J.Jpn. Surg. Soc.
ISSN 1880-1129

[Abstract] [Full Text PDF] （in Japanese / 4060KB） [Members Only And Two Factor Auth.]

J.Jpn. Surg. Soc.. 98(4): 412-417, 1997

Feature topic

TEAM APPROACH OF CROHN'S DISEASE THERAPY

1) The Social Health Insurance Medical Center, Department of Internal Medicine, Tokyo, Japan
2) The Social Health Insurance Medical Center, Department of coloproctology center, Tokyo, Japan

Masakazu Takazoe1), Junichi Iwadare2)

Under the current conditions that etiologies of Crohn’s Disease (CD) are not detected and then no radical therapy existed, it is necessary that the CD patients can be medically managed by not only lnedical doctors but also other co-medical staffs such as nurses, dietitians, social workers and ET (Enterostomal Therapist) nurses for their cure ＆ care therapy.
There are some different therapeutic steps ; 1) Nutritional Therapy, 2) Drug Therapy, 3) Surgical Therapy and 4) Psychological (Mental) Suppor. In Japan, Nutritional Therapy headed by Elemental Enteral Nutrition is recommended as for 1st choice standard therapy for CD patients, who are mainly very young and are required to have themselves acceptable for long-term therapeutic controls. Thus, the medical support team shall be considerable enought to each patient’s Iife back ground in order to give them the whole-mentally therapeutic approach.

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