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KMID : 0988920170150030285
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Intestinal Research
2017 Volume.15 No. 3 p.285 ~ p.310
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Management of Crohn's disease in Taiwan: consensus guideline of the Taiwan Society of Inflammatory Bowel Disease
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Wei Shu Chen
Chang Ting An
Chao Te Hsin
Chen Jinn Shiun
Chou Jen Wei
Chou Yenn Hwei
Chuang Chiao Hsiung
Hsu Wen Hung
Huang Tien Yu
Hsu Tzu Chi
Lin Chun Chi
Lin Hung Hsin
Lin Jen Kou
Lin Wei Chen
Ni Yen Hsuan
Shieh Ming Jium
Shih I Lun
Shun Chia Tung
Tsang Yuk Ming
Wang Cheng Yi
Wang Horng Yuan
Wu Deng Chyang
Wu Wen Chieh
Yen Hsu Heng
Wong Jau Min
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Abstract
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Crohn's disease (CD) is a chronic relapsing and remitting inflammatory disease of the gastrointestinal tract. CD is rare in Taiwan and other Asian countries, but its prevalence and incidence have been steadily increasing. A steering committee was established by the Taiwan Society of Inflammatory Bowel Disease to formulate statements on the diagnosis and management of CD taking into account currently available evidence and the expert opinion of the committee. Thorough clinical, endoscopic, and histological assessments are required for accurate diagnosis of CD. Computed tomography and magnetic resonance imaging are complementary to endoscopic evaluation for disease staging and detecting complications. The goals of CD management are to induce and maintain remission, reduce the risk of complications, and improve quality of life. Corticosteroids are the mainstay for inducing re-mission. Immunomodulating and biologic therapies should be used to maintain remission. Patients should be evaluated for hepatitis B virus and tuberculosis infection prior to treatment and receive regular surveillance for cancer. These consensus statements are based on current local evidence with consideration of factors, and could be serve as concise and practical guidelines for supporting clinicians in the management of patients with CD in Taiwan.
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KEYWORD
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Taiwan, Crohn disease, Inflammatory bowel diseases, Disease management, Consensus statements
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