Curbside Consultation in IBD: 49 Clinical Questions, Second Edition

David T Rubin, MD; Sonia Friedman, MD; Francis A Farraye, MD MSc

Question 4: How Do I Choose Between Computed Tomography And Magnetic Resonance Imaging For My Crohn’S Disease Patients? Is There Still A Role For Barium? (continued)

David H. Bruining, MD

Cross-sectional imaging has revolutionized disease activity assessments in Crohn’s disease patients. This is driven by two key management concepts for inflammatory bowel disease (IBD). The first is that symptoms often do not correlate with Crohn’s disease activity. Multiple alternate etiologies for a patient’s symptoms can be present including gastrointestinal infections, irritable bowel syndrome, bacterial overgrowth, and/or bile acid-induced diarrhea. Given the potential risks of potent immunosuppressive regimes, it has become imperative to obtain objective IBD activity…