By Peter Irving MD MRCP, Corey A. Siegel, David Rampton, Fergus Shanahan
Evidence-based information to respond to greater than 60 arguable medical questions about inflammatory bowel diseaseClinical Dilemmas in Inflammatory Bowel affliction is a realistic instruction manual offering fast yet certain solutions to the questions and demanding situations that you're confronted with day-by-day within the scientific setting.Each brief bankruptcy addresses a special subject and offers evidence-based counsel on topics starting from optimising present administration via to important administration difficulties and novel remedies. This publication is acceptable for all doctors serious about the care of sufferers with IBD: demonstrated and trainee gastroenterologists, colorectal surgeons, pathologists, radiologists, professional nurses, pharmacists, dieticians and counsellors
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Extra resources for Clinical Dilemmas in Inflammatory Bowel Disease
12 Bernstein CN, Blanchard JF, Metge C, Yogendran M. Does the use of 5-aminosalicylates in inﬂammatory bowel disease prevent the development of colorectal cancer? Am J Gastroenterol 2003; 98: 2784 – 8. 13 Choi PM, Nugent FW, Schoetz DJ Jr, et al. Colonoscopic surveillance reduces mortality from colorectal cancer in ulcerative colitis. Gastroenterology 1993; 105: 418 –24. 14 Itzkowitz S. Colon carcinogenesis in inﬂammatory bowel disease: applying molecular genetics to clinical practice. J Clin Gastroenterol 2003; 36 (5 Suppl): S70 – 4.
Gastroenterology 1984; 86: 249–66. 2 Summers RW, Switz DM, Sessions JT Jr, et al. National Cooperative Crohn’s Disease Study (NCCDS): results of drug treatment. Gastroenerology 1979; 77: 847–69. 3 Singleton JW, Hanauer SB, Gitnick GL, et al. Mesalamine capsules for the treatment of active Crohn’s disease: results of a 16-week trial. Pentasa Crohn’s Disease Study Group. Gastroenterology 1993; 104: 1293–301. 4 Singleton J. Second trial of mesalamine therapy in the treatment of active Crohn’s disease.
There is limited evidence for their use in UC, but they are useful in pouchitis. Ciproﬂoxacin and metronidazole are the most widely used antibiotics, but their use is limited by their side-effects. Newer antibiotics with excellent tolerability, such as rifamixin, need further evaluation. References 1 Sands B. Therapy of inﬂammatory bowel disease. Gastroenterology 2000; 118: 568–82. 2 Schulze J, Sonnenborn U. The role of the gut ﬂora in inﬂammatory bowel diseases. ) Helicobacter Meets Inﬂammatory Bowel Disease.
Clinical Dilemmas in Inflammatory Bowel Disease by Peter Irving MD MRCP, Corey A. Siegel, David Rampton, Fergus Shanahan