Medical Management of Inflammatory Bowel Disease

Surg Clin North Am. 2024 Jun;104(3):657-671. doi: 10.1016/j.suc.2023.12.005. Epub 2024 Jan 3.

Abstract

The past few decades have seen significant advancements in the medical management of both ulcerative colitis (UC) and Crohn's disease (CD). The previous dependence on steroids is no longer an acceptable strategy following the Food and Drug Administration approval for several new classes of medication. These medications include aminosalicylates, immunomodulators, biologics, and oral targeted small-molecule inhibitors. This article highlights several key trials and discusses modern treatment paradigms for both UC and CD based on disease severity.

Keywords: Biologic agents; Crohn’s disease; Immunomodulators; Inflammatory bowel disease; Small-molecule inhibitors; Ulcerative colitis.

Publication types

  • Review

MeSH terms

  • Biological Products / therapeutic use
  • Colitis, Ulcerative* / drug therapy
  • Crohn Disease / drug therapy
  • Gastrointestinal Agents / therapeutic use
  • Humans
  • Immunologic Factors / therapeutic use
  • Immunomodulating Agents / therapeutic use
  • Inflammatory Bowel Diseases / drug therapy
  • Inflammatory Bowel Diseases / therapy

Substances

  • Immunomodulating Agents
  • Biological Products
  • Immunologic Factors
  • Gastrointestinal Agents