Crohn's disease. A comprehensive approach to management.

Crohn's disease is a complicated illness that affects many body systems and processes. Medical and surgical management are the mainstays of treatment. However, the value of a strong physician-patient relationship in providing an optimistic and supportive structure for the patient cannot be overestimated. As advances continue to be made in understanding the pathophysiology of Crohn's disease, better and more specific therapies will likely emerge. For the present, however, treatment must be aimed at acute exacerbations and is essentially symptomatic. As a result, care must be holistic, with the intent of providing not only pharmacologic therapy but social and psychological support as well.