PT  - JOURNAL ARTICLE
AU  - J M E Fell
TI  - Update of the management of inflammatory bowel disease
AID  - 10.1136/adc.2010.195222
DP  - 2012 Jan 01
TA  - Archives of Disease in Childhood
PG  - 78--83
VI  - 97
IP  - 1
4099  - http://adc.bmj.com/content/97/1/78.short
4100  - http://adc.bmj.com/content/97/1/78.full
SO  - Arch Dis Child2012 Jan 01; 97
AB  - Up to 25% of patients with Crohn's disease and ulcerative colitis present before the age of 18 years. Although the pathophysiology of inflammatory bowel disease presenting in childhood does not differ fundamentally from that presenting in adulthood, managing these younger patients requires special consideration in light of growth and the potential long term consequences of both the disease and its treatments. Therapeutic approaches have changed in recent years, and there is a fuller appreciation of the role (and risks) of anti-tumour necrosis factor monoclonal therapy.