scholarly journals Intestinal healing after anti-TNF induction therapy predicts long-term response to one-year treatment in patients with ileocolonic Crohn’s disease naive to anti-TNF agents

2016 ◽  
Vol 3 ◽  
pp. 187-193 ◽  
Author(s):  
Piotr Eder ◽  
Liliana Łykowska-Szuber ◽  
Katarzyna Katulska ◽  
Kamila Stawczyk-Eder ◽  
Iwona Krela-Kaźmierczak ◽  
...  
2017 ◽  
Vol 2017 ◽  
pp. 1-5
Author(s):  
Mirzafaraz Saeed ◽  
Hari Hullur ◽  
Amro Salem ◽  
Abbas Ali ◽  
Yousif Sahib ◽  
...  

Introduction. The aim of this study is to evaluate the outcome of introduction of early surgery in the course of isolated ileocecal Crohn’s disease, where there is no absolute indication of surgery. Methods. Observational study involving patients with isolated ileocecal Crohn’s disease who underwent early surgical resection (within one year of the presentation of the hospital). A complete blood count, ESR, and CRP were done and compared between the preoperative value, 1st postoperative visit (3-4 weeks), and last follow-up visit. Statistical analysis was done using Analysis of Variance (ANOVA) to compare the different figures. Results. There was a statistically significant increase in the hemoglobin levels between preoperative, postoperative, and long-term follow-up and a significant decrease in leukocyte count between the pre- and postoperative values (F=19.8, p<0.001 and F=8.9, p=0.002, resp.). Similarly, the ESR and CRP values were decreased significantly at long-term follow-up (F=8.5, p=0.019 and F=8.3, p=0.013, resp.). Conclusion. Early surgical resection in isolated ileocaecal Crohn’s disease achieved significant biochemical improvements. These successful results in this small number of patients indicate that early surgical intervention may provide better outcomes. These initial results encourage larger and comparative studies of long-term results versus long-term use of biological agents.


2019 ◽  
Vol 149 ◽  
pp. 104478 ◽  
Author(s):  
Sara Salvador-Martín ◽  
Beatriz López-Cauce ◽  
Olga Nuñez ◽  
Emilio J. Laserna-Mendieta ◽  
María I. García ◽  
...  

2013 ◽  
Vol 144 (5) ◽  
pp. S-173 ◽  
Author(s):  
Miguel Regueiro ◽  
Leonard Baidoo ◽  
Kevin E. Kip ◽  
Jason M. Swoger ◽  
David G. Binion ◽  
...  

2018 ◽  
Vol 154 (6) ◽  
pp. S-623-S-624
Author(s):  
Sine Buhl ◽  
Märta K. Borghede ◽  
Jorn Brynskov ◽  
Casper Steenholdt ◽  
Maria Rasmussen ◽  
...  

2009 ◽  
Vol 136 (5) ◽  
pp. A-363
Author(s):  
Alfreda Krupoves ◽  
Ernest G. Seidman ◽  
Colette Deslandres ◽  
Vytautas Bucionis ◽  
Devendra K. Amre

1978 ◽  
Vol 74 (5) ◽  
pp. 1130 ◽  
Author(s):  
B.I. Korelitz ◽  
N. Wisch ◽  
J.L. Glass ◽  
D.H. Present

2017 ◽  
Vol 11 (suppl_1) ◽  
pp. S67-S68
Author(s):  
I. Alfaro ◽  
M. Masamunt ◽  
N. Planell ◽  
A. Lόpez-García ◽  
J. Castro ◽  
...  

2021 ◽  
Vol 12 ◽  
Author(s):  
Qianqian Li ◽  
Xiao Ding ◽  
Yujie Liu ◽  
Cicilia Marcella ◽  
Min Dai ◽  
...  

Background: How to handle patients with anti-tumor necrosis factor (anti-TNF) failure was a common challenge to clinicians in Crohn’s disease (CD). The present study is dedicated to clarifying whether fecal microbiota transplantation (FMT) could be a switch therapy for patients with prior failure of infiiximab (IFX) in CD in a long-term observation.Methods: Thirty-six patients with CD who had prior failure of IFX were recruited from January 2013 to December 2019. The “one-hour FMT protocol” was followed in all patients. All patients received the first course of FMT through gastroscopy or mid-gut transendoscopic enteral tubing. After April 2014, the methodology of FMT was coined as washed microbiota transplantation (WMT), substituting for the manual methods, which is dependent on the automatic microbiota purification system and the washing process. The primary endpoint of this study was the clinical remission at one month and one year after FMT. The secondary endpoint was the safety of FMT in the short and long term, and clinical factors as predictors for long-term efficacy of FMT. Clinical factors as independent predictors of efficacy from FMT were isolated using univariable and multivariable logistic regression analysis.Results: There was no significant difference in the rates of clinical response and remission between IFX treatment stage and FMT treatment stage (at one month, three months and six months after administration) (p &gt; 0.05). Compared with those of 19 patients who achieved clinical remission at one month after FMT, the rates of clinical relapse were significantly higher in 18 patients who achieved clinical remission at one month after IFX [log-rank test p = 0.0009 HR = 3.081 (95% CI 1.43–6.639)]. Multivariate analysis revealed that the gender of donor (95% CI: 0.001–0.72; p = 0.031) was an independent predictor of efficacy at one year after FMT. No serious adverse events (AEs) associated with FMT were observed during and after FMT. The rate of AEs was significantly lower in group FMT than that in group IFX (p = 0.002).Conclusion: The present findings first time provided the evidence for clinicians to consider FMT into practice as an alternative switch therapy for patients with prior loss of response or intolerance to IFX in CD.Clinical Trial Registration:https://clinicaltrials.gov, identifier NCT01793831


2016 ◽  
Vol 48 (3) ◽  
pp. 260-266 ◽  
Author(s):  
Anthony Buisson ◽  
Constance Hordonneau ◽  
Marion Goutte ◽  
Julien Scanzi ◽  
Felix Goutorbe ◽  
...  

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