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Med Clin North Am. 2015 Sep;99(5):969-87. doi: 10.1016/j.mcna.2015.05.009.

Primary Care of the Patient with Inflammatory Bowel Disease.

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Division of Hospital Medicine, Department of Internal Medicine, The Ohio State University College of Medicine and Wexner Medical Center, M112 Starling Loving Hall, 320 West 10th Avenue, Columbus, OH 43210, USA.
Division of Gastroenterology, Hepatology, and Nutrition, Department of Internal Medicine, Wexner Medical Center, The Ohio State University College of Medicine and Wexner Medical Center, 395 West 12th Avenue, Columbus, OH 43210, USA. Electronic address:


Inflammatory bowel disease involves 2 major disorders, ulcerative colitis and Crohn disease, both of which are due to inflammatory dysregulation in the gastrointestinal tract. Although these disorders have many overlapping features in pathophysiology and management, our current understanding of inflammatory bowel disease has illuminated several distinguishing features of the 2 diseases. This article highlights similarities and differences most applicable to a primary care physician's practice. Also detailed are disease-related and treatment-related complications, and routine health maintenance practices for the patient with inflammatory bowel disease.


Crohn disease; Extraintestinal manifestations; Inflammatory bowel disease; Routine health maintenance; Ulcerative colitis

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