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Functional bowel disorders in inflammatory bowel disease.
Michael A Pezzone1, Arnold Wald
1Department of Medicine, Division of Gastroenterology, Hepatology, and Nutrition, University of Pittsburgh School of Medicine, 200 Lothrop Street, Pittsburgh, PA 15213, USA. map@mars.upmc.edu
Gastroenterology Clinics of North America
|July 19, 2002
Summary
Patients with Inflammatory Bowel Disease (IBD) in remission may still experience gastrointestinal symptoms due to inflammation. Addressing these functional symptoms is key to improving patient quality of life.
Area of Science:
- Gastroenterology
- Internal Medicine
- Inflammatory Bowel Disease (IBD) research
Background:
- Ongoing gastrointestinal symptoms are common in Inflammatory Bowel Disease (IBD) patients even during remission.
- These persistent symptoms can be linked to underlying active inflammation.
- Functional gastrointestinal disorders (FGIDs) frequently overlap with IBD, negatively impacting patient morbidity and quality of life.
Purpose of the Study:
- To highlight the connection between active inflammation and persistent gastrointestinal symptoms in IBD patients in remission.
- To emphasize the significance of recognizing and treating functional symptoms in the context of IBD management.
- To underscore the importance of a comprehensive approach to IBD care that includes addressing functional gastrointestinal disorders.
Main Methods:
- This study is a review of current understanding and clinical observations regarding IBD and functional gastrointestinal disorders.
- Analysis of existing literature on symptom overlap and patient outcomes in IBD.
- Clinical perspective on the management of patients with IBD and co-existing functional symptoms.
Main Results:
- Active inflammation can manifest as persistent gastrointestinal symptoms in IBD patients, even when clinically in remission.
- A significant overlap exists between Inflammatory Bowel Disease and functional gastrointestinal disorders.
- These overlapping conditions contribute to increased patient morbidity and reduced quality of life.
Conclusions:
- Recognition and appropriate treatment of functional gastrointestinal symptoms are crucial for effective Inflammatory Bowel Disease management.
- Addressing functional symptoms can lead to improved patient outcomes and quality of life for individuals with IBD.
- A holistic approach integrating the management of IBD and functional gastrointestinal disorders is essential for optimal patient care.