A 35-year-old Indian male presents with a 4-month history of right lower quadrant pain, low-grade fever, night sweats, and weight loss of 8 kg. Colonoscopy reveals multiple transverse ulcers in the ileocecal region with confluent caseating granulomas on biopsy. Chest X-ray is normal. Tuberculin skin test is positive (18 mm induration). The structure marked **A** in the diagram represents the recommended management approach for this patient. Which of the following best describes the rationale for this approach?
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