The FCG Institute for Continuing Education and IntraMed Scientific Solutions gratefully acknowledge an unrestricted educational grant from Prometheus Laboratories, Inc in support of this CME activity.

Inflammatory bowel disease (IBD) and irritable bowel syndrome (IBS) epitomize two disorders characterized by chronic symptoms of abdominal pain, discomfort, and changes in bowel habits. Inflammatory bowel disease is distinguished by inflammation and/or ulcerations in the GI tract, whereas IBS arises without pathological proof. Inflammatory bowel disease is generally classified as either Crohn’s disease (CD) or ulcerative colitis (UC), although it can also include microscopic colitis. Inflammatory bowel disease has been subcategorized by symptom predominance, although 30% of patients can switch predominance type within one year. It is characterized by a constellation of patient-reported history and endoscopic, histopathologic, and radiologic findings, often with serologic correlates. In contrast, IBS is often referred to as a functional bowel disorder and, at present, is diagnosed according to the Rome II criteria of symptoms. Furthermore, according to these criteria, once an organic cause is discovered, a diagnosis of IBS is excluded. Potential common pathophysiologic mechanisms to both disorders include altered permeability of gut mucosa, an abnormal immune response to normal luminal flora, gut dysmotility, and/or high levels of stress. Many illnesses share some of the same symptoms as IBS and some of these illnesses are serious and would require aggressive evaluation and treatment. Crohn’s disease must be differentiated from ulcerative colitis as well. Being familiar with the differential diagnoses surrounding IBS and IBD and the currently available diagnostic tools ensures the clinician a timely diagnosis and efficacious therapy.

The presentations within the webcast were captured on May 16, 2004, in New Orleans, Louisiana, at a live CME symposium.

Release Date: July 30, 2004
Expiration Date: July 30, 2005

This activity is not affiliated with Digestive Disease Week®

INSTRUCTIONS

Please follow the steps below in order to complete the activity and receive a certificate for 2.25 category 1 credits toward the AMA Physician’s Recognition Award.

1) View the presentations

2) Complete the CME Post-test

3) Complete the Evaluation Form

4) Receive your CME Certificate