A Review of Four Practice Guidelines of Inflammatory Bowel Disease

Okelue E Okobi; Iboro O Udoete; Oyinlola O Fasehun; Tobechukwu Okobi; Endurance O Evbayekha; Joanna J Ekabua; Henry Elukeme; Imoh L Ebong; Olamide O Ajayi; Iyanu V Olateju; Anthonette Taiwo; Ifeoma C Anaya; Janet A Omole; Mireille B Nkongho; Ugochi Ojinnaka; Abimbola O Ajibowo; Omosefe E Ogbeifun; Osemwegie O Ugbo; Ovie Okorare; Zainab Akinsola; Rahman A Olusoji; Ijeoma O Amanze; Jane N Nwafor; Nnenna A Ukoha; Thomas A Elimihele

doi:10.7759/cureus.16859

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A Review of Four Practice Guidelines of Inflammatory Bowel Disease

Journal article

Open access

Peer reviewed

A Review of Four Practice Guidelines of Inflammatory Bowel Disease

Okelue E Okobi, Iboro O Udoete, Oyinlola O Fasehun, Tobechukwu Okobi, Endurance O Evbayekha, Joanna J Ekabua, Henry Elukeme, Imoh L Ebong, Olamide O Ajayi, Iyanu V Olateju, …

Curēus (Palo Alto, CA), Vol.13(8), e16859

08/03/2021

DOI: 10.7759/cureus.16859

PMCID: PMC8413108

PMID: 34513436

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Abstract

Inflammatory bowel disease (IBD) is a term that encompasses conditions characterized by chronic inflammation of the gastrointestinal tract (GIT). It includes Crohn's disease and ulcerative colitis. Major scientific organizations interested in gastrointestinal systems or GIT-focused organizations worldwide release guidelines for diagnosing, classifying, managing, and treating IBD. However, there are subtle differences among each of these guidelines. This review evaluates four evidence-based guidelines in the management of IBD and seeks to highlight the differences and similarities between them. The main differences in the evaluated guidelines were in diagnosis and treatment recommendations. The diagnosing recommendations were comparable amongst the four guidelines; however, some were more specific about limiting the number of interventions necessary to confirm a diagnosis. Regarding treatment options, each guideline had clear suggestions about what was considered ideal. Although the treatment options were identical, the main differences existed in the recommended diets and initial therapy in patients with moderate disease. Clinical practice guidelines (CPGs) recommend evidence-based practice from opinion leaders in clinical decision-making. Rather than dictating a one-size-fits-all approach in IBD management, reviewing various guidelines can enhance the cross-pollination of ideas amongst clinicians to improve decision-making. Clearly describing and appraising evidence-based reasoning for scientific recommendations remain driving factors for quality patient care. The effectiveness of CPGs in improving health and the complexities of their formation requires constant review to maximize constructive criticisms and explore possible improvements.

Gastroenterology

Internal Medicine

Family/General Practice

Details

Title: Subtitle: A Review of Four Practice Guidelines of Inflammatory Bowel Disease
Creators: Okelue E Okobi
Iboro O Udoete - Central Michigan University
Oyinlola O Fasehun - University College Hospital, Ibadan
Tobechukwu Okobi - Montefiore Health System
Endurance O Evbayekha
Joanna J Ekabua - University of Louisville
Henry Elukeme - Georgia Highlands College
Imoh L Ebong - University of Ghana
Olamide O Ajayi - Olabisi Onabanjo University
Iyanu V Olateju - Washington Adventist University
Anthonette Taiwo
Ifeoma C Anaya - Ahmadu Bello University
Janet A Omole - California Institute of Behavioral Neurosciences and Psychology (United States)
Mireille B Nkongho
Ugochi Ojinnaka - Lankenau Medical Center
Abimbola O Ajibowo - Luhansk State Medical University
Omosefe E Ogbeifun - University of West Florida
Osemwegie O Ugbo - Baylor Scott & White Health
Ovie Okorare - Delta State University
Zainab Akinsola - Windsor University School of Medicine
Rahman A Olusoji - National Health Service
Ijeoma O Amanze
Jane N Nwafor - University of the District of Columbia
Nnenna A Ukoha - Houston Methodist
Thomas A Elimihele - University of Southern California
Resource Type: Journal article
Publication Details: Curēus (Palo Alto, CA), Vol.13(8), e16859
DOI: 10.7759/cureus.16859
PMID: 34513436
PMCID: PMC8413108
NLM abbreviation: Cureus
ISSN: 2168-8184
eISSN: 2168-8184
Publisher: Cureus
Language: English
Date published: 08/03/2021
Academic Unit: Internal Medicine
Record Identifier: 9984958631002771

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