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Inflammatory bowel disease

Prevalence
Clinical features
Differential Diagnosis
Investigations
Therapy
Prevention
Prognosis
Investigations
  • blood count c  
  • ESR c 
  • CRP b  
  • urea, electrolytes, creatinine d
  • glucose d
  • calcium, magnesium d
  • liver function tests b
  • group & save/ cross-match blood d
  • ANCA and ASCA in new cases a

  • stool culture and microscopy d
  • C difficile toxin assay d

  • erect chest X-ray d
  • abdominal X-ray c 
Consider performing
  • colonoscopy c  with biopsies. d It is a better test than sigmoidoscopy followed by barium enema. a  
  • an air enema. b  
    Look for severe changes (irregular mucosal contour, > 2 mm deep ulceration, or ulceration undermining the mucosa).
Consider the following in first episodes of colitis
  • abdominal ultrasound scan b  
  • white cell scanning c  
Barium follow-through studies are unhelpful c  
Monitor the following
  • vital signs c  
  • number of stools passed per day b  c  
  • blood count c  
  • inflammatory markers b  c  
  • urea and electrolytes d
  • abdominal film for small bowel distension c  

Expiry date: July 2003
Levels of Evidence used in grading these guides

Author   CM   Ball
Reviewer   L   Friedman
CAT Writers   D   Ford , CM   Ball