Inflammatory bowel disease

Disease class: Gastroenteritis

Disease class: Intestinal diseases

This is a group of inflammatory diseases.

 

Types

• Crohn's disease
• Ulcerative colitis

The vast majority of IBD cases are due to Crohn's disease or Ulcerative colitis. 

• Indeterminate colitis
• Microscopic colitis
• Behçet's disease

 

Investigations

• FBC
• CRP
• U&Es
• LFTs 
• ESR
• Plasma viscosity
• Faecal calprotectin
• CT scan: Abdomen and pelvis with bowel contrast (if possible)
• Endoscopy
• Flexible sigmoidoscopy
• Colonoscopy
• Tissue biopsy and histological analysis
• Surgical exploration

 

Management 

Medical

• Local anti-inflammatory therapies
• Immunosuppressive therapies
• Biologic therapies

Surgical

• Excision and re-anastamosis