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Inflammatory bowel disease

Prevalence
Clinical features
Differential Diagnosis
Investigations
Therapy
Prevention
Prognosis
Investigations

Monitor
  • 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

Why?

Continued frequent diarrhoea and elevated inflammatory markers increase the risk of colectomy

Patient Prognostic Factor Outcome CER RR
(95% CI)
NNF+
(95% CI)
active ulcerative colitis b > 8 bowel actions and a CRP > 45 on day 3 of admission
not independent
colectomy
at uncertain duration
8.5% 8.75
(2.86 to 26.8)
2
(1 to 6)

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

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