Crohn's & Colitis

by ; ; ;
Edition: 1st
Format: Paperback
Pub. Date: 2006-04-30
Publisher(s): Robert Rose Inc
List Price: $22.95

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Summary

Living with Crohn's disease or ulcerative colitis can be a tremendous challenge, not only for those who have these inflammatory bowel diseases, but also for those who have a family member or a close friend afflicted with one of these disorders.

Author Biography

Dr. A. Hillary Steinhart, MD, MSc, FRCP (C) is Head of the Combined Division of Gastroenterology for Mount Sinai Hospital and the University Health Network in Toronto. He is also an Associate Professor in the Department of Medicine at the University of Toronto. His research interests are in the areas of clinical trials, outcomes assessments, and the genetics of inflammatory bowel diseases.

Dr. A. Hillary Steinhart, MD, MSc, FRCP (C) is Head of the Combined Division of Gastroenterology for Mount Sinai Hospital and the University Health Network in Toronto. He is also an Associate Professor in the Department of Medicine at the University of Toronto. His research interests are in the areas of clinical trials, outcomes assessments, and the genetics of inflammatory bowel diseases.

Table of Contents

Preface 8(2)
PART 1 Understanding Crohn's Disease and Ulcerative Colitis
What Is This Disease?
10(22)
What Is Inflammatory Bowel Disease?
10(2)
Who Gets Inflammatory Bowel Disease?
12(1)
Where in the Body Does IBD Occur?
13(6)
What Goes Wrong in the Gut with IBD?
19(2)
What Are the Possible Complications of IBD?
21(11)
How Do I Know I Have IBD?
32(18)
Recognizing Symptoms
32(1)
Common Symptoms
33(10)
Diagnostic Methods
43(6)
Prognosis
49(1)
What Can I Expect Now That I Have IBD?
50(16)
Frequently Asked Questions
50(2)
Can I Die from This Disease?
52(1)
Will the Disease Get Worse?
52(2)
Can My Condition Improve?
54(1)
Can I Still Go to School?
54(2)
Can I Get and Keep a Job?
56(1)
Will I Need To Be Hospitalized?
57(1)
Will I Need To Have Surgery?
58(1)
Will I Need a `Bag' Outside My Body To Collect Stool?
58(1)
Can I Get Cancer from IBD?
59(1)
What Lifestyle Changes Will I Need To Make?
59(2)
Will I Be Able To Become Pregnant?
61(1)
Can I Take My Medication during Pregnancy?
62(1)
Will My Condition Flare during Pregnancy?
62(1)
Will This Disease Affect the Birth of My Child?
62(1)
Can I Travel If I Have IBD?
63(2)
What Causes IBD?
65(1)
How Did I Get This Disease?
66(16)
Causal Factors
67(1)
Possible Infectious Causes
68(2)
Possible Environmental Causes
70(2)
Possible Inherited (Genetic) Factors
72(7)
Unified Theory
79(1)
Implications for Treatment
80(2)
PART 2 Managing Inflammatory Bowel Disease
Dietary Strategies for Managing IBD
82(42)
Reliable Information
83(1)
The Right Diet
84(1)
Preventing Malnutrition
85(7)
Diet Modifications
92(1)
Elimination Diets
93(1)
Lactose-Restricted Diets
94(4)
Calcium Sources
98(3)
Vitamin D
101(1)
Other Vitamin and Mineral Supplements
102(4)
Liquid Calorie Supplements
106(2)
Low-Fiber Diets
108(3)
High-Stool Output Management Diets
111(3)
Fluid Diets
114(3)
Food Fears
117(1)
Nutrition Support
117(2)
Current Nutrition Research
119(4)
Diet Counseling
123(1)
Psychological Support for Managing IBD
124(16)
Psychological Concerns
124(2)
Stress
126(1)
Depression
127(3)
Coping Strategies
130(6)
Coping with the Medical System
136(1)
Drug Therapy and Surgery Challenges
137(3)
Drug Therapy for Managing IBD
140(36)
Medication Considerations
140(3)
Drug Therapy Options
143(1)
Non-steroidal Anti-inflammatory Drugs
144(2)
Mesalamine (5-Aminosalicylic Acid) Containing Drugs
146(6)
Glucocorticoid (Steroid) Medications
152(8)
Antibiotics
160(2)
Immunosuppressant Medications
162(6)
Biologic Drugs
168(5)
Clinical Research Study Designs
173(2)
Surgery Option
175(1)
Surgical Treatment of IBD
176(24)
The Need for Surgery
177(1)
Ileostomy and Colostomy
178(4)
Surgical Procedures for Ulcerative Colitis
182(5)
Surgical Procedures for Crohn's Disease
187(9)
Laparoscopic Surgery
196(2)
Preventing Recurrence
198(1)
Children with IBD
199(1)
Treating Children with IBD
200(8)
Family Challenges
201(1)
Special Management
201(6)
Prospects
207(1)
Resources and References 208(7)
Index 215

Excerpts

PrefaceLiving with inflammatory bowel disease (IBD) can be a challenge, not only for those of you who have Crohn's disease or ulcerative colitis, but also for those of you who have a family member or close friend afflicted with one of these disorders. Meeting this challenge requires the help of knowledgeable health-care professionals. Knowing yourself what impact Crohn's disease and ulcerative colitis may have on your life and what management strategies are available is also very important. The well-informed patient may have the best chance for recovery.However, the amount of information you can find when trying to learn about inflammatory bowel disease can be overwhelming. There are so many possible sources of information -- doctors, nurses, books, pamphlets, websites, patient associations, Internet chat rooms, friends, and relatives. Often this information is confusing and contradictory. The quality of the information varies greatly from source to source. This information overload can leave you confused and frustrated, thus making it even more difficult to deal with these chronic diseases.We have written this book in order to provide patients, families, friends, and health-care professionals with a clear, current, and concise account of the possible underlying causes, clinical features, and effective treatments of Crohn's disease and ulcerative colitis. Rather than simply presenting a list of facts about the disorders, we have given them an applied clinical context based upon our years of experience with many hundreds of patients who have been evaluated, followed, and treated at the Mount Sinai Hospital IBD Centre. We have also tried to make this information directly relevant to IBD sufferers and their families by recounting case histories and answering the questions patients frequently ask. We hope to provide another means for dealing with these diseases, which we are only now really beginning to understand.

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