Fig. 22.1 Histologic features of phosphate enema effect. Superficial mucosal hemorrhage and focal mucin depletion of the colonic surface epithelium are noted. There is no inflammation of the crypts (hematoxylin-eosin…
Fig. 45.1 Typical initial PEG/PRG tube with internal “bumper” and external “crossbar” When a G-tube is placed surgically, the type of initial tube can vary from a standard mushroom-type tube…
High risk of bacteremia High risk of infection unrelated to bacteremia Low risk of infection Dilatation of esophageal stricture Endoscopic ultrasound with fine-needle aspiration (EUS-FNA) Routine EGD, IC, or sigmoidoscopy…
Fig. 20.1 Compression view of the right lower quadrant from SBFT demonstrates a long segment of narrowed, ulcerated, and nodular-appearing ileum giving the characteristic “cobblestone” appearance (arrows). Loop separation caused…
Fig. 56.1 Variation in care. (a) Improving quality by decreasing variation. (b) Improving quality by shifting distribution Variation in care has been demonstrated in pediatric IBD [10–12]. In one study,…
Hepatobiliary disease Ulcerative colitis Crohn disease Primary sclerosing cholangitis (PSC) ++ + Autoimmune hepatitis (AIH) ++ ++ Autoimmune sclerosing cholangitis (ASC) ++ + IgG4-associated cholangitis (IAC) ++ + Cholelithiasis −…
Urgent/emergent indications Intractable bleeding Unrelenting pain Unremitting sepsis Complications Colonic perforation Colonic stricture Elective indications Refractory to or complications of medical management Chronic malnutrition Poor growth Delayed sexual maturation Steroid…
Fig. 40.1 Proposed mechanism of pathogenesis of internal penetrating Crohn disease (Adapted from Pfefferkorn et al. [2]) Evaluation The most common presenting symptoms and signs in patients with internal penetrating…
Fig. 43.1 The natural course of postoperative Crohn’s disease Postoperative Crohn’s disease recurrence is often clinically silent. Rutgeerts and colleagues found in their initial seminal study of the natural history…
Instrument items CDAI [13] HBI [18] Clinical signs and symptoms Stools Abdominal pain General well-being No. of complications Sum of liquid/soft stools (× 2) Sum of daily score of 0–3…
