Dividing Crohn’s Into Small Bowel and Colonic Diseases?

Parambir S. Dulai, MD, and colleagues at the Division of Gastroenterology, University of California San Diego have written a thoughtful discussion on the problem with phenotypes in Crohn’s disease. We have long known that there are different types of disease, aggressiveness factors, and presentations. However, we tend to think of Crohn’s as one disease. Is

Anti-TNF therapy in early pregnancy tied to preeclampsia

“We know that women with inflammatory bowel disease when they are pregnant are at increased risk for adverse pregnancy outcomes,” Sunanda V. Kane, MD, a gastroenterologist and professor of medicine at Mayo Clinic in Rochester, Minnesota, said at the American College of Gastroenterology Annual Meeting. Control of IBD has been felt to be fundamental for

C. dif and IBD patients benefit from FMT

Patients with both Clostridiodes difficile infection and inflammatory bowel disease showed improvement after fecal microbiota transplantation, Jessica Allegretti, MD, director of the FMT program at Brigham and Women’s Hospital, said during a presentation at Digestive Disease Week. The ICON study took place at four sites across the US. Results for FMT in C. dif alone

Anxiety, depression prevalent in IBD patients

Patients with inflammatory bowel disease may also have undiagnosed anxiety and depression, according to a study by Charles Bernstein, MD, of the University of Manitoba in Canada. Researchers evaluated the prevalence of undiagnosed depression and anxiety by analyzing data from a cohort study of psychiatric comorbidity in immune-mediated disorders, including IBD. About a third of

Female IBD patients report sexual dysfunction

Nearly all women who were diagnosed with inflammatory bowel disease reported sexual problems, according to a study at the University of Minnesota that was published in Inflammatory Bowel Diseases. Scores were similar for patients with Crohn’s disease and ulcerative colitis. Surprisingly, remission of disease did not alleviate the symptoms, according to the study. “This is

IBD patients may see relief of inflammation with antidepressants

Inflammatory bowel disease patients who take antidepressants may also get relief from their inflammation, according to a study published in Inflammatory Bowel Diseases. “Apart from improving mood, it is observed that the anti-inflammatory properties of antidepressants may influence the inflammatory response directly,” the authors wrote. “Other research suggests a bidirectional relationship between IBD activity and

IBD can contribute to sexual dysfunction

According to a study in Inflammatory Bowel Diseases, patients with inflammatory bowel disease often struggle with body image and sexuality and this could lead to sexual dysfunction. Men with IBD who were younger than 50 and women younger than 40 had a significantly increased risk, the study said. “Inflammatory bowel disease could have a major

Crohn’s & Colitis Congress 2019 in Las Vegas

Assessing which care guideline to follow can be a challenge for many providers who care for patients with inflammatory bowel diseases (IBD). To help IBD health care professionals navigate these complexities, the 2019 Crohn’s & Colitis Congress® will focus its opening session on How to Make Sense of Care Guidelines. See Dr. David Rubin from the University