Modern strategies of therapeutic and surgical treatment of Crohn’s disease
Purpose of the study. Analysis of the results of recent studies of BC with the aim of understanding the possibility of changing or modifying the natural course of BC with therapeutic or surgical methods, the possibility of a complete cure of BC with therapeutic methods. Materials and methods. This review examines the results of recent studies aimed at studying the effect of modern therapeutic methods for treating CD for the course of this disease and the possibility of reducing the number of surgical interventions. Results. The concept of competent therapeutic treatment of BC in the long term (more than 7 years) has not been confirmed. The accumulating experience of repeated bowel resections in patients with CD, suggests that the phenotype of the disease in the re-operated patients with CD remains the same, regardless of the nature of the treatment. However, the risk of surgical interventions in patients with CD in recent years has decreased. Conclusion. Early diagnosis (CT, MRI) and the earlier treatment of complications instead of prescribing therapeutic treatment, effective prevention of relapses with modern drugs in the postoperative period leads to the fact that recently there has been a decrease in the risk of surgical interventions in patients with CD. Surgical strategy is aimed at the use of “economical” resections with the formation of the primary small-intestinal or small-colonic anastomosis in an open way.