Learn about Crohn's Disease with Martin D. Fried MD, Pediatric Gastroenterology and Nutrition.
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Learn about Crohn's Disease Interviewer: Once the diagnosed of Crohn’s Disease is made, what would be the layer of treating Crohn’s Disease? Interviewee: It depends on the site and it depends on the degree of inflammation. In the ideal situation, you’ve like to just start it on anti-inflammatory medications that are going to work on the area that’s affected. If the area that’s affected is more than just a colon and includes the stomach and includes the esophagus you may need something stronger than Pentasa or Asacol. Interviewer: What would be the next step? Interviewee: That would be steroid medication. They’re different than the anabolic steroids too. These are steroids that are mostly anti-inflammatory. Interviewer: Are there any injectable biotech stuff that they use with that? Interviewee: Ramicade is the drug of choice let’s say tumor necrosis factor antagonist. Tumor necrosis factor it is the factor that causes the inflammation to occur. This medication that you can get IV over a couple of hours prevents the inflammation for a couple of weeks. Interviewer: Is surgery ever required with Crohn’s Disease? Interviewee: There’s a 20%, 30 % chance in four to five years that you made surgery because of the inflammation. The inflammation can cause scaring, they can cause blockage, it can cause obstruction sometimes they were connections flow—that you need in that if they don’t respond to medication and to Ramicade that might need surgery.