A practical approach in differentiating IBD from other causes of enterocolitis

Hilmi, Ida Normiha and Nik Muhamad Affendi, Nik Arsyad and Khoo, Xin hui and Nik Mustapha, nik raihan and Chia Hsin Chew, Deborah (2015) A practical approach in differentiating IBD from other causes of enterocolitis. Journal of Gastroenterology and Hepatology open, 9 (11). pp. 1-19. ISSN 2397-9070 E-ISSN 2397-9070

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Abstract

Inflammatory bowel disease (IBD) is emerging in Asia, but there are many challenges in making the diagnosis. There is no gold standard for the diagnosis of IBD, which is often made based on a combination of clinical, endoscopic, radiological, and histologi- cal features, none of which are specific for the condition. Although there are many non-­ infectious mimics, such as Behcet's, drug-induced enterocolitis, and lymphoma, the main dilemma is differentiating IBD from infection; namely, Crohn's disease (CD) from intestinal tuberculosis (ITB). However, a careful history/examination, targeted investigations, along with histopathology should make it possible to make a definitive diagnosis of IBD in the majority of cases. In cases where the diagnosis is still unclear, empirical treatment based on the most likely diagnosis can be started, but careful reassessment is essential.

Item Type:	Article (Journal)
Subjects:	R Medicine > RC Internal medicine
Kulliyyahs/Centres/Divisions/Institutes (Can select more than one option. Press CONTROL button):	Kulliyyah of Medicine > Department of Internal Medicine
Depositing User:	Dr Nik Arsyad Nik Muhamad Affendi
Date Deposited:	04 Dec 2025 22:35
Last Modified:	04 Dec 2025 22:35
Queue Number:	2025-11-Q351
URI:	http://irep.iium.edu.my/id/eprint/124930

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