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Editorial
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Volume 334:1599-1600 June 13, 1996 Number 24
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Keeping Crohn's Disease Quiet

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Fifteen years ago, after the National Cooperative Crohn's Disease Study (NCCDS)1 had found that patients in remission who were given placebo fared better than those given corticosteroids, azathioprine, or a 5-aminosalicylate–sulfonamide compound, the approach to preventing relapse in patients with Crohn's disease was nihilistic. Now, the view among physicians is very different. New 5-aminosalicylates delivering larger amounts of the drug to the bowel can delay relapse,2 as can low-dose corticosteroids,3 and new, poorly absorbed corticosteroids, which have minimal side effects, are becoming available. Immunosuppressant drugs, at least in combination with a corticosteroid, have been proved to prolong corticosteroid-induced remissions.4

These . . . [Full Text of this Article]

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