臨牀消化器内科 Vol.13 No.1(2)


特集名 クローン病の治療
題名 治療概諭
発刊年月 1998年 01月
著者 守田 則一 大腸肛門病センター高野病院内科
【 要旨 】 クローン病(CD)は原因不明で診断は臨床症状と内視鏡やX線所見ならびに血液生化学検査などの臨床所見と病理所見でなされる.特異的治療はないが,厚生省特定疾患難治性炎症性腸管障害調査研究班の治療指針に準じて治療がなされる.栄養療法がprimary therapyとして確立しているが,本稿ではそれのみならずステロイド剤,sulfasalazine,aminosalicylates,免疫抑制剤,抗生物質などや目下検討中の薬剤についても概括する.
Theme Treatment of Crohn's Disease
Title General Overview of Medical Management of Crohn's Disease
Author Norikazu Morita Department of Internal Medicine, Coloproctology Center Takano Hospital
[ Summary ] Crohn's disease (CD) is now recognized as an idiopathic inflammatory bowel disease (IBD) that may affect any intestinal region as well as extraintestinal sites. Because its etiology is as yet uncertain, the diagnosis of CD is based on clinical manifestations and pathologic abnormalities. Although there is no specific therapy, nutritional managements for CD such as TPN and EN are generally used as the primary therapy according to the guidelines of the Research Committee of Inflammatory Bowel Disease of the Ministry of Health and Welfare of Japan.
The discussion presented here of the medical man-agement of CD reviews drugs such as corticosteroids, sulfasalazine, aminosalicylates and immunosuppressive agents, as well as antibiotics, and nutritional therapy and other modalities that may hold promise for future use.
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