{"id":3862,"date":"2025-08-04T14:34:42","date_gmt":"2025-08-04T14:34:42","guid":{"rendered":"https:\/\/cms.core-way.de\/?p=3862"},"modified":"2025-09-01T15:09:04","modified_gmt":"2025-09-01T15:09:04","slug":"enfoques-terapeuticos-para-la-enfermedad-de-crohn-basados-en-las-directrices-s3","status":"publish","type":"post","link":"https:\/\/cms.core-way.de\/es\/therapieansaetze-bei-morbus-crohn-auf-grundlage-der-s3-leitlinien\/","title":{"rendered":"Enfoques terap\u00e9uticos para la enfermedad de Crohn basados en las directrices S3\u00a0"},"content":{"rendered":"<p>El tratamiento de la enfermedad inflamatoria intestinal cr\u00f3nica es dif\u00edcil y depende de cada paciente. <strong>Gravedad de la enfermedad<\/strong> de. Enfermedad de Crohn y <a href=\"https:\/\/cms.core-way.de\/es\/terapia-de-la-colitis-ulcerosa\/\">Colitis ulcerosa<\/a> son dos de las enfermedades inflamatorias intestinales cr\u00f3nicas m\u00e1s extendidas. La enfermedad de Crohn puede afectar a todo el tracto gastrointestinal, es decir, puede comenzar en el es\u00f3fago y extenderse hasta el ano. Se distingue entre pacientes en los que est\u00e1 afectada la parte superior del tubo digestivo y aquellos en los que est\u00e1 afectada la parte inferior. La zona superior incluye el es\u00f3fago hasta la parte superior del intestino delgado. En la zona inferior, se ven afectados principalmente el intestino delgado y el grueso. En consecuencia, los enfoques terap\u00e9uticos de la enfermedad de Crohn deben ser diferentes de los de otras enfermedades inflamatorias intestinales cr\u00f3nicas (EII).<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"683\" src=\"https:\/\/cms.core-way.de\/wp-content\/uploads\/2024\/05\/qtq80-uI9kSh-1024x683.jpeg\" alt=\"Un estetoscopio tumbado sobre una grabaci\u00f3n de ondas de ECG te\u00f1idas de azul. La imagen simboliza los enfoques terap\u00e9uticos de la enfermedad de Crohn. El art\u00edculo trata de los enfoques para el tratamiento de la enfermedad de Crohn basados en las directrices S3.\" class=\"wp-image-1203\" srcset=\"https:\/\/cms.core-way.de\/wp-content\/uploads\/2024\/05\/qtq80-uI9kSh-1024x683.jpeg 1024w, https:\/\/cms.core-way.de\/wp-content\/uploads\/2024\/05\/qtq80-uI9kSh-300x200.jpeg 300w, https:\/\/cms.core-way.de\/wp-content\/uploads\/2024\/05\/qtq80-uI9kSh-768x512.jpeg 768w, https:\/\/cms.core-way.de\/wp-content\/uploads\/2024\/05\/qtq80-uI9kSh-1536x1024.jpeg 1536w, https:\/\/cms.core-way.de\/wp-content\/uploads\/2024\/05\/qtq80-uI9kSh-2048x1365.jpeg 2048w, https:\/\/cms.core-way.de\/wp-content\/uploads\/2024\/05\/qtq80-uI9kSh-540x360.jpeg 540w, https:\/\/cms.core-way.de\/wp-content\/uploads\/2024\/05\/qtq80-uI9kSh-1080x720.jpeg 1080w, https:\/\/cms.core-way.de\/wp-content\/uploads\/2024\/05\/qtq80-uI9kSh-1980x1320.jpeg 1980w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<p>El art\u00edculo trata de los distintos grados de gravedad de la enfermedad y de c\u00f3mo puede tratarse. Se centra en la <strong>Directrices S3 para la enfermedad de Crohn<\/strong> apoyado. Toda la informaci\u00f3n se puede encontrar all\u00ed con m\u00e1s detalle.&nbsp;<\/p>\n\n\n\n<div class=\"wp-block-uagb-advanced-heading uagb-block-198ee583\"><div id=\"ez-toc-container\" class=\"ez-toc-v2_0_85 counter-hierarchy ez-toc-counter ez-toc-grey ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">\u00cdndice<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Alternar tabla de contenidos\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewbox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewbox=\"0 0 24 24\" version=\"1.2\" baseprofile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/cms.core-way.de\/es\/therapieansaetze-bei-morbus-crohn-auf-grundlage-der-s3-leitlinien\/#Therapieziele_bei_Morbus_Crohn\" >Objetivos terap\u00e9uticos para la enfermedad de Crohn<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/cms.core-way.de\/es\/therapieansaetze-bei-morbus-crohn-auf-grundlage-der-s3-leitlinien\/#Schweregrade_der_Erkrankung_und_deren_Therapieansatze_bei_Morbus_Crohn\" >Gravedad de la enfermedad y enfoques terap\u00e9uticos para la enfermedad de Crohn<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/cms.core-way.de\/es\/therapieansaetze-bei-morbus-crohn-auf-grundlage-der-s3-leitlinien\/#Das_beeinflusst_deinen_individuelle_Morbus_Crohn_Therapie\" >Esto influye en su tratamiento individual de la enfermedad de Crohn:<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/cms.core-way.de\/es\/therapieansaetze-bei-morbus-crohn-auf-grundlage-der-s3-leitlinien\/#Milder_Krankheitsschub\" >Reca\u00edda leve<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/cms.core-way.de\/es\/therapieansaetze-bei-morbus-crohn-auf-grundlage-der-s3-leitlinien\/#Therapieansatz_bei_Morbus_Crohn_mit_milden_bis_moderaten_Schuben\" >Abordaje terap\u00e9utico de la enfermedad de Crohn con reca\u00eddas de leves a moderadas<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/cms.core-way.de\/es\/therapieansaetze-bei-morbus-crohn-auf-grundlage-der-s3-leitlinien\/#Moderater_bis_hoher_Krankheitsschub\" >Gravedad de la enfermedad de moderada a alta<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/cms.core-way.de\/es\/therapieansaetze-bei-morbus-crohn-auf-grundlage-der-s3-leitlinien\/#Das_kannst_du_tun_bei_einem_Krankheitsschub_im_oberen_Magen-Darm-Trakt\" >Qu\u00e9 puede hacer si tiene un brote en el tracto gastrointestinal superior<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-8\" href=\"https:\/\/cms.core-way.de\/es\/therapieansaetze-bei-morbus-crohn-auf-grundlage-der-s3-leitlinien\/#Moderater_bis_hoher_Krankheitsschub-2\" >Gravedad de la enfermedad de moderada a alta<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-9\" href=\"https:\/\/cms.core-way.de\/es\/therapieansaetze-bei-morbus-crohn-auf-grundlage-der-s3-leitlinien\/#Therapieansatze_bei_Morbus_Crohn_mit_Fistelbildung\" >Abordajes terap\u00e9uticos de la enfermedad de Crohn con formaci\u00f3n de f\u00edstulas<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-10\" href=\"https:\/\/cms.core-way.de\/es\/therapieansaetze-bei-morbus-crohn-auf-grundlage-der-s3-leitlinien\/#Remissionserhalt\" >Mantenimiento de la remisi\u00f3n<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-11\" href=\"https:\/\/cms.core-way.de\/es\/therapieansaetze-bei-morbus-crohn-auf-grundlage-der-s3-leitlinien\/#Das_beeinflusst_deine_Remission\" >Esto influye en su remisi\u00f3n<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-12\" href=\"https:\/\/cms.core-way.de\/es\/therapieansaetze-bei-morbus-crohn-auf-grundlage-der-s3-leitlinien\/#_Remissionserhalt\" >&nbsp;Mantenimiento de la remisi\u00f3n<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-13\" href=\"https:\/\/cms.core-way.de\/es\/therapieansaetze-bei-morbus-crohn-auf-grundlage-der-s3-leitlinien\/#Neue_Therapieansatze_bei_Morbus_Crohn\" >Nuevos enfoques terap\u00e9uticos para la enfermedad de Crohn<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-14\" href=\"https:\/\/cms.core-way.de\/es\/therapieansaetze-bei-morbus-crohn-auf-grundlage-der-s3-leitlinien\/#Therapiemoglichkeiten_in_der_Schwangerschaft\" >Opciones terap\u00e9uticas durante el embarazo<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-15\" href=\"https:\/\/cms.core-way.de\/es\/therapieansaetze-bei-morbus-crohn-auf-grundlage-der-s3-leitlinien\/#Fazit_%E2%80%93_Was_bedeutet_das_fur_dich_als_Patient_in\" >Conclusi\u00f3n - \u00bfQu\u00e9 significa esto para usted como paciente?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-16\" href=\"https:\/\/cms.core-way.de\/es\/therapieansaetze-bei-morbus-crohn-auf-grundlage-der-s3-leitlinien\/#_FAQ_%E2%80%93_Haufige_Fragen_zur_MC-Therapie\" >&nbsp;FAQ - Preguntas frecuentes sobre la terapia MC<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-17\" href=\"https:\/\/cms.core-way.de\/es\/therapieansaetze-bei-morbus-crohn-auf-grundlage-der-s3-leitlinien\/#Quellen\" >Fuentes<\/a><\/li><\/ul><\/nav><\/div>\n<h2 class=\"uagb-heading-text\"><span class=\"ez-toc-section\" id=\"Therapieziele_bei_Morbus_Crohn\"><\/span>Objetivos terap\u00e9uticos para la enfermedad de Crohn<span class=\"ez-toc-section-end\"><\/span><\/h2><\/div>\n\n\n\n<p>Como ya se estableci\u00f3 en 2015, el principal objetivo terap\u00e9utico ante un diagn\u00f3stico de enfermedad de Crohn es la <strong>Cicatrizaci\u00f3n de la mucosa<\/strong>. La mucosa intestinal interna se conoce como mucosa. Aparece en forma de protuberancias. En la enfermedad de Crohn, la mucosa est\u00e1 da\u00f1ada en varios puntos del tracto gastrointestinal. A diferencia de la colitis ulcerosa, no s\u00f3lo se da\u00f1an las capas superiores, sino tambi\u00e9n<strong> capas m\u00e1s profundas<\/strong>El tejido conjuntivo y la capa muscular tambi\u00e9n se ven afectados.<\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"515\" height=\"297\" src=\"https:\/\/cms.core-way.de\/wp-content\/uploads\/2025\/08\/w-und-b-neu.jpg\" alt=\"\" class=\"wp-image-3865\" srcset=\"https:\/\/cms.core-way.de\/wp-content\/uploads\/2025\/08\/w-und-b-neu.jpg 515w, https:\/\/cms.core-way.de\/wp-content\/uploads\/2025\/08\/w-und-b-neu-300x173.jpg 300w\" sizes=\"auto, (max-width: 515px) 100vw, 515px\" \/><\/figure>\n\n\n\n<p>La imagen muestra d\u00f3nde se inflama la mucosa intestinal en la enfermedad de Crohn. Fuente de la imagen: W&amp;B\/J\u00f6rg Neisel<\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"495\" height=\"309\" src=\"https:\/\/cms.core-way.de\/wp-content\/uploads\/2025\/08\/w-und-b-uneu.jpg\" alt=\"\" class=\"wp-image-3866\" srcset=\"https:\/\/cms.core-way.de\/wp-content\/uploads\/2025\/08\/w-und-b-uneu.jpg 495w, https:\/\/cms.core-way.de\/wp-content\/uploads\/2025\/08\/w-und-b-uneu-300x187.jpg 300w\" sizes=\"auto, (max-width: 495px) 100vw, 495px\" \/><\/figure>\n\n\n\n<p>La imagen muestra d\u00f3nde se localiza en el intestino la inflamaci\u00f3n en la colitis ulcerosa. Fuente de la imagen: W&amp;B\/J\u00f6rg Neisel<\/p>\n\n\n\n<p>Otros objetivos de la terapia de la enfermedad de Crohn son lograr un <strong>remisi\u00f3n sin esteroides<\/strong> y la consiguiente mejora de las condiciones de vida de los pacientes. Adem\u00e1s, la terapia dirigida pretende minimizar la necesidad de <strong>Hospitalizaci\u00f3n u operaciones <\/strong>reducirse. Otro objetivo es lograr y mantener un <strong>Remisi\u00f3n<\/strong> en la enfermedad de Crohn. La remisi\u00f3n es el periodo de la enfermedad durante el cual hay pocos o ning\u00fan s\u00edntoma.<\/p>\n\n\n\n<div class=\"wp-block-uagb-advanced-heading uagb-block-39576e99\"><h2 class=\"uagb-heading-text\"><span class=\"ez-toc-section\" id=\"Schweregrade_der_Erkrankung_und_deren_Therapieansatze_bei_Morbus_Crohn\"><\/span><strong>Gravedad de la enfermedad y su tratamiento<\/strong>enfoques para la enfermedad de Crohn<span class=\"ez-toc-section-end\"><\/span><\/h2><\/div>\n\n\n\n<p>La enfermedad de Crohn presenta diversos grados de gravedad. Se distingue entre una reagudizaci\u00f3n de leve a moderada, una reagudizaci\u00f3n de moderada a grave y la posible formaci\u00f3n de f\u00edstulas.&nbsp;<\/p>\n\n\n\n<div class=\"wp-block-uagb-advanced-heading uagb-block-fa1f66cf\"><h2 class=\"uagb-heading-text\"><span class=\"ez-toc-section\" id=\"Das_beeinflusst_deinen_individuelle_Morbus_Crohn_Therapie\"><\/span><strong>Esto influye en su tratamiento individual de la enfermedad de Crohn:<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2><\/div>\n\n\n\n<p>La terapia que se aplique a cada paciente depende de varios factores. Adem\u00e1s del patr\u00f3n de infestaci\u00f3n, estos incluyen la presencia de enfermedades, la <strong>en relaci\u00f3n con la enfermedad CED<\/strong> de pie. Sin embargo, tambi\u00e9n se tienen en cuenta las enfermedades que no tienen relaci\u00f3n con el diagn\u00f3stico de EII. Adem\u00e1s, la <strong>Edad<\/strong>el <strong><a href=\"https:\/\/cms.core-way.de\/es\/diese-ernaehrung-wird-laut-ecco-leitlinien-2025-fuer-deine-ced-empfohlen\/\">Estado nutricional<\/a><\/strong> y el <strong>Deficiencias<\/strong> par\u00e1metros importantes que influyen en la decisi\u00f3n a favor de una determinada forma de terapia.<\/p>\n\n\n\n<p>A continuaci\u00f3n le presentaremos brevemente las distintas terapias que pueden utilizarse para tratar la enfermedad de Crohn, en funci\u00f3n de la gravedad de los brotes. No obstante, hable siempre<strong> individual<\/strong> con su m\u00e9dico para saber qu\u00e9 <strong>Terapia para la progresi\u00f3n de su enfermedad<\/strong> se cuestiona. Resumen de las formas de terapia <strong>ninguno<\/strong> Sin pretensi\u00f3n de exhaustividad.<\/p>\n\n\n\n<div class=\"wp-block-uagb-advanced-heading uagb-block-b871fc47\"><h3 class=\"uagb-heading-text\"><span class=\"ez-toc-section\" id=\"Milder_Krankheitsschub\"><\/span><strong>Reca\u00edda leve<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3><\/div>\n\n\n\n<p>Seg\u00fan la directriz S3, el principio activo mesalazina puede considerarse para las reagudizaciones leves. Sin embargo, en funci\u00f3n del cuadro cl\u00ednico individual, tambi\u00e9n es posible que no se prescriba ning\u00fan medicamento.&nbsp;<\/p>\n\n\n\n<div class=\"wp-block-uagb-advanced-heading uagb-block-c3946cc9\"><h3 class=\"uagb-heading-text\"><span class=\"ez-toc-section\" id=\"Therapieansatz_bei_Morbus_Crohn_mit_milden_bis_moderaten_Schuben\"><\/span><strong>Abordaje terap\u00e9utico de la enfermedad de Crohn con reca\u00eddas de leves a moderadas <\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3><\/div>\n\n\n\n<p>La budesonida tambi\u00e9n se utiliza para la enfermedad de Crohn. Se utiliza para los brotes leves o moderados. La inflamaci\u00f3n se localiza principalmente en la uni\u00f3n entre el intestino delgado y el grueso y en el intestino grueso del lado derecho.<\/p>\n\n\n\n<div class=\"wp-block-uagb-advanced-heading uagb-block-c53e6bcb\"><h3 class=\"uagb-heading-text\"><span class=\"ez-toc-section\" id=\"Moderater_bis_hoher_Krankheitsschub\"><\/span><strong>Gravedad de la enfermedad de moderada a alta<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3><\/div>\n\n\n\n<p>&nbsp;Para los episodios moderados a graves de la enfermedad, la directriz S3 describe el tratamiento con corticoides sist\u00e9micos, sobre todo si la inflamaci\u00f3n se limita a la zona derecha del colon.&nbsp;<\/p>\n\n\n\n<div class=\"wp-block-uagb-advanced-heading uagb-block-cfc9ffd6\"><h3 class=\"uagb-heading-text\"><span class=\"ez-toc-section\" id=\"Das_kannst_du_tun_bei_einem_Krankheitsschub_im_oberen_Magen-Darm-Trakt\"><\/span><strong>Qu\u00e9 puede hacer si tiene un brote en el tracto gastrointestinal superior <\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3><\/div>\n\n\n\n<p>Si la enfermedad de Crohn provoca inflamaci\u00f3n en la parte superior del tracto gastrointestinal, es decir, si se ven afectados el es\u00f3fago, el est\u00f3mago o la parte superior del intestino delgado, se utilizan las siguientes sustancias activas para reducir el brote e inducir la remisi\u00f3n.<\/p>\n\n\n\n<p>Uno de estos principios activos son los esteroides sist\u00e9micos. Seg\u00fan las directrices S3, esta forma de terapia debe considerarse si el tracto gastrointestinal superior est\u00e1 afectado.  M\u00e1s adelante, puede considerarse el tratamiento con f\u00e1rmacos biol\u00f3gicos o inhibidores del TNF-alfa. Lo mejor es hablar de ello con su m\u00e9dico para <strong>S\u00edndrome del intestino corto<\/strong>mala absorci\u00f3n de los alimentos en el intestino (<strong>Malabsorci\u00f3n<\/strong>) u operaciones.<\/p>\n\n\n\n<div class=\"wp-block-uagb-advanced-heading uagb-block-100a76eb\"><h3 class=\"uagb-heading-text\"><span class=\"ez-toc-section\" id=\"Moderater_bis_hoher_Krankheitsschub-2\"><\/span><strong>Gravedad de la enfermedad de moderada a alta<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3><\/div>\n\n\n\n<p>Si los corticoides no funcionan en el tratamiento de una reca\u00edda de moderada a grave y no se produce una remisi\u00f3n en el plazo de seis meses, se trata de un curso de la enfermedad de Crohn refractario a los corticoides. Seg\u00fan las directrices, en los cursos refractarios puede considerarse el uso de f\u00e1rmacos biol\u00f3gicos como los inhibidores del TNF-alfa. Consulte a su m\u00e9dico si esta forma de tratamiento es adecuada para usted.   Los inhibidores del TNF-alfa se utilizan en estos casos.<\/p>\n\n\n\n<div class=\"wp-block-uagb-advanced-heading uagb-block-31bd9885\"><h3 class=\"uagb-heading-text\"><span class=\"ez-toc-section\" id=\"Therapieansatze_bei_Morbus_Crohn_mit_Fistelbildung\"><\/span><strong>Abordajes terap\u00e9uticos de la enfermedad de Crohn con formaci\u00f3n de f\u00edstulas<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3><\/div>\n\n\n\n<p>Si se produce la formaci\u00f3n de una f\u00edstula, existen varias opciones terap\u00e9uticas seg\u00fan la directriz S3. Entre ellas figuran, por ejemplo, preparados t\u00f3picos como espumas rectales o supositorios. Su m\u00e9dico tambi\u00e9n podr\u00e1 elegir el preparado adecuado para usted. Si se produce la formaci\u00f3n de una f\u00edstula, pueden utilizarse diversos remedios para tratarla. Pueden ser espumas rectales, supositorios rectales o enemas.<\/p>\n\n\n\n<div class=\"wp-block-uagb-advanced-heading uagb-block-d858d559\"><h2 class=\"uagb-heading-text\"><span class=\"ez-toc-section\" id=\"Remissionserhalt\"><\/span><strong>Mantenimiento de la remisi\u00f3n<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2><\/div>\n\n\n\n<p>Tras el \u00e9xito de la terapia de reca\u00edda, debe llevarse a cabo un tratamiento de preservaci\u00f3n de la remisi\u00f3n. Para ello se dispone de las siguientes opciones de tratamiento:<\/p>\n\n\n\n<div class=\"wp-block-uagb-advanced-heading uagb-block-7830a757\"><h3 class=\"uagb-heading-text\"><span class=\"ez-toc-section\" id=\"Das_beeinflusst_deine_Remission\"><\/span><strong>Esto influye en su remisi\u00f3n<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3><\/div>\n\n\n\n<p>Se debe animar a los pacientes fumadores a que dejen de fumar, ya que seg\u00fan la directriz S3 se trata de una <strong>Impacto positivo<\/strong> en el mantenimiento de la remisi\u00f3n. El tabaquismo pasivo tambi\u00e9n es perjudicial y puede afectar al mantenimiento de la remisi\u00f3n. Por lo tanto, ambos deben evitarse para mantener la remisi\u00f3n durante m\u00e1s tiempo.<\/p>\n\n\n\n<p>La necesidad de tomar medicaci\u00f3n tambi\u00e9n durante la remisi\u00f3n depende de la gravedad de las reca\u00eddas y tambi\u00e9n de la <strong>Pre-terapia<\/strong> on. Esencialmente, sin embargo, el consenso seg\u00fan la directriz es que los f\u00e1rmacos inductores de la remisi\u00f3n pueden suspenderse tras un largo periodo de remisi\u00f3n cl\u00ednicamente estable.&nbsp;<\/p>\n\n\n\n<p>Sin embargo, si existe una evoluci\u00f3n dependiente de esteroides u otro factor de riesgo, como la corta edad del paciente o la afectaci\u00f3n extensa del intestino delgado, se recomienda una terapia de preservaci\u00f3n de la remisi\u00f3n una vez alcanzada \u00e9sta. Seg\u00fan la directriz S3, se recomienda la terapia combinada con infliximab y tiopurinas para los pacientes de riesgo.<\/p>\n\n\n\n<p>Para los pacientes que presentan un curso dependiente de esteroides, el principio activo azatioprina\/6-mercaptopurina, por ejemplo, se utiliza tras el inicio de la remisi\u00f3n. En este caso, el principio activo se adapta fuertemente a la terapia anterior. Por lo tanto, consulte a su m\u00e9dico qu\u00e9 principio activo se adapta mejor a su plan terap\u00e9utico individual para su EII.&nbsp;&nbsp;<\/p>\n\n\n\n<p>En resumen, esto significa lo siguiente para los pacientes diagnosticados de enfermedad de Crohn:<\/p>\n\n\n\n<div class=\"wp-block-uagb-advanced-heading uagb-block-edc444d6\"><h3 class=\"uagb-heading-text\"><span class=\"ez-toc-section\" id=\"_Remissionserhalt\"><\/span><strong>&nbsp;Mantenimiento de la remisi\u00f3n<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3><\/div>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Tras el \u00e9xito de la terapia de reca\u00edda, un <strong>Tratamiento para preservar la remisi\u00f3n<\/strong> recomendado, entre otros con:<br>\n<ul class=\"wp-block-list\">\n<li>Azatioprina, 6-mercaptopurina, metotrexato (MTX)<br><\/li>\n\n\n\n<li>Biol\u00f3gicos: vedolizumab, ustekinumab, anticuerpos TNF-\u03b1<br><\/li>\n\n\n\n<li>Upadacitinib, Risankizumab (reci\u00e9n incluidos en la directriz 2024)<br><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<div class=\"wp-block-uagb-advanced-heading uagb-block-cf94a103\"><h3 class=\"uagb-heading-text\"><span class=\"ez-toc-section\" id=\"Neue_Therapieansatze_bei_Morbus_Crohn\"><\/span><strong>Nuevos enfoques terap\u00e9uticos para la enfermedad de Crohn<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3><\/div>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Inhibidores JAK<\/strong> (upadacitinib): para cursos refractarios o intolerancia a los esteroides<br><\/li>\n\n\n\n<li><strong>Anticuerpos IL-23<\/strong> (Risankizumab): tambi\u00e9n de nueva inclusi\u00f3n<br><\/li>\n\n\n\n<li><strong>Terapias del microbioma, terapia con c\u00e9lulas madre<\/strong>s\u00f3lo en estudios<br><\/li>\n<\/ul>\n\n\n\n<div class=\"wp-block-uagb-advanced-heading uagb-block-ccc631bb\"><h3 class=\"uagb-heading-text\"><span class=\"ez-toc-section\" id=\"Therapiemoglichkeiten_in_der_Schwangerschaft\"><\/span><strong>Opciones terap\u00e9uticas durante el embarazo<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3><\/div>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Seg\u00fan la directriz <strong>Anticuerpos anti-TNF-\u03b1, vedolizumab y ustekinumab<\/strong> tambi\u00e9n puede utilizarse durante el embarazo.<br><\/li>\n\n\n\n<li><strong>Deben evitarse el upadacitinib y el metotrexato<\/strong><strong><br><\/strong><\/li>\n<\/ul>\n\n\n\n<div class=\"wp-block-uagb-advanced-heading uagb-block-11b442bf\"><h2 class=\"uagb-heading-text\"><span class=\"ez-toc-section\" id=\"Fazit_%E2%80%93_Was_bedeutet_das_fur_dich_als_Patient_in\"><\/span><strong>Conclusi\u00f3n - \u00bfQu\u00e9 significa esto para usted como paciente?<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2><\/div>\n\n\n\n<p>Hoy en d\u00eda, el tratamiento de la enfermedad de Crohn es m\u00e1s individualizado que nunca. La moderna pauta S3 da a los m\u00e9dicos recomendaciones claras, pero tambi\u00e9n deja margen para las necesidades personales, las comorbilidades y la experiencia previa en el tratamiento. Aseg\u00farate de hablar con tu especialista sobre cu\u00e1l de las opciones es la m\u00e1s adecuada para ti.<\/p>\n\n\n\n<div class=\"wp-block-uagb-advanced-heading uagb-block-0c585136\"><h2 class=\"uagb-heading-text\"><span class=\"ez-toc-section\" id=\"_FAQ_%E2%80%93_Haufige_Fragen_zur_MC-Therapie\"><\/span><strong>&nbsp;FAQ - Preguntas frecuentes sobre la terapia MC<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2><\/div>\n\n\n\n<p><strong>\u00bfSe puede curar la enfermedad de Crohn?<\/strong><strong><br><\/strong> No, de momento no. El objetivo es conseguir a largo plazo la ausencia de s\u00edntomas (remisi\u00f3n).<\/p>\n\n\n\n<p><strong>\u00bfQu\u00e9 debo hacer si la medicaci\u00f3n no me ayuda?<\/strong><strong><br><\/strong> En la actualidad existen muchas sustancias activas: si no hay respuesta, el tratamiento puede personalizarse.<\/p>\n\n\n\n<p><strong>\u00bfPuedo \"comer sano\"?<\/strong><strong><br><\/strong> Una dieta antiinflamatoria puede ayudar, pero no sustituye al tratamiento farmacol\u00f3gico.<\/p>\n\n\n\n<p><strong>\u00bfQu\u00e9 importancia tiene la detecci\u00f3n precoz de las reca\u00eddas?<\/strong><strong><br><\/strong> Es muy importante. Cuanto antes se trate, mayores ser\u00e1n las posibilidades de evitar complicaciones.<\/p>\n\n\n\n<div class=\"wp-block-uagb-advanced-heading uagb-block-f6f129bc\"><h2 class=\"uagb-heading-text\"><span class=\"ez-toc-section\" id=\"Quellen\"><\/span>Fuentes<span class=\"ez-toc-section-end\"><\/span><\/h2><\/div>\n\n\n\n<p>Sturm A, Atreya R, Bettenworth D, et al. Directriz S3 actualizada \"Diagn\u00f3stico y tratamiento de la enfermedad de Crohn\" de la Sociedad Alemana de Gastroenterolog\u00eda, Enfermedades Digestivas y Metab\u00f3licas (DGVS) - Versi\u00f3n 4.1. Z Gastroenterol 2024; 62: 1229-1318. DOI: 10.1055\/a-2309-6123.<\/p>\n\n\n\n<p>Lorenz P, Stallmach A, Sturm A, Lynen Jansen P. Informe de la directriz S3 actualizada \"Diagn\u00f3stico y tratamiento de la enfermedad de Crohn\" de la DGVS. Z Gastroenterol 2024; 62: e531-e536. DOI: 10.1055\/a-2309-6204.<\/p>\n\n\n\n<p>DGVS (ed.). Material suplementario de \"Informe de la directriz S3 actualizada Diagn\u00f3stico y tratamiento de la enfermedad de Crohn\". Z Gastroenterol 2024; 62 (Suplemento): 1-35. DOI: 10.1055\/a-2309-6204 (Ap\u00e9ndice 6).<\/p>","protected":false},"excerpt":{"rendered":"<p>El tratamiento de las enfermedades inflamatorias intestinales cr\u00f3nicas es dif\u00edcil y depende de la gravedad de la enfermedad. La enfermedad de Crohn y la colitis [...]<\/p>","protected":false},"author":10,"featured_media":1203,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_coblocks_attr":"","_coblocks_dimensions":"","_coblocks_responsive_height":"","_coblocks_accordion_ie_support":"","inline_featured_image":false,"_uag_custom_page_level_css":"","site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"_glsr_average":0,"_glsr_ranking":0,"_glsr_reviews":0,"footnotes":""},"categories":[12,166,177],"tags":[19,55,181,173,179,54,180,163],"class_list":["post-3862","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-ced-wissen-forschung","category-deutsch","category-symptomaktivitaet","tag-ced","tag-colitis-ulcerosa","tag-darmschleimhautbeimorbuscrohn","tag-morbuscrohn","tag-s3leitlinienfuermorbuscrohn","tag-therapie","tag-therapiebeimorbuscrohn","tag-treatment"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.2 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Therapieans\u00e4tze bei Morbus Crohn auf Grundlage der S3-Leitlinien\u00a0 - coreway<\/title>\n<meta name=\"description\" content=\"Du hast die Diagnose Morbus Crohn bekommen? Dann findest du hier m\u00f6gliche Therapieans\u00e4tze bei Morbus Crohn auf Basis der S3-Leitlinie.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/cms.core-way.de\/es\/enfoques-terapeuticos-para-la-enfermedad-de-crohn-basados-en-las-directrices-s3\/\" \/>\n<meta property=\"og:locale\" content=\"es_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Therapieans\u00e4tze bei Morbus Crohn auf Grundlage der S3-Leitlinien\u00a0 - coreway\" \/>\n<meta property=\"og:description\" content=\"Du hast die Diagnose Morbus Crohn bekommen? Dann findest du hier m\u00f6gliche Therapieans\u00e4tze bei Morbus Crohn auf Basis der S3-Leitlinie.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/cms.core-way.de\/es\/enfoques-terapeuticos-para-la-enfermedad-de-crohn-basados-en-las-directrices-s3\/\" \/>\n<meta property=\"og:site_name\" content=\"coreway\" \/>\n<meta property=\"article:published_time\" content=\"2025-08-04T14:34:42+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2025-09-01T15:09:04+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/cms.core-way.de\/wp-content\/uploads\/2024\/05\/qtq80-uI9kSh.jpeg\" \/>\n\t<meta property=\"og:image:width\" content=\"2160\" \/>\n\t<meta property=\"og:image:height\" content=\"1440\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"Viktoria Endres\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Escrito por\" \/>\n\t<meta name=\"twitter:data1\" content=\"Viktoria Endres\" \/>\n\t<meta name=\"twitter:label2\" content=\"Tiempo de lectura\" \/>\n\t<meta name=\"twitter:data2\" content=\"9 minutos\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/cms.core-way.de\\\/therapieansaetze-bei-morbus-crohn-auf-grundlage-der-s3-leitlinien\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/cms.core-way.de\\\/therapieansaetze-bei-morbus-crohn-auf-grundlage-der-s3-leitlinien\\\/\"},\"author\":{\"name\":\"Viktoria Endres\",\"@id\":\"https:\\\/\\\/cms.core-way.de\\\/#\\\/schema\\\/person\\\/c3801c6b8c6c5095157d831a44019e1f\"},\"headline\":\"Therapieans\u00e4tze bei Morbus Crohn auf Grundlage der S3-Leitlinien\u00a0\",\"datePublished\":\"2025-08-04T14:34:42+00:00\",\"dateModified\":\"2025-09-01T15:09:04+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/cms.core-way.de\\\/therapieansaetze-bei-morbus-crohn-auf-grundlage-der-s3-leitlinien\\\/\"},\"wordCount\":1459,\"commentCount\":0,\"publisher\":{\"@id\":\"https:\\\/\\\/cms.core-way.de\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/cms.core-way.de\\\/therapieansaetze-bei-morbus-crohn-auf-grundlage-der-s3-leitlinien\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/cms.core-way.de\\\/wp-content\\\/uploads\\\/2024\\\/05\\\/qtq80-uI9kSh.jpeg\",\"keywords\":[\"CED\",\"Colitis ulcerosa\",\"DarmschleimhautbeiMorbusCrohn\",\"MorbusCrohn\",\"S3Leitlinienf\u00fcrMorbusCrohn\",\"Therapie\",\"TherapiebeiMorbusCrohn\",\"Treatment\"],\"articleSection\":[\"CED-Wissen &amp; Forschung: Diagnose, Behandlung &amp; Therapien\",\"Deutsch\",\"Symptomaktivit\u00e4t\"],\"inLanguage\":\"es\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\\\/\\\/cms.core-way.de\\\/therapieansaetze-bei-morbus-crohn-auf-grundlage-der-s3-leitlinien\\\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/cms.core-way.de\\\/therapieansaetze-bei-morbus-crohn-auf-grundlage-der-s3-leitlinien\\\/\",\"url\":\"https:\\\/\\\/cms.core-way.de\\\/therapieansaetze-bei-morbus-crohn-auf-grundlage-der-s3-leitlinien\\\/\",\"name\":\"Therapieans\u00e4tze bei Morbus Crohn auf Grundlage der S3-Leitlinien\u00a0 - coreway\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/cms.core-way.de\\\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\\\/\\\/cms.core-way.de\\\/therapieansaetze-bei-morbus-crohn-auf-grundlage-der-s3-leitlinien\\\/#primaryimage\"},\"image\":{\"@id\":\"https:\\\/\\\/cms.core-way.de\\\/therapieansaetze-bei-morbus-crohn-auf-grundlage-der-s3-leitlinien\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/cms.core-way.de\\\/wp-content\\\/uploads\\\/2024\\\/05\\\/qtq80-uI9kSh.jpeg\",\"datePublished\":\"2025-08-04T14:34:42+00:00\",\"dateModified\":\"2025-09-01T15:09:04+00:00\",\"description\":\"Du hast die Diagnose Morbus Crohn bekommen? Dann findest du hier m\u00f6gliche Therapieans\u00e4tze bei Morbus Crohn auf Basis der S3-Leitlinie.\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/cms.core-way.de\\\/therapieansaetze-bei-morbus-crohn-auf-grundlage-der-s3-leitlinien\\\/#breadcrumb\"},\"inLanguage\":\"es\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/cms.core-way.de\\\/therapieansaetze-bei-morbus-crohn-auf-grundlage-der-s3-leitlinien\\\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"es\",\"@id\":\"https:\\\/\\\/cms.core-way.de\\\/therapieansaetze-bei-morbus-crohn-auf-grundlage-der-s3-leitlinien\\\/#primaryimage\",\"url\":\"https:\\\/\\\/cms.core-way.de\\\/wp-content\\\/uploads\\\/2024\\\/05\\\/qtq80-uI9kSh.jpeg\",\"contentUrl\":\"https:\\\/\\\/cms.core-way.de\\\/wp-content\\\/uploads\\\/2024\\\/05\\\/qtq80-uI9kSh.jpeg\",\"width\":2160,\"height\":1440},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/cms.core-way.de\\\/therapieansaetze-bei-morbus-crohn-auf-grundlage-der-s3-leitlinien\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\\\/\\\/cms.core-way.de\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Therapieans\u00e4tze bei Morbus Crohn auf Grundlage der S3-Leitlinien\u00a0\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/cms.core-way.de\\\/#website\",\"url\":\"https:\\\/\\\/cms.core-way.de\\\/\",\"name\":\"coreway\",\"description\":\"\",\"publisher\":{\"@id\":\"https:\\\/\\\/cms.core-way.de\\\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/cms.core-way.de\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"es\"},{\"@type\":\"Organization\",\"@id\":\"https:\\\/\\\/cms.core-way.de\\\/#organization\",\"name\":\"coreway\",\"url\":\"https:\\\/\\\/cms.core-way.de\\\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"es\",\"@id\":\"https:\\\/\\\/cms.core-way.de\\\/#\\\/schema\\\/logo\\\/image\\\/\",\"url\":\"https:\\\/\\\/cms.core-way.de\\\/wp-content\\\/uploads\\\/2023\\\/09\\\/Black-And-White-Aesthetic-Minimalist-Modern-Simple-Typography-Coconut-Cosmetics-Logo-5.png\",\"contentUrl\":\"https:\\\/\\\/cms.core-way.de\\\/wp-content\\\/uploads\\\/2023\\\/09\\\/Black-And-White-Aesthetic-Minimalist-Modern-Simple-Typography-Coconut-Cosmetics-Logo-5.png\",\"width\":500,\"height\":500,\"caption\":\"coreway\"},\"image\":{\"@id\":\"https:\\\/\\\/cms.core-way.de\\\/#\\\/schema\\\/logo\\\/image\\\/\"},\"sameAs\":[\"https:\\\/\\\/www.instagram.com\\\/core.way\\\/\",\"https:\\\/\\\/www.linkedin.com\\\/company\\\/92284357\"]},{\"@type\":\"Person\",\"@id\":\"https:\\\/\\\/cms.core-way.de\\\/#\\\/schema\\\/person\\\/c3801c6b8c6c5095157d831a44019e1f\",\"name\":\"Viktoria Endres\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"es\",\"@id\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/2d515c89c7924f2d3779db2c7424dc10b0cefc7048bcc003cc3b5e929e7e32dc?s=96&#038;d=mm&#038;r=g\",\"url\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/2d515c89c7924f2d3779db2c7424dc10b0cefc7048bcc003cc3b5e929e7e32dc?s=96&#038;d=mm&#038;r=g\",\"contentUrl\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/2d515c89c7924f2d3779db2c7424dc10b0cefc7048bcc003cc3b5e929e7e32dc?s=96&#038;d=mm&#038;r=g\",\"caption\":\"Viktoria Endres\"},\"url\":\"https:\\\/\\\/cms.core-way.de\\\/es\\\/author\\\/viktoria-endres\\\/\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Enfoques terap\u00e9uticos para la enfermedad de Crohn basados en las directrices S3 - coreway","description":"\u00bfLe han diagnosticado la enfermedad de Crohn? Aqu\u00ed encontrar\u00e1 posibles enfoques terap\u00e9uticos para la enfermedad de Crohn basados en la directriz S3.","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/cms.core-way.de\/es\/enfoques-terapeuticos-para-la-enfermedad-de-crohn-basados-en-las-directrices-s3\/","og_locale":"es_ES","og_type":"article","og_title":"Therapieans\u00e4tze bei Morbus Crohn auf Grundlage der S3-Leitlinien\u00a0 - coreway","og_description":"Du hast die Diagnose Morbus Crohn bekommen? Dann findest du hier m\u00f6gliche Therapieans\u00e4tze bei Morbus Crohn auf Basis der S3-Leitlinie.","og_url":"https:\/\/cms.core-way.de\/es\/enfoques-terapeuticos-para-la-enfermedad-de-crohn-basados-en-las-directrices-s3\/","og_site_name":"coreway","article_published_time":"2025-08-04T14:34:42+00:00","article_modified_time":"2025-09-01T15:09:04+00:00","og_image":[{"width":2160,"height":1440,"url":"https:\/\/cms.core-way.de\/wp-content\/uploads\/2024\/05\/qtq80-uI9kSh.jpeg","type":"image\/jpeg"}],"author":"Viktoria Endres","twitter_card":"summary_large_image","twitter_misc":{"Escrito por":"Viktoria Endres","Tiempo de lectura":"9 minutos"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/cms.core-way.de\/therapieansaetze-bei-morbus-crohn-auf-grundlage-der-s3-leitlinien\/#article","isPartOf":{"@id":"https:\/\/cms.core-way.de\/therapieansaetze-bei-morbus-crohn-auf-grundlage-der-s3-leitlinien\/"},"author":{"name":"Viktoria Endres","@id":"https:\/\/cms.core-way.de\/#\/schema\/person\/c3801c6b8c6c5095157d831a44019e1f"},"headline":"Therapieans\u00e4tze bei Morbus Crohn auf Grundlage der S3-Leitlinien\u00a0","datePublished":"2025-08-04T14:34:42+00:00","dateModified":"2025-09-01T15:09:04+00:00","mainEntityOfPage":{"@id":"https:\/\/cms.core-way.de\/therapieansaetze-bei-morbus-crohn-auf-grundlage-der-s3-leitlinien\/"},"wordCount":1459,"commentCount":0,"publisher":{"@id":"https:\/\/cms.core-way.de\/#organization"},"image":{"@id":"https:\/\/cms.core-way.de\/therapieansaetze-bei-morbus-crohn-auf-grundlage-der-s3-leitlinien\/#primaryimage"},"thumbnailUrl":"https:\/\/cms.core-way.de\/wp-content\/uploads\/2024\/05\/qtq80-uI9kSh.jpeg","keywords":["CED","Colitis ulcerosa","DarmschleimhautbeiMorbusCrohn","MorbusCrohn","S3Leitlinienf\u00fcrMorbusCrohn","Therapie","TherapiebeiMorbusCrohn","Treatment"],"articleSection":["CED-Wissen &amp; Forschung: Diagnose, Behandlung &amp; Therapien","Deutsch","Symptomaktivit\u00e4t"],"inLanguage":"es","potentialAction":[{"@type":"CommentAction","name":"Comment","target":["https:\/\/cms.core-way.de\/therapieansaetze-bei-morbus-crohn-auf-grundlage-der-s3-leitlinien\/#respond"]}]},{"@type":"WebPage","@id":"https:\/\/cms.core-way.de\/therapieansaetze-bei-morbus-crohn-auf-grundlage-der-s3-leitlinien\/","url":"https:\/\/cms.core-way.de\/therapieansaetze-bei-morbus-crohn-auf-grundlage-der-s3-leitlinien\/","name":"Enfoques terap\u00e9uticos para la enfermedad de Crohn basados en las directrices S3 - coreway","isPartOf":{"@id":"https:\/\/cms.core-way.de\/#website"},"primaryImageOfPage":{"@id":"https:\/\/cms.core-way.de\/therapieansaetze-bei-morbus-crohn-auf-grundlage-der-s3-leitlinien\/#primaryimage"},"image":{"@id":"https:\/\/cms.core-way.de\/therapieansaetze-bei-morbus-crohn-auf-grundlage-der-s3-leitlinien\/#primaryimage"},"thumbnailUrl":"https:\/\/cms.core-way.de\/wp-content\/uploads\/2024\/05\/qtq80-uI9kSh.jpeg","datePublished":"2025-08-04T14:34:42+00:00","dateModified":"2025-09-01T15:09:04+00:00","description":"\u00bfLe han diagnosticado la enfermedad de Crohn? Aqu\u00ed encontrar\u00e1 posibles enfoques terap\u00e9uticos para la enfermedad de Crohn basados en la directriz S3.","breadcrumb":{"@id":"https:\/\/cms.core-way.de\/therapieansaetze-bei-morbus-crohn-auf-grundlage-der-s3-leitlinien\/#breadcrumb"},"inLanguage":"es","potentialAction":[{"@type":"ReadAction","target":["https:\/\/cms.core-way.de\/therapieansaetze-bei-morbus-crohn-auf-grundlage-der-s3-leitlinien\/"]}]},{"@type":"ImageObject","inLanguage":"es","@id":"https:\/\/cms.core-way.de\/therapieansaetze-bei-morbus-crohn-auf-grundlage-der-s3-leitlinien\/#primaryimage","url":"https:\/\/cms.core-way.de\/wp-content\/uploads\/2024\/05\/qtq80-uI9kSh.jpeg","contentUrl":"https:\/\/cms.core-way.de\/wp-content\/uploads\/2024\/05\/qtq80-uI9kSh.jpeg","width":2160,"height":1440},{"@type":"BreadcrumbList","@id":"https:\/\/cms.core-way.de\/therapieansaetze-bei-morbus-crohn-auf-grundlage-der-s3-leitlinien\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/cms.core-way.de\/"},{"@type":"ListItem","position":2,"name":"Therapieans\u00e4tze bei Morbus Crohn auf Grundlage der S3-Leitlinien\u00a0"}]},{"@type":"WebSite","@id":"https:\/\/cms.core-way.de\/#website","url":"https:\/\/cms.core-way.de\/","name":"coreway","description":"","publisher":{"@id":"https:\/\/cms.core-way.de\/#organization"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/cms.core-way.de\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"es"},{"@type":"Organization","@id":"https:\/\/cms.core-way.de\/#organization","name":"coreway","url":"https:\/\/cms.core-way.de\/","logo":{"@type":"ImageObject","inLanguage":"es","@id":"https:\/\/cms.core-way.de\/#\/schema\/logo\/image\/","url":"https:\/\/cms.core-way.de\/wp-content\/uploads\/2023\/09\/Black-And-White-Aesthetic-Minimalist-Modern-Simple-Typography-Coconut-Cosmetics-Logo-5.png","contentUrl":"https:\/\/cms.core-way.de\/wp-content\/uploads\/2023\/09\/Black-And-White-Aesthetic-Minimalist-Modern-Simple-Typography-Coconut-Cosmetics-Logo-5.png","width":500,"height":500,"caption":"coreway"},"image":{"@id":"https:\/\/cms.core-way.de\/#\/schema\/logo\/image\/"},"sameAs":["https:\/\/www.instagram.com\/core.way\/","https:\/\/www.linkedin.com\/company\/92284357"]},{"@type":"Person","@id":"https:\/\/cms.core-way.de\/#\/schema\/person\/c3801c6b8c6c5095157d831a44019e1f","name":"Viktoria Endres","image":{"@type":"ImageObject","inLanguage":"es","@id":"https:\/\/secure.gravatar.com\/avatar\/2d515c89c7924f2d3779db2c7424dc10b0cefc7048bcc003cc3b5e929e7e32dc?s=96&#038;d=mm&#038;r=g","url":"https:\/\/secure.gravatar.com\/avatar\/2d515c89c7924f2d3779db2c7424dc10b0cefc7048bcc003cc3b5e929e7e32dc?s=96&#038;d=mm&#038;r=g","contentUrl":"https:\/\/secure.gravatar.com\/avatar\/2d515c89c7924f2d3779db2c7424dc10b0cefc7048bcc003cc3b5e929e7e32dc?s=96&#038;d=mm&#038;r=g","caption":"Viktoria Endres"},"url":"https:\/\/cms.core-way.de\/es\/author\/viktoria-endres\/"}]}},"uagb_featured_image_src":{"full":["https:\/\/cms.core-way.de\/wp-content\/uploads\/2024\/05\/qtq80-uI9kSh.jpeg",2160,1440,false],"thumbnail":["https:\/\/cms.core-way.de\/wp-content\/uploads\/2024\/05\/qtq80-uI9kSh-150x150.jpeg",150,150,true],"medium":["https:\/\/cms.core-way.de\/wp-content\/uploads\/2024\/05\/qtq80-uI9kSh-300x200.jpeg",300,200,true],"medium_large":["https:\/\/cms.core-way.de\/wp-content\/uploads\/2024\/05\/qtq80-uI9kSh-768x512.jpeg",768,512,true],"large":["https:\/\/cms.core-way.de\/wp-content\/uploads\/2024\/05\/qtq80-uI9kSh-1024x683.jpeg",1024,683,true],"wpdr-feat-thumb":["https:\/\/cms.core-way.de\/wp-content\/uploads\/2024\/05\/qtq80-uI9kSh.jpeg",450,300,false],"delrecpe-structured-data-1_1":["https:\/\/cms.core-way.de\/wp-content\/uploads\/2024\/05\/qtq80-uI9kSh.jpeg",500,333,false],"delrecpe-structured-data-4_3":["https:\/\/cms.core-way.de\/wp-content\/uploads\/2024\/05\/qtq80-uI9kSh.jpeg",500,333,false],"delrecpe-structured-data-16_9":["https:\/\/cms.core-way.de\/wp-content\/uploads\/2024\/05\/qtq80-uI9kSh.jpeg",405,270,false],"1536x1536":["https:\/\/cms.core-way.de\/wp-content\/uploads\/2024\/05\/qtq80-uI9kSh-1536x1024.jpeg",1536,1024,true],"2048x2048":["https:\/\/cms.core-way.de\/wp-content\/uploads\/2024\/05\/qtq80-uI9kSh-2048x1365.jpeg",2048,1365,true],"trp-custom-language-flag":["https:\/\/cms.core-way.de\/wp-content\/uploads\/2024\/05\/qtq80-uI9kSh.jpeg",18,12,false],"bdpp-medium":["https:\/\/cms.core-way.de\/wp-content\/uploads\/2024\/05\/qtq80-uI9kSh.jpeg",640,427,false]},"uagb_author_info":{"display_name":"Viktoria Endres","author_link":"https:\/\/cms.core-way.de\/es\/author\/viktoria-endres\/"},"uagb_comment_info":0,"uagb_excerpt":"Die Therapie von chronisch-entz\u00fcndlichen Darmerkrankungen ist schwierig und h\u00e4ngt von der jeweiligen Schwere der Erkrankung ab. Morbus Crohn und Colitis [&hellip;]","_links":{"self":[{"href":"https:\/\/cms.core-way.de\/es\/wp-json\/wp\/v2\/posts\/3862","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/cms.core-way.de\/es\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/cms.core-way.de\/es\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/cms.core-way.de\/es\/wp-json\/wp\/v2\/users\/10"}],"replies":[{"embeddable":true,"href":"https:\/\/cms.core-way.de\/es\/wp-json\/wp\/v2\/comments?post=3862"}],"version-history":[{"count":3,"href":"https:\/\/cms.core-way.de\/es\/wp-json\/wp\/v2\/posts\/3862\/revisions"}],"predecessor-version":[{"id":4097,"href":"https:\/\/cms.core-way.de\/es\/wp-json\/wp\/v2\/posts\/3862\/revisions\/4097"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/cms.core-way.de\/es\/wp-json\/wp\/v2\/media\/1203"}],"wp:attachment":[{"href":"https:\/\/cms.core-way.de\/es\/wp-json\/wp\/v2\/media?parent=3862"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/cms.core-way.de\/es\/wp-json\/wp\/v2\/categories?post=3862"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/cms.core-way.de\/es\/wp-json\/wp\/v2\/tags?post=3862"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}