Thank you. How would you treat mild Crohn’s disease patient on mesalamine for 3 years with fecalcalprotectin <5. Inflammation in colon and rectum. Is the clinician right in keeping the patient on mesalamine? Have episodes of bloating and abdominal symptoms occasionally. What’s your threshold to switch? And to what?
How often do you see patients who have normal CRP and FCP, yet significant inflammation? And how would you monitor?
Y ni siquiera he tocado el tratamiento al objetivo, la monitorización estricta o la zancada 2... hasta ahora 😊.
Gracias , ansioso por la continuidad de su útil y valorada ponencia.
Saludos
Dr. Carlos Nicasio Daona Hospital Santojanni CABA, Argentina
Thank you for this great summary of monitoring IBD patients!
Can you tell us what are the tresholds you use in the diffrent phenotypes in Crohn‘s disease?
I often see patients with a pouch and very high fecal calprotectin without any symptoms. How do you explain this circumstance?
Thank you again, dear Prof. Lees. Your learning imputs are a great help for me in my daily practice!
Thank you. How would you treat mild Crohn’s disease patient on mesalamine for 3 years with fecalcalprotectin <5. Inflammation in colon and rectum. Is the clinician right in keeping the patient on mesalamine? Have episodes of bloating and abdominal symptoms occasionally. What’s your threshold to switch? And to what?