The last decade has seen tremendous advances in our knowledge, which has le
d to genuine improvements in our understanding of the pathogenesis and mana
gement of inflammatory bowel disease (IBD). The combined power of cellular
and molecular biology has begun to unveil the enigmas of IBD, and, conseque
ntly, substantial gains have been made in the treatment of IBD. Refinements
in drug formulation have provided the ability to target distinct sites of
delivery, while enhancing the safety and efficacy of older agents. Simultan
eous progress in biotechnology has fostered the development of new agents t
hat strategically target pivotal processes in disease pathogenesis. This ar
ticle addresses our current understanding of the pathogenesis of IBD, inclu
ding the latest developments in animal models and covers agents currently u
sed in the treatment of IBD as well as emerging therapies.