RESUMO
Crohn's disease (CD) is a chronic inflammatory condition of the gastrointestinal tract. Individuals with CD present with acute inflammatory exacerbations as well as acute and chronic complications. Management requires specialist input from gastroenterologists, colorectal surgeons, nurse specialists and pharmacists as well as general and primary care physicians to allow appropriate selection of treatment options including surgery and rapid assessment and treatment of those with acute exacerbations. Monitoring of the individual and their medication is crucial in preventing and recognising complications including those associated with treatment. This concise guideline focuses on recommendations from National Institute for Health and Care Excellence (NICE) -Clinical -Guideline 152 (CG152) considered of key importance for implementation.
Assuntos
Doença de Crohn/terapia , Fármacos Gastrointestinais/uso terapêutico , Glucocorticoides/uso terapêutico , Imunossupressores/uso terapêutico , Educação de Pacientes como Assunto , Adalimumab/uso terapêutico , Adolescente , Adulto , Doenças Ósseas Metabólicas/induzido quimicamente , Doenças Ósseas Metabólicas/diagnóstico , Doenças Ósseas Metabólicas/terapia , Criança , Procedimentos Cirúrgicos do Sistema Digestório , Gerenciamento Clínico , Humanos , Infliximab/uso terapêutico , Quimioterapia de Manutenção , Fraturas por Osteoporose/epidemiologia , Fraturas por Osteoporose/prevenção & controle , Guias de Prática Clínica como Assunto , Indução de Remissão , Adulto JovemRESUMO
Ulcerative colitis is a chronic, relapsing and remitting -inflammatory disease of the colon and rectum. Effective -management requires prompt recognition and treatment of those with acute relapses as well as appropriate choice and monitoring of drugs for maintenance of remission. This therefore involves specialist gastroenterology teams as well as acute and general physicians and primary care clinicians. Treatment options need to be discussed with those with -ulcerative colitis and their families and appropriate information provided. This concise guideline focuses (with the generalist particularly in mind) on recommendations from the National Institute for Health and Care Excellence clinical guideline 166 considered of key importance for implementation.
