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[Intensive care and inflammatory bowel diseases (IBD). The severe and fulminant flare]

J Büning1, K Fellermann

  • 1Bereich Gastroenterologie und Hepatologie, Medizinische Klinik I, Universitätsklinikum Schleswig-Holstein Campus Lübeck , Ratzeburger Allee 160, 23538, Lübeck. juergen.buening@uk-sh.de

Der Internist
|June 11, 2011
PubMed

Inflammatory bowel disease (IBD) is a non-curable disease. Although we seem to have a definitive surgical solution for ulcerative colitis, patients are at risk of suffering from acute and chronic pouchitis as well as peri- and postoperative complications. In Crohn's disease medical treatment is able to prolong surgery-free survival, but no definitive healing strategy is as yet at hand. Moreover, effective medication exposes patients to potentially life-threatening complications. The severely compromised patient in particular needs careful surveillance and requires a balanced treatment strategy endorsed by gastroenterologists and surgeons. Treatment is still aimed at suppressing immune mechanisms and is far from being causal. Nevertheless, this approach has resulted in a reduction in surgical procedures and hospitalizations. The following overview covers special issues related to strategies for severe and fulminant flares of inflammatory bowel disease.

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