OBJECTIVE: This article investigates the methods of achieving deep remission of inflammatory bowel disease (IBD). METHODS: Increasing recognition of the concept of quality of care is contributing to the evolution of t...OBJECTIVE: This article investigates the methods of achieving deep remission of inflammatory bowel disease (IBD). METHODS: Increasing recognition of the concept of quality of care is contributing to the evolution of treatment goals in patients with IBD from clinical response and remission (symptom control) toward deep remission. A change in the treatment goal requires a change in the treatment strategy. Optimization of conventional therapy, early treatment, use of the Lemann score, performance of double-balloon endoscopy, treatment using Traditional Chinese Medicine, and good communication between physicians and patients are needed to attain deep remission. RESULTS: The above-mentioned methods can help to achieve deep remission. CONCLUSION: Using the above methods, it will bepossible to improve the prognoses of patients with IBD by minimizing complications and bowel damage and thereby changing the course of the disease.展开更多
AIM: To assess “top-down” treatment for deep remission of early moderate to severe Crohn’s disease (CD) by double balloon enteroscopy.
文摘OBJECTIVE: This article investigates the methods of achieving deep remission of inflammatory bowel disease (IBD). METHODS: Increasing recognition of the concept of quality of care is contributing to the evolution of treatment goals in patients with IBD from clinical response and remission (symptom control) toward deep remission. A change in the treatment goal requires a change in the treatment strategy. Optimization of conventional therapy, early treatment, use of the Lemann score, performance of double-balloon endoscopy, treatment using Traditional Chinese Medicine, and good communication between physicians and patients are needed to attain deep remission. RESULTS: The above-mentioned methods can help to achieve deep remission. CONCLUSION: Using the above methods, it will bepossible to improve the prognoses of patients with IBD by minimizing complications and bowel damage and thereby changing the course of the disease.
文摘AIM: To assess “top-down” treatment for deep remission of early moderate to severe Crohn’s disease (CD) by double balloon enteroscopy.