Table 1.

Concept change of inflammatory bowel disease

Old concept	New concept
IBD is a disease with intermittent flare	IBD is progressive in a substantial proportion of patients
Treat all patients in the same way	Individualized approach according to severity and prognosis
Treat to targeting clinical remission and response	Treat to targeting more objective outcomes, e.g., mucosal healing
Reactive management with intermittent monitoring	Proactive management with tight monitoring

IBD, inflammatory bowel disease.