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Health Maintenance in Inflammatory Bowel Disease

  • Inflammatory Bowel Diseases (S Hanauer, Section Editor)
  • Published:
Current Gastroenterology Reports Aims and scope Submit manuscript

Abstract

Purpose of Review

Patients with inflammatory bowel disease (IBD) are not receiving preventative care services at the same rate as the general population. IBD patients are at increased risk for infections, osteoporosis, and certain malignancies secondary to their disease and as they are on immunosuppressive therapy. They are a younger population and often times consider their gastroenterologist as their primary care physician. In this review, we discuss up-to-date evidence pertaining to vaccine-preventable illnesses in the immunosuppressed IBD patient, screening for bone health, cervical cancer, skin malignancies, psychological wellbeing, and smoking cessation.

Recent Findings

Vaccinations are recommended in the IBD population as they are immunosuppressed and at increased risk for acquiring influenza and pneumonia. Not only are they at greater risk to acquire it but they also have a much severe complicated course. Ideally, IBD patients should be vaccinated prior to initiating immunosuppression and most inactive vaccines can be administered to them while they are on therapy. All IBD patients should be encouraged to stop smoking and have adequate vitamin D intake along with appropriate applicable cancer screenings.

Summary

Gastroenterologists must work in collaboration with primary care providers along with other specialists to help provide our patients well-rounded care for their IBD.

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Authors and Affiliations

  1. Division of Gastroenterology and Hepatology, University of Missouri, Columbia, MO, USA

    Fazia A. Mir

  2. Division of Gastroenterology and Hepatology, Mayo Clinic, 200 1st Street SW, Rochester, MN, USA

    Sunanda V. Kane

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  1. Fazia A. Mir
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  2. Sunanda V. Kane
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Correspondence to Sunanda V. Kane.

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Conflict of Interest

Sunanda Kane reports working as a consultant to AbbVie, Janssen, and Seres and received research funding from UCB. Fazia Mir declares no conflict of interest.

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This article does not contain any studies with human or animal subjects performed by any of the authors.

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This article is part of Topical Collection on Inflammatory Bowel Diseases

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Mir, F.A., Kane, S.V. Health Maintenance in Inflammatory Bowel Disease. Curr Gastroenterol Rep 20, 23 (2018). https://doi.org/10.1007/s11894-018-0621-1

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