Evaluation of Inflammatory Bowel Disease: An Issue of Gastroenterology Clinics of North America

by Shah, Samir

• ISBN13: 9781455746279
• ISBN10: 1455746274
• Edition: 1st
• Format: Hardcover
• Copyright: 2012-04-01
• Publisher: SAUNDERS W B CO

Summary

The Guest Editors have focused on methods of diagnosing and evaluating IBD to help guide optimal treatment to maximize clinical outcomes and minimize risks. Authors have provided state-of-the-art updates with practical information/guidelines/algorithms and cutting-edge data for incorporation into practice. The first set of articles deals with endoscopy: its role in diagnosis and monitoring IBD; the growing importance of chromoendoscopy in IBD surveillance exams; assessment of post-operative recurrence; and finally the emerging role of capsule endoscopy. The second section focuses on specific scenarios that IBD physicians encounter frequently: health maintenance in IBD focusing on proper vaccinations; the growing problem of Clostridium difficile in IBD; assessment of pouch problems; optimal evaluation of perianal disease; the state of the art in using thiopurines including use of allopurinol to optimize metabolites and optimizing the use of infliximab by measuring levels and antibodies to infliximab; factors to consider in choosing monotherapy versus combination therapy and communication of risk/benefit to patients; and finally disability assessment in IBD. The third and final section highlights noninvasive methods to evaluate IBD: clinical predictors of aggressive or disabling disease; the evolving role of specific antibodies in diagnosing, subtyping and most recently prognosticating in IBD; stool markers (calproctectin and lactoferrin) for evaluating and monitoring IBD; the growing role of imaging modalities with emphasis on MR enterography and CT enterography; and finally, the genetics of IBD and the potential role of genetic testing in the diagnosis/prognosis and tailoring of therapy.

Table of Contents

Preface: Evaluation of Inflammatory Bowel Disease	p. xiii
Endoscopy and Capsule Endoscopy: Endoscopic Assessment of Inflammatory Bowel Disease: Colonoscopy/Esophagogastroduodenoscopy	p. 271
Chromoendoscopy in Inflammatory Bowel Disease	p. 291
Evaluation for Postoperative Recurrence of Crohn Disease	p. 303
The Role of Capsule Endoscopy in Evaluating Inflammatory Bowel Disease	p. 315
Special Situations: Health Maintenance in the Inflammatory Bowel Disease Patient	p. 325
Detecting and Treating Clostridium Difficile Infections in Patients with Inflammatory Bowel Disease	p. 339
Evaluating Pouch Problems	p. 355
The Evaluation and Treatment of Crohn Perianal Fistulae: EUA, EUS, MRI, and Other Imaging Modalities	p. 379
Optimizing Immunomodulators and Anti-TNF Agents in the Therapy of Crohn Disease	p. 393
Patient-Specific Approach to Combination Versus Monotherapy with the Use of Antitumor Necrosis Factor a Agents for Inflammatory Bowel Disease	p. 411
Disability in Inflammatory Bowel Disease	p. 429
Noninvasive Evaluation: Clinical Predictors of Aggressive/Disabling Disease: Ulcerative Colitis and Crohn Disease	p. 443
The Promise and Pitfalls of Serologic Testing in Inflammatory Bowel Disease	p. 463
Fecal Markers: Calprotectin and Lactoferrin	p. 483
Imaging for Luminal Disease and Complications: CT Enterography, MREnterography, Small-Bowel Follow-Through, and Ultrasound	p. 497
Genetics in Diagnosing and Managing Inflammatory Bowel Disease	p. 513
Index	p. 523
Table of Contents provided by Ingram. All Rights Reserved.