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Crohn's disease: the subsequent visit
Catherine S Manolakis1, Francis A Farraye1, Jack A Di Palma1
1Dr. Manolakis is a Fellow in the Division of Gastroenterology and a Clinical Instructor in Medicine at the University of South Alabama College of Medicine in Mobile, Alabama. Dr. Farraye is a Professor in the Department of Gastroenterology at Boston University School of Medicine in Boston, Massachusetts. Dr. Di Palma is a Professor of Medicine, Director of the USA Digestive Health Center, and Director of the Division of Gastroenterology, all at the University of South Alabama College of Medicine in Mobile, Alabama.
Abstract:
The diagnosis and subsequent management of Crohn's disease are challenging for both the patient and the gastroenterologist. After the initial assessment, subsequent visits should assess the patient's readiness to begin therapy, monitor progress if therapy has been initiated, assess for complications of the disease or therapy, and ensure that all appropriate health maintenance measures are current. This article is intended to be a companion to our earlier paper "Crohn's Disease: The First Visit," which was published in Gastroenterology & Hepatology in March 2011. This article will offer a methodologic and sequential approach to subsequent office visits, as well as provide a checklist for the assessment of Crohn's disease.
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