Ulcerative Colitis: The Complete Guide to Medical Management

Gary R. Lichtenstein, MD, FACP, FACG, AGAF

Chapter 31: Pseudointractability of Inflammatory Bowel Disease (continued)

Mansour A. Parsi, MD; Jean-Paul Achkar, MD

PSEUDOINTRACTABILITY OF INFLAMMATORY BOWEL DISEASE The inflammatory bowel diseases, ulcerative colitis and Crohn’s disease (CD), are chronic medical conditions for which there are increasing numbers of efficacious medical therapies. However, some patients with inflammatory bowel disease (IBD), either on initial presentation or at some point during their subsequent disease course, develop symptoms that do not respond to conventional medical therapies. These patients are typically classified as having intractable or refractory disease and may go on to receive alternative medical…