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Reply to "Veteran Pouch, now Crohn's"

I had not thought of the possibility that Crohn’s diagnosis opens up additional treatment options but it could expand the scope of insurance coverage for treatment.

That being said, the treatments are exactly the same for both UC and Crohn’s when inflammation is difficult to control. One of my colleagues who has his colon is on Remicade for resistant inflammation in his colon after Asacol proved ineffective after some years. Patients who have pouchitis and Crohn’s that do not respond to antibiotics are also given Remicade or other biological drugs.  Therefore what you call the inflammation or its precise location in the bowel may not make a difference in the ultimate treatment if it proves resistant to first line treatments. The only conceivable relevance of a Crohn’s diagnosis is to expand insurance coverage for these identical treatments - and that’s what you want. For that reason, you want your doctor to label the inflammation even if the label is meaningless in terms of the ultimate treatment and the medical science behind the treatment. There is no other relevance to these labels, however. It’s bowel inflammation caused by immune disorder, in different locations.

Last edited by CTBarrister
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