Gastroenterology: Crohns disease — Conservative treatment (endoscopic). Treatment
Crohn's disease is an inflammatory disease of the digestive tract, which can affect any part of it, but is found mainly in the colon. Normally, the fight against the disease is limited to medication. In severe cases, the patients may be advised to have a therapeutic colonoscopy and gastroscopy.
On the eve of the therapy, a thorough examination of the patient is carried out. Gastroenterologist listens to complaints, conducts a clinical examination and reviews the case history. To clarify the diagnosis, s/he prescribes:
- complete blood count,
- biochemical blood test,
- abdominal ultrasound.
According to the test findings, the optimal treatment program is developed.
2 days before endoscopy, the patient is asked to exclude the food increasing flatulence from his/her diet. On the day of procedure, a stepwise administration of laxatives is prescribed.
All manipulations are performed under intravenous anesthesia. The upper part of the digestive tract is examined using a gastroscope, and the lower part by colonoscopy. Under the control of optical devices, the physician applies drugs on the affected areas of mucous membranes. During the procedure, the samples for histological examination is also taken. The patient remains under the supervision of qualified medical personnel.
After endoscopic intervention, the patient may report discomfort in the abdomen and epigastrium. To alleviate his/her condition, a symptomatic therapy is administered.
If the patient feels good, s/he is discharged after a few hours. The gastroenterologist provides the patient with advice on nutrition and further treatment.Hide
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