Difference between revisions of "Inflammatory bowel disease"

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*Biopsies for diagnosis.
*Biopsies for diagnosis.
*Surveillance biopsies - to rule-out dysplasia.
*Surveillance biopsies - to rule-out dysplasia.
*Resections of disease that has failed medical management.
*Resections for disease that has failed medical management.
*Resections for dysplasia associated with inflammatory bowel disease.
*Resections for dysplasia associated with inflammatory bowel disease.


Note:
Notes:
*Surveillance biopsies and biopsies for diagnosis should specify the site.
*Biopsies for diagnosis should specify the (anatomical) site:
**Slight gradients exists in the large bowel that can be exploited for diagnostic purposes if the site information is known, for example:
**Slight gradients exist in the large bowel that can be exploited for diagnostic purposes if the site information is known, for example:
***Paneth cell distal to the splenic flexure are abnormal.
***Paneth cell distal to the splenic flexure are abnormal.
***Ulcerative colitis is often more severe distally - even in a pancolitis, as the disease starts in the rectum and progresses toward the cecum.
***Ulcerative colitis is often more severe distally - even in a pancolitis, as the disease starts in the rectum and progresses toward the cecum.
*Surveillance biopsies should specify the (anatomical) site - so, it possible to find any site of interest on a follow-up colonoscopy.<ref name=pmid16609751>{{Cite journal  | last1 = Panaccione | first1 = R. | title = The approach to dysplasia surveillance in inflammatory bowel disease. | journal = Can J Gastroenterol | volume = 20 | issue = 4 | pages = 251-3 | month = Apr | year = 2006 | doi =  | PMID = 16609751 | PMC = 2659899}}</ref>


===Spanking the clinician for submitting it all in one bottle===
===Spanking the clinician for submitting it all in one bottle===