Therapy of inflammatory bowel disease

Abstract

The term inflammatory bowel disease (IBD) represents different phenotypes of the idiopathic chronic inflammatory disease of gastrointestinal tract. Until now, ulcerative colitis, Crohns disease, indeterminate colitis and pouchitis were described. Treatment of these diseases is very complex with simultaneous need for individuality. Well-planned treatment requires answers on few questions for every treated: 1. What is the phenotype of IBD? 2. How extended is disease? 3. How active is disease? 4. What is the clinical course of disease until now? Answers on these questions should give complex patient evaluation according to wide accepted IBD protocol including activity estimation with one of activity disease indexes.