Management of Crohn's disease in Taiwan: consensus guideline of the Taiwan Society of Inflammatory Bowel Disease
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 Inflammator...
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| Format: | Article |
| Language: | English |
| Published: |
Korean Association for the Study of Intestinal Diseases
2017-07-01
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| Series: | Intestinal Research |
| Subjects: | |
| Online Access: | https://doi.org/10.5217/ir.2017.15.3.285 |
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| author | Shu-Chen Wei Ting-An Chang Te-Hsin Chao Jinn-Shiun Chen Jen-Wei Chou Yenn-Hwei Chou Chiao-Hsiung Chuang Wen-Hung Hsu Tien-Yu Huang Tzu-Chi Hsu Chun-Chi Lin Hung-Hsin Lin Jen-Kou Lin Wei-Chen Lin Yen-Hsuan Ni Ming-Jium Shieh I-Lun Shih Chia-Tung Shun Yuk-Ming Tsang Cheng-Yi Wang Horng-Yuan Wang Meng-Tzu Weng Deng-Chyang Wu Wen-Chieh Wu Hsu-Heng Yen Jau-Min Wong |
| author_facet | Shu-Chen Wei Ting-An Chang Te-Hsin Chao Jinn-Shiun Chen Jen-Wei Chou Yenn-Hwei Chou Chiao-Hsiung Chuang Wen-Hung Hsu Tien-Yu Huang Tzu-Chi Hsu Chun-Chi Lin Hung-Hsin Lin Jen-Kou Lin Wei-Chen Lin Yen-Hsuan Ni Ming-Jium Shieh I-Lun Shih Chia-Tung Shun Yuk-Ming Tsang Cheng-Yi Wang Horng-Yuan Wang Meng-Tzu Weng Deng-Chyang Wu Wen-Chieh Wu Hsu-Heng Yen Jau-Min Wong |
| author_sort | Shu-Chen Wei |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-12-13T06:10:57Z |
| format | Article |
| id | doaj.art-8afc459ca45c42c693d73820c8fe84c0 |
| institution | Directory Open Access Journal |
| issn | 1598-9100 |
| language | English |
| last_indexed | 2024-12-13T06:10:57Z |
| publishDate | 2017-07-01 |
| publisher | Korean Association for the Study of Intestinal Diseases |
| record_format | Article |
| series | Intestinal Research |
| spelling | doaj.art-8afc459ca45c42c693d73820c8fe84c02022-12-21T23:57:04ZengKorean Association for the Study of Intestinal DiseasesIntestinal Research1598-91002017-07-0115328531010.5217/ir.2017.15.3.285ir.2017.15.3.285Management of Crohn's disease in Taiwan: consensus guideline of the Taiwan Society of Inflammatory Bowel DiseaseShu-Chen Wei0Ting-An Chang1Te-Hsin Chao2Jinn-Shiun Chen3Jen-Wei Chou4Yenn-Hwei Chou5Chiao-Hsiung Chuang6Wen-Hung Hsu7Tien-Yu Huang8Tzu-Chi Hsu9Chun-Chi Lin10Hung-Hsin Lin11Jen-Kou Lin12Wei-Chen Lin13Yen-Hsuan Ni14Ming-Jium Shieh15I-Lun Shih16Chia-Tung Shun17Yuk-Ming Tsang18Cheng-Yi Wang19Horng-Yuan Wang20Meng-Tzu Weng21Deng-Chyang Wu22Wen-Chieh Wu23Hsu-Heng Yen24Jau-Min Wong25Department of Internal Medicine, National Taiwan University Hospital, National Taiwan University College of Medicine, Taipei, Taiwan.Department of Pathology, Taipei City Hospital Renai Branch, Taipei, Taiwan.Division of Colorectal Surgery, Department of Surgery, Taichung Veterans General Hospital, Taichung, Taiwan.Division of Colorectal Surgery, Chang Gung Memorial Hospital at Linkou, Taoyuan, Taiwan.Division of Gastroenterology and Hepatology, Department of Internal Medicine, China Medical University Hospital, Taichung, Taiwan.Division of General Surgery, Department of Surgery, Shin Kong Wu Ho-Su Memorial Hospital, Taipei, Taiwan.Department of Internal Medicine, National Cheng Kung University Hospital, National Cheng Kung University College of Medicine, Tainan, Taiwan.Division of Gastroenterology, Department of Internal Medicine, Kaohsiung Municipal Hsiaokang Hospital, Kaohsiung, Taiwan.Division of Gastroenterology, Department of Internal Medicine, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan.Division of Colon and Rectal Surgery, Department of Surgery, Mackay Memorial Hospital, Taipei, Taiwan.Division of Colon and Rectal Surgery, Department of Surgery, Taipei Veterans General Hospital, Taipei, Taiwan.Division of Colon and Rectal Surgery, Department of Surgery, Taipei Veterans General Hospital, Taipei, Taiwan.Division of Colon and Rectal Surgery, Department of Surgery, Taipei Veterans General Hospital, Taipei, Taiwan.Department of Internal Medicine, Mackay Memorial Hospital, Taipei, Taiwan.Department of Pediatrics, National Taiwan University Hospital, Taipei, Taiwan.Department of Oncology, National Taiwan University Hospital, National Taiwan University College of Medicine, Taipei, Taiwan.Department of Medical Imaging, National Taiwan University Hospital, National Taiwan University College of Medicine, Taipei, Taiwan.Department of Pathology and Forensic Medicine, National Taiwan University Hospital, National Taiwan University College of Medicine, Taipei, Taiwan.Division of Medical Imaging, Department of Radiology, Far Eastern Memorial Hospital, New Taipei City, Taiwan.Department of Internal Medicine, National Taiwan University Hospital, National Taiwan University College of Medicine, Taipei, Taiwan.Division of Gastroenterology, Department of Internal Medicine, MacKay Memorial Hospital, Taipei, Taiwan.Department of Internal Medicine, Far Eastern Memorial Hospital, New Taipei City, Taiwan.Division of Gastroenterology, Department of Internal Medicine, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan.Division of Gastroenterology, Department of Medicine, Taipei City Hospital Renai Branch, Taipei, Taiwan.Division of Gastroenterology, Department of Internal Medicine, Changhua Christian Hospital, Changhua, Taiwan.Department of Internal Medicine, National Taiwan University Hospital, National Taiwan University College of Medicine, Taipei, Taiwan.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.https://doi.org/10.5217/ir.2017.15.3.285TaiwanCrohn diseaseInflammatory bowel diseasesDisease managementConsensus statements |
| spellingShingle | Shu-Chen Wei Ting-An Chang Te-Hsin Chao Jinn-Shiun Chen Jen-Wei Chou Yenn-Hwei Chou Chiao-Hsiung Chuang Wen-Hung Hsu Tien-Yu Huang Tzu-Chi Hsu Chun-Chi Lin Hung-Hsin Lin Jen-Kou Lin Wei-Chen Lin Yen-Hsuan Ni Ming-Jium Shieh I-Lun Shih Chia-Tung Shun Yuk-Ming Tsang Cheng-Yi Wang Horng-Yuan Wang Meng-Tzu Weng Deng-Chyang Wu Wen-Chieh Wu Hsu-Heng Yen Jau-Min Wong Management of Crohn's disease in Taiwan: consensus guideline of the Taiwan Society of Inflammatory Bowel Disease Intestinal Research Taiwan Crohn disease Inflammatory bowel diseases Disease management Consensus statements |
| title | Management of Crohn's disease in Taiwan: consensus guideline of the Taiwan Society of Inflammatory Bowel Disease |
| title_full | Management of Crohn's disease in Taiwan: consensus guideline of the Taiwan Society of Inflammatory Bowel Disease |
| title_fullStr | Management of Crohn's disease in Taiwan: consensus guideline of the Taiwan Society of Inflammatory Bowel Disease |
| title_full_unstemmed | Management of Crohn's disease in Taiwan: consensus guideline of the Taiwan Society of Inflammatory Bowel Disease |
| title_short | Management of Crohn's disease in Taiwan: consensus guideline of the Taiwan Society of Inflammatory Bowel Disease |
| title_sort | management of crohn s disease in taiwan consensus guideline of the taiwan society of inflammatory bowel disease |
| topic | Taiwan Crohn disease Inflammatory bowel diseases Disease management Consensus statements |
| url | https://doi.org/10.5217/ir.2017.15.3.285 |
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