun 3;120(6):1225-64.全文  摘要

American Society for Gastrointestinal Endoscopy Standards of Practice Committee, Shergill AK, Lightdale JR, et al. The role of endoscopy in inflammatory bowel disease. Gastrointest Endosc. 2015 May;81(5):1101-21.e1-13.全文  摘要

参考文献

A full list of sources referenced in this topic is available to users with access to all of BMJ Best Practice.

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