Which specialist consultations are needed for the diagnosis and treatment of inflammatory bowel disease (IBD)?

Updated: Oct 17, 2017
  • Author: William A Rowe, MD; Chief Editor: BS Anand, MD  more...
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Answer

In patients with severe inflammatory bowel disease (IBD), with complications such as strictures or fistulas, and with flares requiring hospitalization, consultation with a surgeon is often required. Early consultation with a surgeon is particularly important in patients with severe disease or extraluminal complications, because delayed surgery can be associated with poorer outcomes.

An interventional radiologist may be consulted when percutaneous drainage of an abscess is desired. Specialty consultation is best for managing extracolonic manifestations (ie, uveitis, arthritis, dermatitis, sclerosing cholangitis). Also consider arranging consultations for patients with a registered dietitian and a stoma nurse, if indicated.


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