The key to effective management of your disease is coordinated care among specially trained, internationally recognized physicians with expertise in inflammatory bowel disease. Our program offers expertise in gastroenterology, surgery, pathology and radiology. We meet weekly to discuss our patients’ medical and surgical issues in order to devise the most comprehensive treatment plan for each individual.
Accurately diagnosing inflammatory bowel disease (IBD) is a multi-step process involving endoscopy, radiology, pathology and surgery. Among our specialized services is video capsule endoscopy, a test to evaluate the small intestine by swallowing a small video camera enclosed in a capsule. The capsule is propelled forward through the gastrointestinal (GI) tract by the motion of the GI tract itself. The recorder captures photographic images of the insides of the intestine for approximately eight hours as the capsule passes through the GI tract. The data recorder is then downloaded to a computer and the images are reviewed. The capsule is expelled naturally through a bowel movement.
Treatment for ulcerative colitis or Crohn’s disease usually begins with medical therapy. While surgery can be a primary therapy for certain symptoms of IBD, it is usually reserved as a supplement to medical therapy. At Yale Medicine, the goal of GI surgery is to restore function, using bowel-conserving surgery, including minimally invasive surgery where appropriate.
In order to properly diagnose and treat patients with IBD, doctors must perform visual examinations of the gastrointestinal tract through procedures known as endoscopies. The three most common procedures are as follows: colonoscopy, upper endoscopy, and capsule endoscopy. Each procedure visualizes a different section of the gastrointestinal tract.
These are diagnostic procedures that allow doctors to evaluate the entire large intestine and the end of the small intestine called the ileum. In patients with inflammatory bowel disease, a colonoscopy is required for evaluation of the disease activity and for colon cancer screening. Some patients may undergo a sigmoidoscopy which only views the first third of the large intestine.
If you are scheduled for a colonoscopy, please download the preparations below
Upper Endoscopy (EGD)
This is a diagnostic procedure that allows evaluation of the esophagus, stomach, and duodenum. In patients with inflammatory bowel disease, an upper endoscopy evaluates disease involvement in the upper region of the digestive tract.
If you are scheduled for an upper endoscopy, please download the preparation below
This is the newest diagnostic procedure that allows evaluation of the small intestine that is not accessible by upper endoscopy and colonoscopy. A tiny camera contained in a capsule passes naturally through the digestive tract while transmitting video images to a data recorder. Images of the small bowel are downloaded to a computer and reviewed by a physician.
If you are scheduled for a capsule endoscopy, please download preparation below
Chromoendoscopy is a technique performed during colonoscopy to enhance the detection of pre-cancerous areas in the colon. It entails using a specialized blue dye that temporarily stains the colon wall during colonoscopy. The blue dye helps highlight these pre-cancerous areas.
Computed tomography enterography (CTE) and magnetic resonance enterography (MRE) are specialized radiographic studies that help in the diagnosis and management of Crohn’s disease. These scans are particularly helpful in identifying inflammation and complications of inflammation (such as fistula) in the small intestines. It allows us to visualize deeper areas of the small intestines that are not in reach with traditional upper endoscopy/colonoscopy.
The Yale IBD Program offers infusion services at Temple Medical Center. Patients can receive their outpatient intravenous treatments at the Infusion Suite adjacent to the Yale IBD Program Clinical Practice on 40 Temple Street. For the patient's convenience, a clinic appointment with your Yale gastroenterologist can be scheduled alongside your infusion therapy appointment
The Infusion Suite offers infusions for the following:
- Biologic Therapies- such as Remicade (Infliximab)
- Intravenous Iron
- Intravenous Fluids