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Cochrane Database of Systematic reviews Psychological interventions for treatment of inflammatory bowel disease Information DOI: DOI Database: Cochrane Database of Systematic Reviews Version published: 15 February 2011see what's new Type: Intervention Stage: Review Cochrane Editorial Group: Cochrane Gut Group Copyright: Copyright © 2011 The Cochrane Collaboration. Published by John Wiley & Sons, Ltd. Article metrics Full text views: 2818 Altmetric: Cited by: Cited 0 times via Crossref Cited-by Linking Collapse Antje Timmer Correspondence to: Clinical Epidemiology, Bremen Institute for Prevention Research and Social Medicine, Bremen, Germany [email protected] Jan C Preiss Med. Klinik I, Charité ‐ Universitätsmedizin Berlin, Berlin, Germany Edith Motschall German Cochrane Centre, Institute of Medical Biometry and Medical Informatics, University Medical Center Freiburg, Freiburg, Germany Gerta Rücker German Cochrane Centre, Institute of Medical Biometry and Medical Informatics, University Medical Center Freiburg, Freiburg, Germany Günther Jantscheka Universitätsklinikum Schleswig‐Holstein, Campus Lübeck, Lubeck, Germany Deceased Gabriele Moser Clinic of Internal Medicine III, Medical University of Vienna, A‐1090 Vienna, Austria Antje Timmer conceived the study, wrote the protocol (and a successful funding proposal), participated in devising the search strategy, screened the literature, selected the studies, extracted the data, did the quality assessments of included papers, analysed the data and wrote the manuscript. Jan Preiss screened the literature, did the hand search, selected the studies, extracted the data and did the quality assessments of included papers. Edith Motschall devised the search strategy, performed the electronic searches and wrote the methods section (search strategy). Gerta Rücker was the consulting statistician, participated in writing the protocol and review methods sections, and performed the statistical tests on small study bias. Günther Jantschek served as consulting expert (psychosomatic gastroenterology), wrote the introduction section of the protocol and consulted on the writing of the manuscript. Gabriele Moser was the consulting expert (psychosomatic gastroenterology), wrote the introduction section

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Cochrane reviews in inflammatory bowel disease: experiences

Provided support for the IBD/FBD Review Group through the Olive Stewart Fund. Published Title Stage Authors Version 2011 Feb 15 Psychological interventions for treatment of inflammatory bowel disease Review Antje Timmer, Jan C Preiss, Edith Motschall, Gerta Rücker, Günther Jantschek, Gabriele Moser 2008 Jan 23 Psychological interventions for treatment of inflammatory bowel disease Protocol Antje Timmer, Guenther Jantschek, Gabriele Moser, Edith Motschall, Jan C Preiss, Gerta Rücker Inclusion criteria: non randomised trials (NRCT) were also included as distinction between random, quasi‐random and convenience based could often not be made on accounts of the reports alone. Quasi‐random and convenience procedures are common for psychological intervention trials. Of note this was in the original version of the protocol but was changed due to reviewer suggestions. The current criteria form a compromise between our original plan (which included also prospectively controlled observational studies) and the reviewers' wish (RCT only). Assessment of study quality and examination of heterogeneity were modified to better adhere to the recommendations by the Cochrane Collaboration published with RevMan 5, and recent criticism on preset criteria for I2 values. Grade C quality papers were not excluded as policies on quality/bias assessment have changed in the Cochrane Collaboration. Also, all papers were C quality. This is reflected by the Summary of Bias tables. Handsearch: As abstracts of the major conferences to be included in the handsearch are included in the specialized IBD registry, handsearching for relevant conference abstracts was restricted to conferences taking place between fall 2008 and May 2010. Screening of conference abstracts up to 2008 (summer) was done based on the special registry. Time of follow up ‐ due to the diversity of study length and variability between, and at times, within studies, 12 months assessment comprised follow up assessments between 9 and 18 months, and 6 month assessment

Cochrane Reviews in Inflammatory Bowel Disease (Software for

Many types of surgery are used to treat inflammatory bowel disease (IBD). A type often used is a proctectomy, which involves the removal of the rectum and possibly the anus. This is the same procedure sometimes used to treat rectal cancer. When a proctectomy is performed, another procedure called an ileostomy may be needed to redirect stool out of your body. This involves connecting the last part of your small intestine to a hole created in the wall of your abdomen (called a stoma). Depending on how much of your colon is removed, an ileostomy may be temporary or permanent. This article explains when a proctectomy is needed, how to prepare for the procedure, and how the surgery is performed. It also describes what to expect after surgery along with the possible risks and complications. Dorling Kindersley / Getty Images When is a Proctectomy Needed? Inflammatory bowel disease, either in the form of Crohn's disease or ulcerative colitis (UC), is a disease of the colon and small intestine that causes abdominal pain, diarrhea, rectal bleeding, severe cramping, and weight loss. When symptoms of Crohn's disease or UC become difficult to manage, a proctectomy may be recommended. If the rectum and entire colon need removal, it is referred to as a proctocolectomy. As aggressive as the surgery is, it may be medically necessary when IBD leads to potentially serious complications like abscesses (pockets of pus), strictures (narrowing of the intestine), or fistulas (abnormal passages in tissues). Although the prospect of a proctectomy and ileostomy may seem daunting, the procedures (when medically indicated) can improve your quality of life if you've been suffering severe symptoms and all other treatment options have failed. While there is currently no cure for Crohn's disease or UC, seven out of 10 people who undergo proctocolectomy with ileostomy experience long-lasting, disease-free remission. Research suggests that between 10% and 20% of people with Crohn's disease will eventually need a proctectomy. How to Prepare for a Proctectomy If a proctectomy has been scheduled, your surgeon will meet with you and walk you through the preparations needed for surgery. These include:Preoperative tests: These are a battery of tests to clear you for surgery, such as a complete blood count (to check for anemia or infection) electrocardiogram (to evaluate your heart), coagulation studies (to see how fast your blood clots), and urinalysis (to check kidney function).Imaging studies: Abdominal ultrasound, computed tomography (CT), and magnetic resonance imaging (MRI) may be ordered to help map the surgery and decide which option is best (open surgery, laparoscopic surgery, robotic surgery).Medication changes: Certain medications must temporarily be stopped before surgery to prevent bleeding. Blood thinners like warfarin and nonsteroidal anti-inflammatory drugs (NSAIDs) like aspirin or. Download Cochrane Reviews in Inflammatory Bowel latest version for Windows. Cochrane Reviews in Inflammatory Bowel latest update: Febru

Antidepressants for inflammatory bowel disease - Cochrane

The American Journal of Gastroenterology. “It is well recognized that the adequacy of bowel preparation is essential for optimal colonoscopy performance.”The authors added: “To date, there is no single accepted approach to this basic element of procedural preparation. For example, there are many options for colonic lavage with important variables including effectiveness, safety, palatability and cost. Similarly, there is no standard nomenclature for discussing bowel preparation, with terms such as ‘bowel preparation’ used at times to describe the process, the regimen or the quality of bowel preparation.”To address considerable issues related to bowel preparation for colonoscopy among outpatients at low risk for inadequate bowel preparation, Jacobson and colleagues evaluated a series of clinically relevant questions, developed by experts with a clinical practice and research focus in colonoscopy and bowel preparation.They then developed 21 population-intervention-comparator-outcomes questions, which were investigated through a comprehensive literature search of EMBASE, PubMed, Cochrane Reviews and the Cochrane Central Register of Controlled Clinical Trials from January 2013 through September 2023.Jacobson and colleagues ultimately developed the original 21 PICO questions into a set of 25 recommendations intended to bolster bowel preparation prior to, during and following colonoscopy. Highlights include: The task force strongly recommends that patients undergoing colonoscopy receive both verbal and written patient education instructions for all components of the colonoscopy preparation. The task force strongly recommends limiting any dietary modifications to the day prior to colonoscopy for ambulatory patients at low risk for inadequate bowel preparation. When using a split-dose preparation for ambulatory patients at low

Psychological interventions in inflammatory bowel - Cochrane

It is advisable to inform the Clinical Coordinator. During hospitalization the Center's team maintain regular contact with the hospital staff regarding methods of diagnosis and treatment.Back to TopPsychological ServicesWhen the medical evaluation of a patient visiting the Inflammatory Bowel Disease Center suggests that psychological evaluation would be beneficial, Psychological treatments include pain management, stress management, cognitive-behavioral therapy (CBT), relaxation training Nutrition To assist patients whose IBD has caused malnourishment, as well as those who simply wish advice on their eating habits, our registered dietician can provide important guidance on diet and nutritional aids.Patient EducationOur nurse practitioner provides valuable patient education on ways of managing IBD in daily life, and also coordinates care for patients seeing multiple specialists within the medical center.Clinical Trials and InvestigationsThe IBD Center performs clinical trials (research studies) to find new and more effective treatments for the various forms of intestinal disease. Most medications and medical techniques that are currently used have been tested in extensive clinical trials before becoming available to the public. Patients with IBD may have an opportunity to participate in a various clinical trials that are being conducted at the IBD Center. The ability to participate in such trials depends on the eligibility requirements for the study, the patient's condition and what stage the trial is at.If you are interested in participating in one or more studies, You may call or email the study coordinator for the specific study or studies you are interested in. It may be possible for you to enroll in more than one study at the same time.Back to TopFrequently Asked Questions What is inflammatory bowel disease? What is the difference between IBD and IBS? What is the difference between Crohn's disease and ulcerative colitis? Does what I eat matter? Is IBD a genetically inherited disease?What is inflammatory bowel disease?Inflammatory bowel disease (IBD) is an umbrella term referring to certain chronic diseases that cause inflammation of the intestines. Crohn's disease and ulcerative colitis are the two terms most often assigned to the different types of IBD. Although they are different diseases with a variety of forms, each disease causes the destruction of the digestive system, producing a similar group of life-altering symptoms.Back to QuestionsWhat is the difference between IBD and IBS?Inflammatory bowel disease (IBD) is easily confused with another condition known as irritable bowel syndrome (IBS). As much as 25% of the population in the United States report symptoms of IBS, and up to 50% of patients seen by gastroenterologists have symptoms of IBS.IBD and IBS have similar symptoms, particularly cramping and diarrhea, but the underlying disease process is quite different. IBD is inflammation or destruction of the bowel wall, which can lead to deep ulcerations (sores) and narrowing

Cochrane Reviews in Inflammatory Bowel v.11.0.0 - WinSite

You take blood thinners, iron supplements or non-steroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen, you may need to stop them as much as a week before your test. What happens during a video capsule endoscopyYou will visit the outpatient department of a hospital or an endoscopy center for d your VCE.To start, you will be given a belt with sensors inside it to wear around your waist. In some cases, a nurse may attach the sensors directly to your skin. Once you have the belt on, you will be given a capsule to swallow. The capsule is about the size of a large pill.Once you’ve swallowed the capsule, you can go home while fasting. You’ll likely be asked not to eat for about eight hours after the procedure. Your care team will provide specifics about when you’re able to resume eating and what you may drink. Also, you’ll want to avoid strenuous activities such as running or jumping that could cause the sensors to detach or not work properly.You may need to keep the sensors and data recorder on longer if the capsule hasn’t passed into your large bowel. The data recorder will last as long as the battery—about 12 to 14 hours from the start. The camera, which is disposable, should pass through your digestive tract the next time you have a bowel movement.The next day, you must return the data recorder to the hospital or office. Once you return the belt, a technician will download the images the data recorder has taken for the doctor to see and to analyze. Benefits and risks of video capsule endoscopyA video capsule endoscopy is a noninvasive tool for seeing abnormalities in the small bowel. However, there are potential risks, including: Lesions may be missed The camera may fail to work The capsule may not be expelled from your intestines (though this doesn’t happen often) ResultsIt can take a few days to more than a week for your doctor to hear from the radiologist who reads the images and writes a report. Your doctor will then share the results with you.The report. Download Cochrane Reviews in Inflammatory Bowel latest version for Windows. Cochrane Reviews in Inflammatory Bowel latest update: Febru

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Cochrane Database of Systematic reviews Psychological interventions for treatment of inflammatory bowel disease Information DOI: DOI Database: Cochrane Database of Systematic Reviews Version published: 15 February 2011see what's new Type: Intervention Stage: Review Cochrane Editorial Group: Cochrane Gut Group Copyright: Copyright © 2011 The Cochrane Collaboration. Published by John Wiley & Sons, Ltd. Article metrics Full text views: 2818 Altmetric: Cited by: Cited 0 times via Crossref Cited-by Linking Collapse Antje Timmer Correspondence to: Clinical Epidemiology, Bremen Institute for Prevention Research and Social Medicine, Bremen, Germany [email protected] Jan C Preiss Med. Klinik I, Charité ‐ Universitätsmedizin Berlin, Berlin, Germany Edith Motschall German Cochrane Centre, Institute of Medical Biometry and Medical Informatics, University Medical Center Freiburg, Freiburg, Germany Gerta Rücker German Cochrane Centre, Institute of Medical Biometry and Medical Informatics, University Medical Center Freiburg, Freiburg, Germany Günther Jantscheka Universitätsklinikum Schleswig‐Holstein, Campus Lübeck, Lubeck, Germany Deceased Gabriele Moser Clinic of Internal Medicine III, Medical University of Vienna, A‐1090 Vienna, Austria Antje Timmer conceived the study, wrote the protocol (and a successful funding proposal), participated in devising the search strategy, screened the literature, selected the studies, extracted the data, did the quality assessments of included papers, analysed the data and wrote the manuscript. Jan Preiss screened the literature, did the hand search, selected the studies, extracted the data and did the quality assessments of included papers. Edith Motschall devised the search strategy, performed the electronic searches and wrote the methods section (search strategy). Gerta Rücker was the consulting statistician, participated in writing the protocol and review methods sections, and performed the statistical tests on small study bias. Günther Jantschek served as consulting expert (psychosomatic gastroenterology), wrote the introduction section of the protocol and consulted on the writing of the manuscript. Gabriele Moser was the consulting expert (psychosomatic gastroenterology), wrote the introduction section

2025-04-20
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Provided support for the IBD/FBD Review Group through the Olive Stewart Fund. Published Title Stage Authors Version 2011 Feb 15 Psychological interventions for treatment of inflammatory bowel disease Review Antje Timmer, Jan C Preiss, Edith Motschall, Gerta Rücker, Günther Jantschek, Gabriele Moser 2008 Jan 23 Psychological interventions for treatment of inflammatory bowel disease Protocol Antje Timmer, Guenther Jantschek, Gabriele Moser, Edith Motschall, Jan C Preiss, Gerta Rücker Inclusion criteria: non randomised trials (NRCT) were also included as distinction between random, quasi‐random and convenience based could often not be made on accounts of the reports alone. Quasi‐random and convenience procedures are common for psychological intervention trials. Of note this was in the original version of the protocol but was changed due to reviewer suggestions. The current criteria form a compromise between our original plan (which included also prospectively controlled observational studies) and the reviewers' wish (RCT only). Assessment of study quality and examination of heterogeneity were modified to better adhere to the recommendations by the Cochrane Collaboration published with RevMan 5, and recent criticism on preset criteria for I2 values. Grade C quality papers were not excluded as policies on quality/bias assessment have changed in the Cochrane Collaboration. Also, all papers were C quality. This is reflected by the Summary of Bias tables. Handsearch: As abstracts of the major conferences to be included in the handsearch are included in the specialized IBD registry, handsearching for relevant conference abstracts was restricted to conferences taking place between fall 2008 and May 2010. Screening of conference abstracts up to 2008 (summer) was done based on the special registry. Time of follow up ‐ due to the diversity of study length and variability between, and at times, within studies, 12 months assessment comprised follow up assessments between 9 and 18 months, and 6 month assessment

2025-03-31
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The American Journal of Gastroenterology. “It is well recognized that the adequacy of bowel preparation is essential for optimal colonoscopy performance.”The authors added: “To date, there is no single accepted approach to this basic element of procedural preparation. For example, there are many options for colonic lavage with important variables including effectiveness, safety, palatability and cost. Similarly, there is no standard nomenclature for discussing bowel preparation, with terms such as ‘bowel preparation’ used at times to describe the process, the regimen or the quality of bowel preparation.”To address considerable issues related to bowel preparation for colonoscopy among outpatients at low risk for inadequate bowel preparation, Jacobson and colleagues evaluated a series of clinically relevant questions, developed by experts with a clinical practice and research focus in colonoscopy and bowel preparation.They then developed 21 population-intervention-comparator-outcomes questions, which were investigated through a comprehensive literature search of EMBASE, PubMed, Cochrane Reviews and the Cochrane Central Register of Controlled Clinical Trials from January 2013 through September 2023.Jacobson and colleagues ultimately developed the original 21 PICO questions into a set of 25 recommendations intended to bolster bowel preparation prior to, during and following colonoscopy. Highlights include: The task force strongly recommends that patients undergoing colonoscopy receive both verbal and written patient education instructions for all components of the colonoscopy preparation. The task force strongly recommends limiting any dietary modifications to the day prior to colonoscopy for ambulatory patients at low risk for inadequate bowel preparation. When using a split-dose preparation for ambulatory patients at low

2025-04-21
User4116

It is advisable to inform the Clinical Coordinator. During hospitalization the Center's team maintain regular contact with the hospital staff regarding methods of diagnosis and treatment.Back to TopPsychological ServicesWhen the medical evaluation of a patient visiting the Inflammatory Bowel Disease Center suggests that psychological evaluation would be beneficial, Psychological treatments include pain management, stress management, cognitive-behavioral therapy (CBT), relaxation training Nutrition To assist patients whose IBD has caused malnourishment, as well as those who simply wish advice on their eating habits, our registered dietician can provide important guidance on diet and nutritional aids.Patient EducationOur nurse practitioner provides valuable patient education on ways of managing IBD in daily life, and also coordinates care for patients seeing multiple specialists within the medical center.Clinical Trials and InvestigationsThe IBD Center performs clinical trials (research studies) to find new and more effective treatments for the various forms of intestinal disease. Most medications and medical techniques that are currently used have been tested in extensive clinical trials before becoming available to the public. Patients with IBD may have an opportunity to participate in a various clinical trials that are being conducted at the IBD Center. The ability to participate in such trials depends on the eligibility requirements for the study, the patient's condition and what stage the trial is at.If you are interested in participating in one or more studies, You may call or email the study coordinator for the specific study or studies you are interested in. It may be possible for you to enroll in more than one study at the same time.Back to TopFrequently Asked Questions What is inflammatory bowel disease? What is the difference between IBD and IBS? What is the difference between Crohn's disease and ulcerative colitis? Does what I eat matter? Is IBD a genetically inherited disease?What is inflammatory bowel disease?Inflammatory bowel disease (IBD) is an umbrella term referring to certain chronic diseases that cause inflammation of the intestines. Crohn's disease and ulcerative colitis are the two terms most often assigned to the different types of IBD. Although they are different diseases with a variety of forms, each disease causes the destruction of the digestive system, producing a similar group of life-altering symptoms.Back to QuestionsWhat is the difference between IBD and IBS?Inflammatory bowel disease (IBD) is easily confused with another condition known as irritable bowel syndrome (IBS). As much as 25% of the population in the United States report symptoms of IBS, and up to 50% of patients seen by gastroenterologists have symptoms of IBS.IBD and IBS have similar symptoms, particularly cramping and diarrhea, but the underlying disease process is quite different. IBD is inflammation or destruction of the bowel wall, which can lead to deep ulcerations (sores) and narrowing

2025-04-14
User4097

Prescription only Prescribed for Ankylosing Spondylitis, Crohn's Disease, Atopic Dermatitis, Non-Radiographic Axial Spondyloarthritis, Polyarticular Juvenile Idiopathic Arthritis, Psoriatic Arthritis, Rheumatoid Arthritis, Ulcerative Colitis. Rinvoq may also be used for purposes not listed in this comparison guide. "> Prescription only Prescribed for Ankylosing Spondylitis, Crohn's Disease, Atopic Dermatitis, Non-Radiographic Axial Spondyloarthritis, Polyarticular Juvenile Idiopathic Arthritis, Psoriatic Arthritis, Rheumatoid... View more Prescription only Prescribed for Alopecia, Crohn's Disease, Crohn's Disease - Maintenance, Juvenile Rheumatoid Arthritis, Lymphocytic Colitis, Crohn's Disease - Active, Inflammatory Bowel Disease, Psoriatic Arthritis, Rheumatoid Arthritis, Ulcerative Colitis, Ulcerative Colitis - Active, Ulcerative Colitis - Maintenance, Uveitis. Sulfasalazine may also be used for purposes not listed in this comparison guide. "> Prescription only Prescribed for Alopecia, Crohn's Disease, Crohn's Disease - Maintenance, Juvenile Rheumatoid Arthritis, Lymphocytic Colitis, Crohn's Disease - Active, Inflammatory Bowel Disease, Psoriatic Arthritis... View more More about Rinvoq (upadacitinib) More about Sulfasalazine Ratings & Reviews Rinvoq has an average rating of 7.0 out of 10 from a total of 215 ratings on Drugs.com. 56% of reviewers reported a positive effect, while 18% reported a negative effect. Sulfasalazine has an average rating of 6.1 out of 10 from a total of 198 ratings on Drugs.com. 47% of reviewers reported a positive effect, while 32% reported a negative effect. View all 215 reviews View all 198 reviews Drug Class Antirheumatics 5-aminosalicylates Antirheumatics Side Effects Rinvoq side effects Sulfasalazine side effects Generic Availability No lower cost generic approved Lower cost generic Pricing and Coupons * Prices are without insurance Quantity 30 tablet, extended release Strength 15 mg Per Unit* $235.30 Cost* $7,059.14 View all Rinvoq prices Quantity 100 tablet Strength 500 mg Per Unit* $0.22 Cost* $22.25 View all Sulfasalazine prices Get free Discount Card Get free Discount Card Dosage Forms Available Oral tablet, extended release Oral delayed release tablet Oral tablet Brand Names Other upadacitinib brands include: Rinvoq LQ Azulfidine, Azulfidine EN-tabs Half Life The half-life of a drug is the time taken for the plasma concentration of a drug to reduce to half its original value. 14 hours 10 hours CSA Schedule ** View glossary of terms Is

2025-04-19
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OverviewSymptomsTypesFlare Prevention1 of 4 / Overview View All What Is Irritable Bowel Syndrome (IBS)?IBS is a mix of belly discomfort or pain and trouble with bowel habits.Hormones and IBS: Is There a Link?Women are about twice as likely to have IBS as men. Growing research shows that sex hormones may be the reason.What's the Difference Between IBS and IBD?It’s easy to mix up these conditions, but inflammatory bowel disease (IBD) and irritable bowel syndrome (IBS) aren’t the same. View All 2 of 4 / Symptoms & Types View All What Are the Symptoms of IBS?We all have trouble going to the bathroom sometimes. But for those with IBS, the chronic pain and discomfort can be disabling.The 3 Types of IBSThere are three types of irritable bowel syndrome (IBS), each with different symptoms. Understand the difference between them.IBS With DiarrheaIBS that causes increased diarrhea is often called IBS-D. View All 3 of 4 / Treatment View All Treating IBS With DiarrheaPeople with IBS-D often find relief through dietary changes, meds, stress relief, or behavioral or alternative therapies.Treating IBS With ConstipationThe goal of treatment for IBS-C is to soothe the stomachaches, pain, and bloating that are also common symptoms.Alternative Treatments for IBSSome patients turn to alternative treatments such as acupuncture, dietary supplements, and herbs for help with IBS.IBS vs. Lactose IntoleranceIBS and lactose intolerance cause symptoms that are nearly identical. But there are differences in causes and treatment. View All 4 of 4 / Living With View All IBS Management TipsThere may

2025-04-02

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