The concept of “Standard of Care” is a bit subjective. See this wikipedia entry for more, but the basic idea is that the standard of care is what any competent physician would do for that particular patient in that particular situation. This can vary somewhat with local practices. The American College of Gastroenterolgy provides clinical guidelines that GI’s can use along with their clinical experience and professional judgment to determine the course of treatment for your IBD. The ACG publishes these guidelines as a list on their website. You can find the list of guidelines here. Scroll down for the Crohn’s and colitis entries.
Of course other nations have their own professional associations:
Here is a guideline published by GUT, an International Journal of Gastroenterolgy and Hepatology in 2004.
Perhaps these published guidelines will be helpful when you are trying to understand the advice of your physician.
Would be really interesting to see guidelines from Japan. I have heard that they use elemental diet in the treatment of crohns. I tried to find it on the web, but couldn’t find anything in English.
Do you have those links? Have you tried running them through Google Translate? (http://translate.google.com/) If you find them and let me know, I’ll add them to the post.
Thanks.
-Paul
Paul – thanks for a great post! Very educational. It is good to understand where my doctor is coming from in his or her advice.
Penny,
You’re welcome.
-Paul