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…
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 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…
Objective: achieve and maintain remission with advanced therapy Patient Population: patients diagnosed with inflammatory bowel disease on advanced therapy Introduction This CCP recommends a common approach to any IBD patient who is on Advanced Therapy and who is exhibiting symptoms of loss of response or partial response. While initially developed for…
Maintenance of Advanced Therapy Objective: Appropriate management of patients on advanced therapies during maintenance Patient population: Adult patient (>18 years) with known diagnosis of IBD Highlight Box Patients maintained on advanced IBD therapy should have regular monitoring. Introduction Monitoring may include clinical visits, laboratory tests and/or endoscopy. The…
Colonic Dysplasia/Cancer Surveillance Objective: Early detection of colon cancer/dysplasia Patient population: Patients with a known diagnosis of IBD whose disease is in endoscopic remission. Active inflammation precludes a detailed assessment of colonic dysplasia. Highlight Box The applicability of some suggested recommendations in these guidelines may be impacted by…
