Langenbeck's Archives of Surgery

, Volume 390, Issue 6, pp 503–509

Standards of medical treatment and nutrition in Crohn’s disease

Authors

  • Britta Siegmund
    • Medizinische Klinik ICharité Universitätsmedizin Berlin
    • Medizinische Klinik ICharité Universitätsmedizin Berlin
Current Concepts in Clinical Surgery

DOI: 10.1007/s00423-004-0498-3

Cite this article as:
Siegmund, B. & Zeitz, M. Langenbecks Arch Surg (2005) 390: 503. doi:10.1007/s00423-004-0498-3
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Abstract

Crohn’s disease is a condition of chronic inflammation potentially involving any location of the alimentary tract from mouth to anus but with a propensity for the distal small bowel and proximal large bowel. Frequent complications include stricture and fistula. Numerous extra-intestinal manifestations may also be present. The aetiology of Crohn’s disease is incompletely understood, and therapy, although generally effective in alleviating the symptoms, is not curative. Due to the heterogeneity of the disease a major need for the therapeutic approach is the ability to define subgroups with distinct characteristics. However, with regard to the heterogeneity of demographic, anatomic and disease behaviour characteristics, distilling the numerous possible phenotypes in simple categories is a formidable task. In the present review the focus will be on clinically relevant situations providing therapeutic algorithms according to international guidelines.

Keywords

Crohn’s diseaseTherapyImmunosuppressive agents5-AminosalicylatesCorticosteroidsNutrition

Copyright information

© Springer-Verlag 2004