Inflammatory Bowel Disease

Find expert IBD care at Scripps

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Find expert IBD care at Scripps

Scripps Health offers people with inflammatory bowel disease (IBD) a fresh approach to managing their condition.

In addition to providing both enduring and emerging treatments that are rooted in research, our team pays attention to — and addresses — each patient’s unique history and concerns. We have a dedicated team of IBD specialists that includes gastroenterologists, colorectal surgeons, registered dietitians and physician assistants who use the most advanced techniques and diagnostic tools, such as intestinal ultrasound, to ensure that you receive the highest quality of care.

Whether you are interested in participating in an IBD clinical trial, or want to explore complementary and alternative therapies such as nutritional supplements or dietary changes, we’ll help you meet your personal goals while making sure you’re receiving the best, evidence-based medical care available.

Scripps was ranked among the top hospitals in the country by U.S. News & World Report for our gastroenterology and GI surgery program. The annual U.S. News ranking recognizes hospitals for top performance across several categories, including patient safety, survival, advanced technologies and physician reputation.

About IBD care

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About IBD care

Learn about inflammatory bowel disease, including the Scripps Health philosophy of care to provide long-term solutions for patients.

Treatment and management

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Treatment and management

Scripps offers IBD treatment and management options for patients at locations around San Diego County.

What is inflammatory bowel disease?

Inflammatory bowel disease (IBD) is the name given to a group of medical conditions that cause long-term inflammation of the digestive tract, leading to persistent and severe diarrhea, pain, unintended weight loss and other symptoms.

The two primary types of IBD are Crohn’s disease and ulcerative colitis. While they share common symptoms, each condition affects different areas of the digestive tract and causes varying degrees of inflammation:

  • Crohn’s disease causes damaging inflammation to the lining of the digestive tract. This inflammation can occur anywhere from the mouth to the anus, although it commonly affects the small intestine or colon. Sometimes the inflammation occurs in patches, meaning inflamed sections appear in between normal, healthy sections.
  • Ulcerative colitis causes chronic inflammation and sores, but unlike Crohn’s disease it occurs only in the colon or rectum. The inflammation associated with ulcerative colitis is usually continuous, meaning there are no patches of healthy tissue within the affected area.

Without proper management, IBD poses the risk of serious complications, including:

  • Bowel obstruction
  • Malnutrition
  • Fistulas, or open sores that are so deep they tunnel through the intestinal wall. A fistula can become infected and form an abscess, which may be life-threatening if not treated.
  • Strictures, which occur when portions of the intestine become narrow and reduce or block the passage of food
  • A perforated colon

People with Crohn’s disease or ulcerative colitis also have an increased risk of developing colon cancer.

Our philosophy of care

While there is no cure for IBD, the medical community continues to find new and more effective ways to reduce inflammation and control symptoms.

At Scripps, our goal is to help you achieve two kinds of remission:

  • We want to successfully manage the inflammation associated with your disease — ultimately reducing your risk of complications and allowing your digestive tract to heal.
  • We want you to reach a point where you feel well and enjoy a good quality of life.

We do this by offering the full spectrum of medical and surgical treatment options for IBD and any resulting complications.

IBD treatment at Scripps

Medication therapy is often the first line of defense, and may be used alone or in combination with surgery.

Drug therapy options

  • Drugs that reduce inflammation, including steroids.
  • Drugs that target the immune system, ranging from commonly used immunosuppressants (such as azathioprine), to biologics reserved for people who don’t respond well to other medications.
  • Antibiotics to help reduce the risk of infections and suppress intestinal bacterial growth.
  • Drugs that relieve specific symptoms often caused by IBD, including diarrhea, pain and low levels of vitamin B-12, iron and other vitamins and minerals.

Surgery is often reserved for patients with moderate to severe IBD who don’t respond well to drug therapy, or who have developed complications that require surgical treatment.

Surgical options

  • Proctocolectomy, or surgery to remove the colon and rectum, for people with ulcerative colitis.

Patients who require a proctocolectomy often undergo a second procedure called ileoanal anastomosis surgery, also known as J-pouch surgery, so they can pass stool normally without the need for a collection bag.

Some patients, however, are not eligible for J-pouch surgery. Instead, their surgeon will likely create a permanent opening in their abdomen, called a stoma, which allows feces to pass into a bag worn on the outside of the body.

  • Surgery to remove a diseased portion of the colon or rectum and then reattach the healthy sections. This procedure is typically used to treat patients with Crohn’s disease, who have healthy patches of tissue in between the inflamed portions of their digestive tract.
  • Strictureplasty or stricture dilations. These procedures help widen portions of the intestine that have become narrowed due to the inflammation caused by Crohn’s disease.
  • Surgery to close fistulas.
  • Surgery to drain infected abscesses.

Comprehensive, long-term IBD management

Scripps gastroenterologists also offer many other services designed to help patients manage their conditions, including their risk of complications. These include:

  • Chromoendoscopy for ongoing colorectal cancer screening. This endoscopy procedure is often used among high-risk patients because it utilizes a special dye that helps pre-cancerous lesions show up better.
  • Pouch surveillance for people with J-pouches or Kock pouches (also known as K-pouches).
  • Managing patients who develop short bowel syndrome (also known as short gut syndrome) after part of their small intestine has been removed.

Offering tomorrow’s IBD treatments, today

Scripps gastroenterologists actively participate in research designed to find the causes of, and new treatments for, IBD. Their areas of study include:

  • Genetic and epigenetic changes that occur during the course of IBD
  • Changes that occur in the fecal microbiome as a result of IBD
  • Establishing quality measures for IBD
  • Exploring the link between diet and IBD symptoms

Learn more about active studies.