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December 19, 2025BMJ

Medical management of inflammatory bowel diseases

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Authors

JHJana G. HashashJLJimmy K. LimdiJSJason M. Shapiro

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Overview

Clinical review highlights targeted immunomodulatory treatments and mucosal healing targets in inflammatory bowel disease, indicating improved long-term patient prognosis and quality of life.

Key Points

  • To review current evidence on the diagnosis, staging, prognosis, and evolving medical therapies for inflammatory bowel diseases.
  • Synthesized recent literature on the pathophysiology, staging, and therapeutic interventions for Crohn's disease and ulcerative colitis.
  • Evaluated modern management strategies focusing on immune-modulating drugs and objective monitoring tools like colonoscopy and imaging.
  • Treatment paradigms have shifted from solely addressing clinical symptoms to targeting deep remission, defined as objective mucosal healing.
  • Achieving mucosal healing and patient-reported clinical remission substantially improves long-term disease prognosis and overall quality of life.
  • The global disease burden continues to grow, with prevalence expected to reach 1% in early industrialized nations over the next decade.

Cite This Study

Hashash et al. (2025) studied this question.

synapsesocial.com/papers/695d5132fb8fdf0c4c20caebhttps://doi.org/10.1136/bmj-2025-079050
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