Gastroenterology Research of San Antonio (GERSA), University of Texas Health Science Center at San Antonio, TX, USA.
Best Pract Res Clin Gastroenterol. 2012 Oct;26(5):601-10. doi: 10.1016/j.bpg.2012.11.006.
Diarrhoea is a common manifestation of Crohn's disease (CD). We advocate an evidence-based approach to treat the underlying disease and reduce symptoms. This article reviews disease grading systems, current concepts in medical therapy, and other treatments that may become available in the future. While some drug classes (e.g. salicylates, immunomodulators) have been studied for many decades, newer approaches including anti-TNF monoclonal antibodies (biologics), and gut selective agents are changing the paradigm we use to treat this debilitating condition.
腹泻是克罗恩病(CD)的常见表现。我们主张采用循证方法来治疗基础疾病并减轻症状。本文综述了疾病分级系统、当前医学治疗的概念,以及未来可能出现的其他治疗方法。虽然某些药物类别(如柳氮磺胺吡啶、免疫调节剂)已经研究了几十年,但包括抗 TNF 单克隆抗体(生物制剂)和肠道选择性药物在内的新方法正在改变我们治疗这种使人衰弱疾病的模式。