inflammatory bowel disease

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Introduction

A term used in reference to:

In approximately 10% of cases confined to the rectum & colon, definitive classification of Crohn disease or ulcerative colitis cannot be made & are designated 'indeterminate colitis.'

Etiology

Epidemiology

Pathology

Genetics

Laboratory

Diagnostic procedures

  • colonoscopy
    • advised within 8-10 years of IBD onset;
    • high-definition colonoscopy favored over standard definition[14]
    • routine performance of chromoendoscopy during IBD surveillance is recommended as an adjunct to high-definition colonoscopy[14]
    • narrowband imaging is not a replacement for high-definition, white-light colonoscopy or chromoendoscopy[14]
    • no specific recommendation on performance of random biopsies[14]
    • after 2 negative scopes, screening intervals of 1-3 years
    • 1-2 years after initial endoscopy for more extensive or left-sided colitis
    • polypectomy & continued surveillance recommended for adenoma-like dysplasia-associated lesion or mass with no evidence of other flat dysplasia
    • for patients with endoscopically invisible dysplasia (confirmed by a GI pathologist), referral is suggested to an endoscopist with expertise in IBD surveillance using chromoendoscopy with high-definition colonoscopy[14]
    • reduces colorecal cancer risk by 35%[13]

Radiology

Complications

Differential diagnosis

Management

More general terms

More specific terms

Additional terms

References

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    Medical Knowledge Self Assessment Program (MKSAP) 19 Board Basics. An Enhancement to MKSAP19. American College of Physicians, Philadelphia 2022
  2. Prescriber's Letter 12(9): 2005 Drug Therapy for Ulcerative colitis Detail-Document#: http://prescribersletter.com/(5bhgn1a4ni4cyp2tvybwfh55)/pl/ArticleDD.aspx?li=1&st=1&cs=&s=PRL&pt=3&fpt=25&dd=211112&pb=PRL (subscription needed) http://www.prescribersletter.com
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    Nguyen GC and Yeo EL. Prophylaxis of venous thromboembolism in IBD. Lancet 2010 Feb 20; 375:616. PMID: https://www.ncbi.nlm.nih.gov/pubmed/20149426
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  6. Medical position statement on corticosteroids, immunomodulators, and infliximab in inflammatory bowel disease. American Gastroenterological Association Institute (AGAI) http://www.gastrojournal.org/content/aga
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    Shaw SY et al. Association between early childhood otitis media and pediatric inflammatory bowel disease: An exploratory population-based analysis. J Pediatr 2012 Oct 19 <PubMed> PMID: https://www.ncbi.nlm.nih.gov/pubmed/23084703 <Internet> http://www.jpeds.com/article/S0022-3476(12)00995-X/abstract
  8. Melmed GY. Vaccination strategies for patients with inflammatory bowel disease on immunomodulators and biologics. Inflamm Bowel Dis. 2009 Sep;15(9):1410-6. PMID: https://www.ncbi.nlm.nih.gov/pubmed/19462435
  9. Farraye FA, Odze RD, Eaden J, Itzkowitz SH. AGA technical review on the diagnosis and management of colorectal neoplasia in inflammatory bowel disease. Gastroenterology. 2010 Feb;138(2):746-74, 774.e1-4 PMID: https://www.ncbi.nlm.nih.gov/pubmed/20141809
  10. Ardizzone S, Puttini PS, Cassinotti A, Porro GB. Extraintestinal manifestations of inflammatory bowel disease. Dig Liver Dis. 2008 Jul;40 Suppl 2:S253-9 PMID: https://www.ncbi.nlm.nih.gov/pubmed/18598997
  11. Farraye FA, Odze RD, Eaden J et al AGA medical position statement on the diagnosis and management of colorectal neoplasia in inflammatory bowel disease. Gastroenterology. 2010 Feb;138(2):738-45. PMID: https://www.ncbi.nlm.nih.gov/pubmed/20141808 corresponding NGC guideline withdrawn Dec 2015
  12. Larsen S, Bendtzen K, Nielsen OH. Extraintestinal manifestations of inflammatory bowel disease: epidemiology, diagnosis, and management. Ann Med. 2010 Mar;42(2):97-114 PMID: https://www.ncbi.nlm.nih.gov/pubmed/20166813
  13. 13.0 13.1 Ananthakrishnan AN et al. Colonoscopy is associated with a reduced risk for colon cancer and mortality in patients with inflammatory bowel diseases. Clin Gastroenterol Hepatol 2014 Jul 17 <PubMed> PMID: https://www.ncbi.nlm.nih.gov/pubmed/25041865 <Internet> http://www.cghjournal.org/article/S1542-3565%2814%2901047-7/abstract
  14. 14.0 14.1 14.2 14.3 14.4 14.5 14.6 14.7 Laine L et al. SCENIC international consensus statement on surveillance and management of dysplasia in inflammatory bowel disease. Gastrointest Endosc 2015 Mar; 81:489 <PubMed> PMID: https://www.ncbi.nlm.nih.gov/pubmed/25708752 <Internet> http://www.giejournal.org/article/S0016-5107%2814%2902578-4/abstract
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  21. Bandinelli F, Manetti M, Ibba-Manneschi L. Occult spondyloarthritis in inflammatory bowel disease. Clin Rheumatol. 2016 Feb;35(2):281-9. PMID: https://www.ncbi.nlm.nih.gov/pubmed/26354428
  22. Oikonomou KA, Kapsoritakis AN, Stefanidis I, Potamianos SP. Drug-induced nephrotoxicity in inflammatory bowel disease. Nephron Clin Pract. 2011;119(2):c89-94; Review. PMID: https://www.ncbi.nlm.nih.gov/pubmed/21677443 Free Article
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