Let's get to know Crohn's disease.
The following is a summary of the basic treatment options from the guidelines published in Japan in 2011.
Methods
The goal of treatment for Crohn's disease is "remission," not complete cure. For this reason, it is assumed that long-term treatment methods will be considered after the introduction of remission. Also, depending on the degree of symptoms, there is generally no idea of exercise restriction. However, if there is no improvement with outpatient treatment, hospitalization should be considered.
Diet therapy
As a general rule, a low-fat, low-residue, hypoallergenic, high-protein, and high-calorie diet is used.
In addition, if the inflammation is severe, it may be necessary to refrain from eating orally.
Smoking cessation is recommended, but alcohol consumption is not a problem as long as it is consumed in appropriate amounts, but remember to avoid it during the active phase of the disease.
Drug therapy
The use of steroids can be useful in introducing remission.
The use of 5-ASA agents can be useful for active symptoms.
The use of AZA (immunomodulators) is useful for induction of remission, but side effects must be considered.
The use of anti-TNF agents is useful for remission induction.
Antimicrobials may be useful for clinical symptoms and are limited.
Surgical treatment
It is useful in reducing symptoms for complications, has promise to improve quality of life, and may reduce the amount of drug therapy, but there is a risk of postoperative complications.
Endoscopic surgery
This technique is described as being indicated when there are no complications such as deep ulcers or fistulas in the intestinal tract.
Conclusion
These are some of the published treatment strategies and methods for Crohn's disease. As the information is outdated, I will introduce new information if it is updated or if there is scientific evidence based on research using new methods.
