Functional GI Disorders in IBD - IBD Algorithm



Background:

 • 25-40% of IBD in remission have IBS symptoms

 • FGID have significant impact on QoL in 1BD

 • Strong correlation of lBS-type symptoms w/ anxiety & depression

 • ↑ health resource & narcotic use

FGID Pathphysiology in IBD:

 • Altered microbiome

 • Visceral hypersensitivity

 • Altered motility

 • Immune dysregulation

 • Altered GI structure

 • Disordered Gut-Brain axis



Dr. Wade Billings @wabillin



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