Quick Hits

The link between chronic inflammatory bowel disease (IBD) and colon cancer is well established. Colorectal cancer (CRC) is increased in patients with IBD involving at least one-third of the colon, and it is important to remember that it is the same for Crohn’s disease and ulcerative colitis. Classically, the risk of CRC was estimated to […]

Plan B
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 Medical treatment options for patients with inflammatory bowel diseases (IBD) — Crohn’s disease and ulcerative colitis (UC) — have rapidly expanded with several different classes of medications now available. Traditionally, conventional therapy has consisted of mesalamine, steroids and immunomodulators, but in the era of biologic therapy, new options are available. However, variability remains in approaches […]

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Clinicians may have noticed that pouchitis is no longer a simple, antibioticresponsive disease. Over the years, we have seen a growing number of patients with chronic antibiotic-refractory pouchitis (CARP). While the Asian “carp” fish has invaded our rivers and lakes, the CARP disease has become a threat to the wellness and even survival of the […]

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Vedolizumab (Entyvio, Takeda Pharmaceuticals America, Deerfield, IL) is a humanized monoclonal antibody to α-4 β-7 integrin, which is expressed on lymphocytes and is the ligand to mucosal vascular addressin cell adhesion molecule-1 (MAdCAM-1), preferentially expressed on endothelial cells in the gut vasculature. Vedolizumab selectively interferes with lymphocyte homing in the gut, thus affording the potential […]

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Physicians who care for patients with inflammatory bowel disease (IBD) must be aware of the unique health maintenance issues facing these patients in order to deliver appropriate medical care.1 Studies have shown that patients with IBD do not receive routine preventive care at the same rate as patients with other medical conditions.2 Recent data also […]

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In the realm of inflammatory bowel disease (IBD), endpoints can be based on many things. We commonly use subjective assessments and complement these with more objective evaluations, including laboratory, endoscopic and radiologic studies. A great deal depends on the context in which these are considered: are they in reference to an individual patient or to […]

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The pathogenesis of IBD is complex and involves both genetic and environmental factors. Among the environmental factors associated with IBD, diet and the intestinal microbiota would seem the most likely to be modifiable, making them potential targets for disease prevention and treatment. Also, in the past five years, researchers have learned much about the effects […]