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Inflammatory Bowel Diseases

 

 

Inflammatory bowel diseases (IBD) consist of two different, but closely related, disorders: Crohn’s Disease and Ulcerative Colitis.  Both disorders involve chronic inflammation of the intestinal tract and are distinct from irritable bowel syndrome.

 

Crohn’s disease can involve any part of the intestine whereas ulcerative colitis is limited to the colon and rectum. A variety of symptoms can occur and include abdominal pain, diarrhea, blood in stool, fevers, skin rashes and joint pains. In severe cases, patients may have complications, such as abscesses and severe colitis. In Crohn’s disease, one may develop fistulas – abnormal communications between the intestine and another organ or skin. The causes for IBD have not been fully defined, but evidence points to an abnormal immune response, perhaps to an environmental agent(s).

 

Gastroenterologists at Crozer perform thorough evaluations for IBD.  These include - but not limited to - endoscopy, X-rays, CT scans and biopsies of the intestine.  Once a diagnosis has been established, specific treatment options and counseling are offered. Medications often include the 5-ASA compounds, antibiotics, steroids, immunomodulating agents, as well as infliximab (RemicadeÒ). Crozer has a full -service intravenous infusion center allowing for safe outpatient administration of infliximab. In addition, a team of highly specialized and experienced interventional radiologists and colorectal surgeons are available to treat the complications of IBD.

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