Pathology diagnostics of inflammatory bowel diseases (IBD) in children on the material of colonobiopsies presents considerable difficulties. Definitive morphological diagnosis could be done probably no more than at half of the patients with suspicion on IBD. Diagnosis of unlassified colitis it is necessary to use to the diagnosis in more than 25% of cases. Whether at use of the given term it is desirable to specify in addition the impossibility to classify colitis between ulcerative colitis (UC) and Crohn's disease (CD) concerns or the differential diagnosis should include wider spectrum chronic colitidies. The similar situation always demands profound interdisciplinary discussion and the subsequent dynamic follow up the patient.

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