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NMIC Bulletin Vol. 21 No. 3 Management of crohn’s disease

1 August, 2015

Management of crohn’s disease

  • Crohn’s Disease (CD) is a chronic inflammatory disease that can involve any part of the gut from the mouth to the anus
  • The symptoms and signs depend on the affected site and the predominant pathological process; patients typically present with abdominal pain, diarrhoea and weight loss
  • Corticosteroids are the mainstay for the induction of remission of CD; budesonide is the treatment of first choice for localised ileocaecal disease
  • Maintenance treatment includes smoking cessation, immunomodulatory and/or
    biologic agents
  • Surgery is a therapeutic option in some patients