Crohn's disease
Therapeutic options
Selecting the right therapy depends on a range of factors. Crohn's disease mostly tends to progress in episodes. The acute manifestation of the symptoms therefore plays an important role when deciding on therapy. Disease activity is also considered, i.e. the longer-term frequency, duration and severity of the episodes, as is occurrence of concomitant diseases.
In general, the following therapeutic approaches are possible:
Antibiotics and aminosalicylates
Taking antibiotics can help abscesses and fistulas to heal. Taking so-called aminosalicylates, which are anti-inflammatory, is recommended for light symptoms.
Corticosteroids and immunomodulators
Using corticosteroids and immunomodulators (medication that intervenes in the immune system) if the aminosalicyclates are not sufficiently effective.
Biologics
Biologics are biotechnologically manufactured medication that have an affect on the disease; they are applied under the skin as an infusion or an injection. They block certain messengers of the immune system and thus intervene positively in the inflammation process.
Surgery
Surgical procedure to remove constrictions in the bowel, drain abscesses and close fistulas