Vitamin D Replacement Objective: Monitor for and manage Vitamin D deficiency Patient population: Individuals with known diagnosis of IBD and low serum 25-hydroxyvitamin D Highlight Box Vitamin D deficiency is common among IBD patients. Restoring and maintaining appropriate levels of Vitamin…
Objective: Provide direction to management of patients with perianal penetrating Crohn’s disease Patient population: Patients diagnosed with Crohn’s disease with a recent surgical resection Introduction Perianal Crohn’s disease is a form of Crohn’s disease which causes inflammation around the anus. Perianal manifestations of Crohn’s disease include perianal fistula, perianal…
Objective: Provide direction for the management of patients with Crohn’s disease after a bowel resection Population: Adult patients (> 18 years) with Crohn’s disease with a recent surgical resection Introduction Although surgery is not curative, it is an important intervention…
Suspected IBD Outpatient Flare Objective: Optimal management of IBD flare. Patient population: Adult patients (>18 years) with known diagnosis of IBD. Highlight Box The completed assessment will be used to triage patient symptoms to determine the degree of urgency. Good clinical judgement, assessment skills and knowledge of IBD will…
Objective: Provide direction regarding choice of therapy for patients with ulcerative colitis Patient population: Adult patients (>18 years) with known diagnosis of ulcerative colitis Introduction Ulcerative colitis (UC) is a chronic inflammatory condition of the large intestine limited to the mucosal layer of the colon extending proximally from the rectum, to varying…
Vaccination Guide for IBD Patients Objective: Reduce the risk of developing vaccine-preventable illnesses Patient Population: Adult patients (>18 years) with a known diagnosis of IBD Highlight Box Inactivated vaccines can be given to patients with IBD, but those on immunosuppressive therapy may have a reduced vaccine…
Initiation and Tapering of Corticosteroids Objective: To minimize the risk of repeated corticosteroid use for the treatment of IBD. Patient population: Adult patients (>18 years) with known diagnosis of IBD. Highlight Box Corticosteroids should only be used for short-term induction therapy to treat acute IBD flares. Introduction Corticosteroids are an…
Initiation of Immunomodulators Objective: Appropriate initiation and use of immunomodulators (Thiopurines and Methotrexate) Patient population: Individuals with a known diagnosis of IBD Highlight Box Methotrexate should not be used in females wanting to become pregnant (discuss alternate therapy prior to family planning). Imuran and 6MP can be continued…
Iron Deficiency Objective: Monitor for and manage iron deficiency Patient population: Adult patients (>18 years) with known diagnosis of IBD Highlight Box Parenteral iron is recommended over oral iron; however, both oral and parenteral iron are effective in correcting iron deficiency anemia. The decision of the optimal form of iron…
