Clinical Decision Making in Inflammatory Bowel Disease Mimics: Practice Management from Inflammatory Bowel Disease LIVE.
Publication/Presentation Date
4-1-2024
Abstract
BACKGROUND: Since 2009, inflammatory bowel disease (IBD) specialists have utilized "IBD LIVE," a weekly live video conference with a global audience, to discuss the multidisciplinary management of their most challenging cases. While most cases presented were confirmed IBD, a substantial number were diseases that mimic IBD. We have categorized all IBD LIVE cases and identified "IBD-mimics" with consequent clinical management implications.
METHODS: Cases have been recorded/archived since May 2018; we reviewed all 371 cases from May 2018-February 2023. IBD-mimics were analyzed/categorized according to their diagnostic and therapeutic workup.
RESULTS: Confirmed IBD cases made up 82.5% (306/371; 193 Crohn's disease, 107 ulcerative colitis, and 6 IBD-unclassified). Sixty-five (17.5%) cases were found to be mimics, most commonly medication-induced (
CONCLUSIONS: The diverse presentation of IBD and IBD-mimics necessitates periodic consideration of the differential diagnosis, and reassessment of treatment in presumed IBD patients without appropriate clinical response. The substantial differences and often conflicting treatment approaches to IBD versus IBD-mimics directly impact the quality and cost of patient care.
Volume
6
Issue
2
First Page
022
Last Page
022
ISSN
2631-827X
Published In/Presented At
Fiske, H. W., Ward, C., Shah, S. A., Holubar, S. D., Al-Bawardy, B., Barnes, E. L., Binion, D., Bohm, M., Brand, M., Clarke, K., Cohen, B. L., Cross, R. K., Dueker, J., Engels, M., Farraye, F. A., Fine, S., Forster, E., Gaidos, J., Ginsburg, P., Goyal, A., … Regueiro, M. (2024). Clinical Decision Making in Inflammatory Bowel Disease Mimics: Practice Management from Inflammatory Bowel Disease LIVE. Crohn's & colitis 360, 6(2), otae022. https://doi.org/10.1093/crocol/otae022
Disciplines
Medicine and Health Sciences
PubMedID
38720935
Department(s)
Department of Medicine
Document Type
Article