Approach to the Patient with Axial Spondyloarthritis and Suspected Inflammatory Bowel Disease

Abstract

-The evaluation of gastrointestinal symptoms in patients with axial spondyloarthritis requires careful evaluation, taking into account the increased risk of inflammatory bowel disease but not forgetting other causes, such as infections. - Endoscopic studies remain fundamental in the diagnostic process. The available fecal and serologic markers do not allow, by themselves, a good distinction between the possible causes of intestinal inflammation. - The treatment should be evaluated considering both the articular and intestinal manifestations and without forgetting the interactions and adverse effects of the different immunosuppressants available.