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Crohn Disease, Pediatric

Steven J. Fusillo, MD and Andrew B. Grossman, MD Reviewed 10/2018
 


BASICS

DESCRIPTION

Crohn disease (CD) is a chronic inflammatory bowel disease (IBD) that may affect any part of the gastrointestinal (GI) tract from the mouth to the anus. CD is generally characterized...

DIAGNOSIS

HISTORY

  • Abdominal pain (85%)

  • Weight loss (85%)

  • Diarrhea (80%)

  • Rectal bleeding (50%)

  • Fever (40%)

  • Growth failure (35%)

  • Perianal disease (25%)

  • Nausea and vomiting (25%)

  • Delayed puberty

  • Menstrual irregula...

TREATMENT

MEDICATION

  • The goal of therapy is resolution of all symptoms in the acute phase and microscopic healing of the intestinal mucosa, steroid-free long-term remission, appropriate growth, and goo...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Patient Monitoring

  • The morbidity of CD is high. The majority of patients experience recurring disease.

  • Most patients have good general health in between episodes an...

ADDITIONAL READING

  • Benchimol EI, Fortinsky KJ, Gozdyra P, et al. Epidemiology of pediatric inflammatory bowel disease: a systematic review of international trends. Inflamm Bowel Dis.  2011;17(1):...

CODES

ICD9

  • 555.9 Regional enteritis of unspecified site

  • 555.0 Regional enteritis of small intestine

  • 555.1 Regional enteritis of large intestine

  • 555.2 Regional enteritis of small intestine with large intes...

FAQ

  • Q: Should the diet of patients with CD be restricted?

  • A: One approach to inducing remission in active disease can be to use EEN. However, this approach can be difficult to maintain long-term and sh...

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