ASGE Annual GI Advanced Practice Provider Course (On-Demand) - Clinical Case-based Learning (Day Two) | March 2025-Updates in Inflammatory Bowel Disease

Pdf Summary

The document titled "Updates in Inflammatory Bowel Disease" by Amy Stewart, MSN, FNP-C, provides an extensive overview of the latest strategies in diagnosing and managing Inflammatory Bowel Disease (IBD). The document is structured into various sections, focusing primarily on the pathophysiology of IBD, diagnostic strategies, treatment principles, risk stratification in Crohn's Disease (CD) and Ulcerative Colitis (UC), and health maintenance considerations.<br /><br />Understanding IBD involves recognizing it as a systemic disease influenced by factors such as immune dysregulation, environmental factors, intestinal microbiome, and genetic susceptibility. The document emphasizes the importance of early diagnosis and a treat-to-target approach using measurable end points like biomarkers and radiology.<br /><br />The treatment section covers a wide range of therapies, including corticosteroids, aminosalicylates, immunomodulators, biologics (such as TNF inhibitors and anti-interleukin agents), and small molecules (like JAK inhibitors). It highlights the importance of selecting an appropriate therapy based on patient-specific factors and disease severity, emphasizing minimizing side effects and maximizing disease control. The document advocates for a personalized approach, taking into account safety, efficacy, and patient preferences.<br /><br />The conclusion underscores the importance of a multidisciplinary approach to managing IBD, involving not only gastroenterologists but also primary care providers, dermatologists, rheumatologists, and mental health professionals. The overall goal is to bring the disease into remission efficiently and prevent complications through proactive and comprehensive care strategies, including health maintenance focusing on vaccination, cancer screening, mental health, and lifestyle factors like smoking cessation.

Asset Subtitle

Amy Stewart, CRNP

Keywords

Inflammatory Bowel Disease

IBD

diagnostic strategies

treatment principles

Crohn's Disease

Ulcerative Colitis

biologics

personalized approach

multidisciplinary care

health maintenance