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Related Concept Videos

Inflammatory Bowel Disease III: Diagnostic Studies and Management I-Nutritional Therapy01:30

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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...
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Imaging Studies III: Gastrointestinal Motility Studies and Virtual Colonoscopy01:26

Imaging Studies III: Gastrointestinal Motility Studies and Virtual Colonoscopy

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This lesson explores three gastrointestinal imaging techniques: radionuclide testing, colonic transit studies, and virtual colonoscopy.
Radionuclide Testing
Radionuclide testing is a sophisticated medical technique for assessing gastrointestinal motility. It focuses on gastric emptying and colonic transit time. Radioactive markers track the movement of food through the digestive system, providing insights into gastrointestinal disorders.
In gastric emptying studies, a meal's liquid and...
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Inflammatory Bowel Disease IV: Pharmacological Management01:29

Inflammatory Bowel Disease IV: Pharmacological Management

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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...
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Inflammatory Bowel Disease V: Surgical Management01:21

Inflammatory Bowel Disease V: Surgical Management

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Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
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Inflammatory Bowel Disease II: Crohn's Disease01:30

Inflammatory Bowel Disease II: Crohn's Disease

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Introduction
Inflammatory bowel disease, commonly known as IBD, refers to a collection of disorders that lead to persistent inflammation of the gastrointestinal tract. The two types of IBD are ulcerative colitis, which impacts the colon, and Crohn's disease, which can involve any part of the gastrointestinal segment.
Crohn's disease
Crohn's disease is a chronic, systemic inflammatory bowel disease (IBD) that predominantly affects the gastrointestinal tract. It is marked by...
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Inflammatory Bowel Disease I: Ulcerative Colitis01:27

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Introduction
Inflammatory bowel disease, or IBD, encompasses a group of disorders characterized by chronic inflammation or ulceration of the gastrointestinal tract.
Risk Factors
The exact cause of IBD remains unclear, although it is believed to be due to a mix of genetic, environmental, microbial, and immune factors. Genetic factors are significant in determining susceptibility to IBD, with family history being a critical risk factor. Individuals with a first-degree relative who has IBD are at...
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Fluorescence-mediated Tomography for the Detection and Quantification of Macrophage-related Murine Intestinal Inflammation
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Inflammatory bowel disease imaging: Current practice and future directions.

Aoife Kilcoyne1, Jess L Kaplan1, Michael S Gee1

  • 1Aoife Kilcoyne, Michael S Gee, Department of Radiology, Massachusetts General Hospital, Boston, MA 02214, United States.

World Journal of Gastroenterology
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Summary

This review evaluates imaging

Keywords:
Computed tomographyCrohn’s diseaseImagingInflammatory bowel diseaseMagnetic resonance imagingUlcerative colitis

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Area of Science:

  • Gastroenterology
  • Radiology
  • Internal Medicine

Background:

  • Inflammatory bowel disease (IBD) encompasses Crohn's disease and ulcerative colitis, chronic gastrointestinal disorders.
  • Accurate assessment of IBD requires evaluation of both luminal and extraluminal disease manifestations.
  • Traditional imaging techniques have limitations in fully characterizing IBD.

Purpose of the Study:

  • To evaluate the role of various imaging modalities in the management of inflammatory bowel disease (IBD).
  • To discuss the advantages and disadvantages of different imaging techniques for IBD assessment.
  • To highlight recent advancements and emerging modalities in IBD imaging.

Main Methods:

  • Review of current literature on imaging in inflammatory bowel disease.
  • Discussion of established and novel imaging techniques, including barium fluoroscopy, CT, and MRI.
  • Analysis of imaging's role in detecting complications, assessing disease activity, and monitoring treatment response.

Main Results:

  • Cross-sectional imaging (CT and MRI) offers comprehensive assessment of mural and extramural IBD.
  • Imaging is crucial for detecting extraluminal complications and extraintestinal manifestations.
  • Advanced imaging techniques improve noninvasive monitoring of disease activity and treatment response.

Conclusions:

  • Imaging plays a vital role in the comprehensive evaluation and management of IBD patients.
  • Cross-sectional imaging modalities are increasingly preferred for their ability to assess mural and extramural disease.
  • Emerging imaging technologies promise enhanced noninvasive assessment of IBD activity and treatment efficacy.