Table of Contents

 

 

 

 

Dedication

v

 

Acknowledgments

xi

 

About the Editor and Associate Editor

xiii

 

Contributing Authors

xv

 

Introduction

xxi

Prologue

Historical Perspective of Crohn's Disease   Wojciech Blonski, MD, PhD; David Kotlyar, MD; Ming V. Lin, MD; and Gary R. Lkhtenstein, MD, FACP, FACG, AGAF

1

SECTION I

GENERAL

9

Chapter 1

The Natural History of Inflammatory Bowel Disease   Pietro G. Andres, MD and Lawrence S. Friedman, MD

11

Chapter 2

Clinical Research in Inflammatory Bowel Disease: Placebo Response in Clinical Trials   Chinyu Su, MD and James D. Lewis, MD, MSCE

25

Chapter 3

the Role of the FDA in Drug Development in Inflammatory Bowel Disease   Alan C. Moss, MD and Adam Cheifetz, MD

31

Chapter 4

Utility of Animal Models for the Study and Treatment of Inflammatory Bowel Disease   Ashish Chawla, MD and Kenneth Simpson, BVM&S, PhD

39

Chapter 5

Pediatric Considerations in Medical Therapy in Patients with Inflammatory Bowel Disease   Louis R. Ghanem, MD, PhD and Robert N. Daldassano, MD

51

Chapter 6

the Limitations of Applying Evidence-Based Medicine to Inflammatory Bowel Disease: What We do Not Learn from Clinical Trials   Joshua R. Korzenik, MD and Corey A. Siegel, MD

69

Chapter 7

Disease Modifiers in Inflammatory Bowel Disease   Jaime A. Oviedo, MD and Francis A. Farraye, MD, Msc, FACP, FACG

77

Chapter 8

Fertility and Pregnancy in Inflammatory Bowel Disease   Jeffrya. Katz, MD and Vinita Elizabeth Jacob, MD

91

Chapter 9

Medication Adherence in Inflammatory Bowel Disease   Sunanda Kane, MD, MSPH, FACG, FACP, AGAF

107

SECTION II

MEDICATIONS

113

Chapter 10

Mesalamine for Maintenance Therapy in Ulcerative Colitis: How Much, How Long?   Miles P; Sparrow, MD, MBBS, FRACP; Wee-Chian Him, MD, MBBS, Mmed, MRCP; and Stephen B. Hanauer, MD

115

Chapter 11

Antibiotic Use in the Treatment of Crohn's Disease   Manuel Mendizabal, MD; Wojciech Blonski, MD, PhD; David Kotlyar, MD; and Gary R. Lichtenstein, MD, FACP, FACG, AGAF

119

Chapter 12

Corticosteroids in Crohn's Disease   Lene Riis, MD and Pia Munkholm, MD, Dmsci

135

Chapter 13

Oral Budesonide for Inflammatory Bowel Disease   Gordon R. Greenberg, MD, FRCP(C)

143

Chapter 14

6-Mercaptopurine and Azathioprine in Crohn's Disease   Mark T, Osterman, MD and Gary R, Lichtenstein, MD, FACP, FACG, AGAF

157

Chapter 15

Methotrexate in the Treatment of Crohn's Disease   Ellen J. Scherl, MD, FACP, AGAF; Arun Swaminath, MD; Ryan Urquhart Warren, MD; and Harrison Lakehomer, BA

177

Chapter 16

Calcineurin Inhibitors (Cyclosporine A, Tacrolimus, and Sirolimus) and Mycophenolate Mofetil in Crohn's Disease   Gerassimos J. Mantzaris, MD, PhD, AGAF

183

Chapter 17

Infliximab in Crohn's Disease   Lawrence W. Comer Ford, MD and Stephen J. Bickston, MD, AGAF

197

Chapter 18

Anti-Tnfct Therapy from Symptoms to Molecules: Impact of Individual Variability on Anti-Tnfot Optimization Strategies   Ellen J. Scherl, MD, FACP, AGAF

213

Chapter 19

Novel Biological Therapies for Crohn's Disease   Iris Dotan, MD and Daniel Rachmilewitz, MD

225

Chapter 20

Novel Nonbiologic Therapy for Crohn's Disease   Masayuki Fukata, MD, PhD and Maria T. Abreu, MD

235

SECTION III

SPECIFIC CLINICAL SCENARIOS

249

Chapter 21

Assessment of Disease Activity in Crohn's Disease   Alain Bitton, MD, FRCP(C)

251

Chapter 22

General Principles of Medical Therapy of Crohn's Disease   Denis Franchimont, MD, PhD and Gary Wild, MD

267

Chapter 23

Medical Management of Severe Crohn's Disease   Themistodes Dassopoulos, MD and Theodore M. Bayless, MD

283

Chapter 24

Medical Management of Enteric Fistulae in Crohn's Disease   Mamoon Raza, MD and Charles N. Bernstein, MD

297

Chapter 25

Management of Refractory Crohn's Disease   Herbert Tilg, MD and Arthur Kaser, MD

305

Chapter 26

Medical Management of Postoperative Recurrence of Crohn's Disease   Geert D'Haens MD, PhD and David N. Moskovitz, MD, FRCP(C)

317

Chapter 27

Management of Steroid-Unresponsive Crohn's Disease   Sarathchandra I, Reddy, MD, MPH and Robert Burakoff, MD, MPH, FACG, FACP

329

Chapter 28

Pre- and Probiotics in Crohn's Disease   Robert M. Penner, Bsc, MD, FRCP(C), Msc; Karen L. Madsen, PhD; and Richard N. Fedorak, MD, FRCP(C)

341

Chapter 29

Management of Crohn's Disease in the Ileal-Pouch Anal Anastomosis   Gilaad G. Kaplan MD, FRCP(C) and Remo Panacclone MD, FRCP(C)

345

Chapter 30

Dietary Manipulations: Enteral Therapy for Crohn's Disease   Alan L. Buchman, MD, MSPH

349

Chapter 31

Dietary Manipulations: Parenteral Therapy for Crohn's Disease   Alan L. Buchman, MD, MSPH

361

Chapter 32

Gastroduodenal/Proximal Crohn's Disease   Ellen J. Scherl, MD, FACP, AGAF; Brian P. Bosworth, MD; Felice Schnoll-Sussman, MD; Douglas M. Weine, MD; and Peter H. R. Green, MD

369

Chapter 33

Medical Management of Perianal Fistula   Tarun Misra, MD, FRCP(C) and Richard N. Fedorak, MD, FRCP(C)

377

Chapter 34

Medical Therapy of Diarrhea Following Bowel Resection   Henry J. Binder, MD

395

Chapter 35

Short Bowel Syndrome   Jane E. Onken, MD, MHS

405

Chapter 36

Medical Management of the Patient with an Ostomy   Aaron Brzezinski, MD, FRCP(C)

417

Chapter 37

Maintenance Therapy of Crohn's Disease   Wojciech Blonski, MD, PhD; Faten Aberra, MD, MSCE; and Gary R. Lichtenstein, MD, FACP, FACG, AGAF

425

Appendix

Infliximab Treatment

451

 

Financial Disclosures

455

 

Index

459