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Related Concept Videos

Inflammatory Bowel Disease IV: Pharmacological Management01:29

Inflammatory Bowel Disease IV: Pharmacological Management

Upon diagnosis, managing Inflammatory Bowel Disease (IBD) involves addressing several crucial aspects. The primary goals include resting the bowel, correcting malnutrition, and providing symptomatic relief. Resting the bowel may consist of medications to reduce inflammation and promote healing. Correcting malnutrition is essential, often requiring dietary adjustments and nutritional supplements. Symptomatic relief aims to ease pain, diarrhea, and other discomforts in IBD.
Pharmacologic...
Drugs for Treatment of Crohn's Disease in IBD Using Glucocorticoids01:21

Drugs for Treatment of Crohn's Disease in IBD Using Glucocorticoids

Glucocorticoids, a class of anti-inflammatory drugs, are pivotal in treating moderate to severe Crohn's disease by inducing remission. They exhibit their anti-inflammatory action by inhibiting the production of inflammatory cytokines such as tumor necrosis factor (TNF)-α, interleukin (IL)-1, and chemokines like IL-8. In addition, they reduce the expression of inflammatory cell adhesion molecules and inhibit gene transcription of nitric oxide synthase, phospholipase A2, cyclooxygenase-2 (COX-2),...
Drugs for Treatment of Crohn's Disease in IBD Using Immunomodulatory Agents01:29

Drugs for Treatment of Crohn's Disease in IBD Using Immunomodulatory Agents

Crohn's disease is an inflammatory bowel disorder marked by chronic inflammation of the GI tract. Various treatment strategies for Crohn's disease are employed, such as immunomodulatory agents, glucocorticoids, and biologics or anti-TNF therapy. Azathioprine (Imuran), a commonly used immunomodulatory drug for Crohn's disease, is converted in the body to mercaptopurine, which inhibits purine biosynthesis and cell proliferation. Both are utilized in severe cases of Inflammatory Bowel Disease...
Inflammatory Bowel Disease III: Diagnostic Studies and Management I-Nutritional Therapy01:30

Inflammatory Bowel Disease III: Diagnostic Studies and Management I-Nutritional Therapy

Various diagnostic tests are employed in the diagnostic process for Inflammatory Bowel Disease (IBD), particularly to differentiate between Crohn's disease and ulcerative colitis.
Diagnostic studies
A colonoscopy is the definitive screening test, distinguishing ulcerative colitis from other colon diseases with similar symptoms. During a colonoscopy test, inflamed mucosa with exudate ulcerations can be observed, and biopsies are taken to determine the histologic characteristics of the colonic...
Drugs for Treatment of Ulcerative Colitis in IBD01:29

Drugs for Treatment of Ulcerative Colitis in IBD

Ulcerative colitis is a chronic inflammatory condition primarily affecting the colon and rectum. The primary drugs used in the treatment of ulcerative colitis are aminosalicylates. They exhibit anti-inflammatory and immunosuppressive properties. They modulate inflammatory mediators and inhibit the activity of nuclear factor κB (NF-κB). Aminosalicylates also reduce inflammation by inhibiting prostaglandin and leukotriene production and decreasing neutrophil chemotaxis and superoxide generation. 
Drugs for Treatment of Crohn's Disease in IBD Using Biologic Agents: Anti-TNF01:24

Drugs for Treatment of Crohn's Disease in IBD Using Biologic Agents: Anti-TNF

Tumor Necrosis Factor (TNF), a proinflammatory cytokine, contributes significantly to the inflammation seen in Crohn's disease. It exists as soluble TNF and membrane-bound TNF, with actions mediated through TNF receptors (TNFR). TNFR activation leads to the release of proinflammatory cytokines, T-cell activation, collagen production, and leukocyte migration, all contributing to inflammation in Crohn's disease. Anti-TNF monoclonal antibodies, namely infliximab (Remicade), adalimumab (Humira),...

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Updated: Jun 28, 2026

Analyzing Beneficial Effects of Nutritional Supplements on Intestinal Epithelial Barrier Functions During Experimental Colitis
08:58

Analyzing Beneficial Effects of Nutritional Supplements on Intestinal Epithelial Barrier Functions During Experimental Colitis

Published on: January 5, 2017

Optimizing conventional therapy for inflammatory bowel disease.

Marc Schwartz1, Russell Cohen

  • 1The University of Chicago Hospitals and Clinics, Department of Medicine, Section of Gastroenterology, 5841 South Maryland Avenue, MC 4076, Chicago, IL 60637-1463, USA.

Current Gastroenterology Reports
|November 14, 2008
PubMed
Summary

Conventional therapies remain crucial for inflammatory bowel disease (IBD) management, with ongoing advancements in drug dosing and monitoring enhancing efficacy and safety for IBD treatment.

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In Vivo Augmentation of Gut-Homing Regulatory T Cell Induction
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Analyzing Beneficial Effects of Nutritional Supplements on Intestinal Epithelial Barrier Functions During Experimental Colitis
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Published on: January 5, 2017

In Vivo Augmentation of Gut-Homing Regulatory T Cell Induction
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In Vivo Augmentation of Gut-Homing Regulatory T Cell Induction

Published on: January 22, 2020

Area of Science:

  • Gastroenterology
  • Pharmacology

Background:

  • Conventional therapies are foundational for inflammatory bowel disease (IBD) treatment despite the focus on biologics.
  • These therapies offer a balance of efficacy, safety, and cost-effectiveness.

Purpose of the Study:

  • To highlight recent advancements in conventional therapies for IBD.
  • To discuss optimized drug delivery, monitoring, and emerging treatment options.

Main Methods:

  • Review of current literature on conventional IBD therapies.
  • Discussion of modified dosing strategies and monitoring techniques for existing drugs.
  • Exploration of novel applications and emerging treatments like probiotics.

Main Results:

  • Optimized mesalamine dosing (higher dose, once-daily) improves delivery and compliance.
  • Budesonide offers effective corticosteroid-sparing induction and remission maintenance in Crohn's disease.
  • Thiopurine dose optimization is enhanced by thiopurine methyltransferase and metabolite level assessments.
  • Oral calcineurin inhibitors (tacrolimus, cyclosporine) and methotrexate show expanded roles in IBD management.
  • Probiotics demonstrate potential for maintaining remission across various IBD subtypes.

Conclusions:

  • Conventional therapies for IBD are continually refined for improved patient outcomes.
  • Advances in drug administration, monitoring, and novel agents like probiotics enhance IBD management strategies.