Therapy Insight: osteoporosis in inflammatory bowel disease—advances and retreats
Charles N Bernstein* and William D Leslie
Correspondence *University of Manitoba Inflammatory Bowel Disease Clinical and Research Centre, 804F-715 McDermot Avenue, Winnipeg, Manitoba, Canada R3E-3P4
Email cbernst@cc.umanitoba.ca
Osteoporosis is an important problem for some patients with inflammatory bowel disease (IBD). Reports of low bone mineral density (BMD) in IBD patients buoyed widespread BMD testing for osteoporosis, but data on fracture incidence have now tempered these concerns. This Review considers the authors' approach to prevention and treatment of osteoporosis in IBD patients—a controversial subject, with advocates for more or less aggressive management.
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