Mistakes in the medical management of IBD and how to avoid them

The prevalence of inflammatory bowel disease (IBD) is rising with some patients facing years of severe, disabling symptoms. Patient management requires a nimble and individual approach with treating clinicians liaising closely with colleagues in other disciplines. Some of the pitfalls that await the treating clinician and how to avoid them were discussed by Tim Raine and Nik Sheng Ding.

    These mistakes include:
  • Use of 5-ASAs to maintain remission in patients with Crohn's disease
  • Regarding surgery as an outcome indicative of failure
  • Regarding surgery as a cure for ulcerative colitis
  • Overuse of corticosteroids
  • Inadequate anticoagulation prophylaxis for venous thromboembolic disease

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