TREATMENT OF INFLAMMATORY BOWEL DISEASE
Inflammatory bowel diseases are nonspecific ulcerative colitis (NEC) and
Crohn's disease. These pathologies have an immune-mediated nature, are chronic,
cause several dangerous complications, and significantly impair the patient's
quality of life.
At the ON Clinic giandliverconsultants, a thorough diagnosis of the
functioning of the gastrointestinal tract is performed, after which an
individual treatment scheme is developed to stop the inflammation and prevent complications. The
What is inflammatory bowel disease?
Depending on the location and nature of inflammation, among inflammatory
bowel pathologies, gastroenterologists distinguish two major diseases:
- Crohn's disease, accompanied
by the development of granulomatous inflammation, which can occur in any
part of the digestive tract;
- Ulcerative colitis is
characterized by the formation of ulcers and erosions on the large
intestine walls (mostly the first to be affected by the mucous membrane of
the rectum).
Even though similar signs of gastrointestinal tract disorders accompany
these inflammatory diseases, there are some differences in their symptoms.
Thus, Crohn's disease has symptoms such as:
- diarrhea;
- spasmodic abdominal pain;
- weight loss (up to
cachexia);
- increased fatigue;
- fistula or abscess;
- intestinal stenosis (up to
the development of intestinal obstruction);
- fistulas between the
intestine and neighboring organs (peritoneum, bladder, etc.).
The following symptoms accompany the presence of ulcerative colitis:
- frequent diarrhea with
blood, mucus, or pus in the stool (up to 15 times a day);
- false urges to defecate;
- pronounced abdominal pain;
- increase in body
temperature, etc.
Also, these pathologies are characterized by extra intestinal manifestations: joint disease, liver and blood disorders, bone demineralization, and many others.
How is inflammatory bowel disease treated?
The nature and composition of the treatment of inflammatory bowel
disease are determined by a gastroenterologist depending on the current clinical
picture and the presence of concomitant pathologies. The most effective therapy
with high clinical remission rates in patients is the biological treatment of
inflammatory bowel disease compared to other treatments.
What is biological therapy?
Infection with viruses/bacteria or disruption of the intestinal
microbiome leads to the activation of antigens synthesized in the epithelial
cells of its mucous membrane. As an immune response, the inflammatory response
is exacerbated by a constant influx of lymphocytes (T-helpers), causing an
increasing spread of pathological inflammation.
Suppression of the delivery system of immune agents to the lesion site
allows stopping the immune response at the molecular level, stopping the acute
period of the disease, and preventing complications.
Vedolizumab is an effective means of biological therapy. Its action is
based on the properties of immunoglobulin G monoclonal antibodies to affect the
migration of lymphocytes into inflamed intestinal tissues selectively.
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