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Guidelines for the management of inflammatory bowel disease in adults
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  • Published on:
    Guidelines on Treatment of IBD

    Dear Editor

    The recent guidelines for the management of inflammatory bowel disease in adults[1] have not covered a common clinical scenario where Crohn’s disease presents as a pure terminal ileal lesion and biopsies are either unobtainable or inconclusive and decision of treatment rests on interpretation of radiological findings only. Under such conditions one will have to depend on the balance of probabilities...

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    Conflict of Interest:
    None declared.
  • Published on:
    Terminal ileal biopsies should not be used to document extent of colonoscopic examination
    • MD Rutter, Consultant Gastroenterologist
    • Other Contributors:
      • MG Bramble

    Dar Editor

    We commend the BSG and the authors for the excellent recent publication of guidelines for the management of inflammatory bowel disease in adults.[1] However we feel that their recommendation for routine terminal ileal biopsying is inappropriate. Although it is important to biopsy the terminal ileum if there is macroscopic evidence of an abnormality, their statement that “a terminal ileal biopsy perfor...

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    Conflict of Interest:
    None declared.