Treatments and Care
At the Feinstein Clinical IBD Center, we are dedicated to the treatment of the entire patient; we believe strongly in an integrative care model. You are much more than the sum of your biological parts. So we bring in nutritionists, psychologists and social services to help you develop a comprehensive treatment plan. And we involve your family – your caregivers – so everyone is invested in your treatment.
Your multi-dimensional treatment can include the following areas/disciplines:
- Medicine: If you and your doctor determine that you would benefit from one of the biologic agents offered by the IBD Center, we provide both the medical treatment and monitoring services for our patients. Our state of the art infusion center provides a comfortable, private setting at which you will receive a full-range of biologic, and cutting-edge therapies including: Infliximab, Certolizumab, Adalimumab and Vedolizumab.
- Early Recognition and Intervention: IBD is a progressive disease and treatment is now shifting to an early intervention approach. Emerging evidence suggests that there may be a “window of opportunity” early in the course of IBD during which treatment is most effective and can decrease the chance of serious, longer-term complications. The most effective medications, specifically anti-tumor necrosis alpha (anti-TNF) agents such as infliximab and adalimumab, work better when used earlier in the disease course during this “window of opportunity.”
Clinical trials have shown that patients who were treated within one year of diagnosis (defined as an early approach) were less likely to need surgery during the first two years of disease. In addition, IBD patients treated early had fewer hospitalizations, surgeries, or disease-related complications over a two-year period.
- Clinical Trials: One of the greatest advantages of being treated here at the IBD Center is that virtually every new therapy has been developed and tried out at Mount Sinai. You will have access to the latest clinical trials and be able to try novel therapies long before they hit the marketplace. We encourage you to discuss your willingness to participate in a clinical trial with your doctor and to view a list of the current IBD trials.
- Nutrition: Nutrition plays a critical part of our patients’ well being and healing, particularly those with IBD. That is why we have a Registered Dietician (RD) on staff at the IBD Center.
An RD completes a thorough review with your medical team, reviews your current nutritional health and intake and provides a personalized treatment plan to manage your medical issues. Our staff RD, Laura Manning, is a seasoned professional who has been with the GI Division for more than 10 years and specializes in the care of patients with IBD, irritable bowel syndrome (IBS), short bowel syndrome, and celiac disease to name a few.
Your appointment, a nutritional assessment, will take approximately one hour. At that meeting, we will provide you with information including education materials that will help you manage your current symptoms and prevent deficiencies that can often occur with IBD.
- Psych/Social Services: Your wellness and treatment depend not just on how your medical protocol, but also on your overall mental well being. At the IBD Center, our social work team will help you with insurance benefit guidance and navigating obstacles to your care. If you’ve had to stay in the hospital, we help arrange your transition from inpatient to outpatient/home care through the Visiting Nurse Services and other outpatient services. We provide disability guidance and assist in navigating prescription patient assistance programs. And finally, we know that caring for a loved one with IBD can be difficult on the caregiver as well so we provide support and resources for your entire care team.