Guidelines for the Management of Crohn's Disease

Byong Duk Ye; Suk-Kyun Yang; Sung Jae Shin; Kang Moon Lee; Byung Ik Jang; Jae Hee Cheon; Chang Hwan Choi; Young-Ho Kim; Heeyoung Lee; IBD Study Group of the Korean Association for the Study of Intestinal Diseases

doi:10.5217/ir.2012.10.1.26

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Special Review Guidelines for the Management of Crohn's Disease: Byong Duk Ye, Suk-Kyun Yang, Sung Jae Shin, Kang Moon Lee, Byung Ik Jang, Jae Hee Cheon, Chang Hwan Choi, Young-Ho Kim, Heeyoung Lee, IBD Study Group of the Korean Association for the Study of Intestinal Diseases; Intestinal Research 2012;10(1):26-66.
DOI: https://doi.org/10.5217/ir.2012.10.1.26
Published online: February 29, 2012

Department of Internal Medicine, University of Ulsan College of Medicine1, Seoul, Ajou University College of Medicine2, Suwon, The Catholic University of Korea College of Medicine3, Seoul, Yeungnam University College of Medicine4, Daegu, Yonsei University College of Medicine5, Seoul, Chung-Ang University College of Medicine6, Seoul, Sungkyunkwan Universitiy School of Medicine7, Seoul, Department of Medicine, Korea University Graduate School8, Seoul, Korea

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Abstract

Crohn's disease (CD) is a chronic inflammatory bowel disease (IBD) with uncertain etiopathogenesis. CD can involve any site of gastrointestinal tract from the mouth to anus and is associated with serious complications such as bowel strictures, perforations, and fistula formation. The incidence and prevalence rates of CD in Korea are still lower than those of Western countries, but have been rapidly increasing during the past decades. Although there are no definitive curative modalities for CD, various medical and surgical therapies are currently applied for diverse clinical situations of CD. However, a lot of decisions on the management of CD are made depending on the personal experiences and choices of physicians. To suggest preferable approaches to diverse problems of CD and to minimize the variations according to physicians, guidelines for the management of CD are needed. Therefore, IBD Study Group of the Korean Association for the Study of the Intestinal Diseases has set out to develop the guidelines for the management of CD in Korea. These guidelines were developed using the adaptation methods and encompass the treatment of inflammatory disease, stricturing disease, and penetrating disease. The guidelines also cover the indication of surgery, prevention of recurrence after surgery, and CD in pregnancy and lactation. These are the first Korean guidelines for the management of CD and the update with further scientific data and evidences is needed. (Intest Res 2012;10:26-66)

Keywords: Crohn's Disease; Treatment; Guidelines

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