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The Evaluation, Diagnosis, and Treatment of Inflammatory Bowel Diseases over the Past 100 Years: A Brief Review

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Abstract

The diagnoses of Crohn’s disease (CD) and ulcerative colitis (UC), the two main subtypes of inflammatory bowel disease (IBD), have been well characterized from a phenotypic point of view over the past 100 years. After several decades of refining the terminology used to describe the inflammatory bowel diseases, we have also begun to peel away at the complex pathophysiology of these distinct yet overlapping diseases over the past 20 years, determining what genetic, immunologic, microbiologic, and environmental characteristics that predispose and result in patients developing IBD. In this chapter, we will briefly describe the history for each of these chronic inflammatory gastrointestinal maladies, first with the early clinical descriptions of each disease entity, followed by the examples of the early laboratory, radiographic, and endoscopic evaluations. We will also discuss early leading hypotheses in the pathophysiology of these disorders, as well as the changes these theorems prompted in clinical management over the last century as we have expanded our armamentarium for these diseases.

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Correspondence to Frank I. Scott MD, MSCE .

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Scott, F.I., Lichtenstein, G.R. (2015). The Evaluation, Diagnosis, and Treatment of Inflammatory Bowel Diseases over the Past 100 Years: A Brief Review. In: Kozarek, R., Chiorean, M., Wallace, M. (eds) Endoscopy in Inflammatory Bowel Disease. Springer, Cham. https://doi.org/10.1007/978-3-319-11077-6_1

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