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Home > West Medicine > Internal Medicine > Gastroenterology
K50.900

Crohn Disease

消化内科

Common symptoms

维生素缺乏、肠鸣、肝脾肿大、体重减轻、腹泻、黏液便、腹痛、便秘、消瘦、厌食

The pathology of disease

Crohn disease is chronic transmural granulomatous inflammatory bowel disease affecting any part of GI tract (terminal ileum/colon common), presenting with diarrhea, abdominal pain, weight loss, fatigue, and complications (stricture/fistula/abscess). Treatment: induction (corticosteroids; biologics anti-TNF/ustekinumab/vedolizumab) and maintenance (immunomodulators/biologics); nutritional support (enteral nutrition); antibiotics for abscess/perianal disease; surgical resection for complications (stricture/fistula/abscess not amenable to medical); monitor colon cancer/small-bowel malignancy; smoking cessation; multidisciplinary; follow-up.

Common Symptoms

Diarrhea/abdominal pain; weight loss; by terminal ileum/colon; transmural/skip lesions

Causes and Pathogenesis

Immune dysregulation against gut microbiome causes transmural granulomatous inflammation.

Treatment

Induction/maintenance (steroids/immunomodulators/biologics); nutrition; surgery for complications; monitor malignancy

Preventive Measures

Smoking cessation; balanced nutrition; regular monitoring.

Department to Visit

It is recommended to visit the Gastroenterology department; an appointment can be booked on this platform before the visit.

Warm reminder: The above information is for health science reference only and cannot replace professional medical diagnosis. If you have related symptoms, please seek medical attention at a regular hospital promptly.