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Treatment and Management of IBD for the PCP

The costs of care for inflammatory bowel disease (IBD) are high and increasing, with a recent study conservatively estimating the societal burden to be in excess of $5.5 billion/year in the US alone.

With an estimated 1.5 million affected patients in the US and 4 million affected worldwide, the inflammatory bowel diseases—both ulcerative colitis and Crohn's disease—are relatively common relapsing, recurrent conditions that continue to pose a challenge for the general, GI, and surgical practitioner. While these two conditions are often grouped together, disease presentation, treatment, and management varies between the two conditions.

George Dickstein, MD
Greater Boston Gastroenterology, PC, Associate Clinical Professor of Medicine,, Tufts University School of Medicine
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Expert Practice Series Presentations
Anthony Lembo, MD
Associate Professor of Medicine, Harvard Medical School, Director, GI Motility Center, Beth Israel Deaconess Medical Center, Boston, MA
Sonia Friedman, MD
Associate Physician, Brigham and Women's Hospital, Associate Professor of Medicine,Harvard Medical School
Steven Fine, MD
Chief of Gastroenterology, MetroWest Medical Center, Framingham, MA
Jacqueline Wolf, MD
Gastroenterologist, Associate Professor, Medicine, Harvard Medical School
James Yoo, MD
Chief, Division of Colon and Rectal Surgery, Tufts Medical Center, Assistant Professor, Tufts University School of Medicine
George Dickstein, MD
Associate Clinical Professor of Medicine, Tufts University School of Medicine, Greater Boston Gastroenterology, PC
Latest Comments
"A pt with chronic constipation issues, would you perform a biopsy to determine if the pt has Hirschsprung's disease?

Valerie Ting, APRN-BC
Nurse Practitioner, Comprehensive Health Center
"This was an excellent, well-organized succinct presentation on stratification in the diagnosis and treatment of Ulcerative Colitis and Crohn’s Disease.  Your lecture was greatly enhanced by your experience and expertise not only as a Physician, but  as a Professor of Medicine @ Harvard Medical School in Boston, Massachusetts.  In addition to your work as a Gastrointerologist @ the Brigham and Women's Hospital in Boston.

Great lecture concerning a an overview of the diseases, epidemiology, current therapies with biologics and anti-TNF antibodies altering course related to the treatment guidelines for treatment of these diseases.   I agree with early access, early diagnosis and early intervention (treating aggressively) with the new therapies i.e. biologics we can potentially induce and maintain GI healing, prevent strictures,  prevent complications and decrease hospitalizations/surgeries with the goal of deep remission which will in turn decrease long-term cost and overall care for the patient.

Again, another excellent power point in your GI series with up-to-date research on medications and treatment regarding the risk stratification for pts with GI disorders.


Valerie Ting, APRN-BC
Nurse Practitioner, Comprehensive Health Center
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