Inflammatory Bowel Disease

Treatment of Inflammatory Bowel Disease

Diet and nutrition. Patients with mild symptomatic Inflammatory bowel disease usually are able to take food orally. The diet should be nutritious. Traditionally, fiber has been restricted during periods of active symptoms. Some patients cannot tolerate milk, which…

Diagnostic studies of Inflammatory Bowel Disease

Laboratory studies A complete blood count, urinalysis, and serum chemistry tests are appropriate during the initial evaluation of a patient with suspected Inflammatory bowel disease. Examination of the stool Stool from patients suspected of having ulcerative colitis should…

Medications During Pregnancy

Most women do not want to ingest any medications or products such as alcohol or tobacco when conceiving. With quiescent inflammatory bowel disease, many patients consider discontinuation of maintenance treatments. However meta-analysis data clearly supports maintenance medications such…

Perianal Disease in Inflammatory Bowel Disease

The proper surgical management of perianal Crohn’s disease  is controversial. Ever since fistulas were first recognized as a manifestation of Crohn’s disease by Penner and Crohn, the specter of incontinence from aggressive perianal surgery has haunted its operative…

Inflammatory Bowel Disease

Definition There are two forms of idiopathic inflammatory bowel disease: ulcerative colitis, a mucosal inflammatory condition confined to the rectum and colon, and Crohn’s disease, a transmural inflammation of gastrointestinal mucosa that may occur in any part of…

Fistulas

Low Fistulas The surgical treatment of perianal fistulas in Crohn’s disease is based on the fistula type (low or high) and, more importantly, the presence of active proctitis. For those with low fistula in ano, fistulotomy still has…

Pregnancy and Inflammatory Bowel Disease

Ulcerative colitis and Crohn’s disease, collectively referred to as inflammatory bowel disease, are diagnosed most commonly in patients in their childbearing years. The incidence of Crohn’s disease in young adults is increasing, whereas the incidence of Ulcerative colitis…

Ulcerative Colitis

Mild to Moderate Disease The first line of drug therapy for the patient with mild to moderate colitis is oral sulfasalazine or an oral mesalamine derivative, or topical mesalamine or steroids for distal disease. When given orally, usually…

Surgical Treatment

Because Crohn’s disease cannot be cured by surgery, the guiding surgical principle is to do as little as possible while relieving symptoms as completely as possible. Risks of iatrogenic injury combined with disappointing surgical results prompt a conservative…