Yes, We Are Still Talking about Cylosporin vs. Infliximab in Steroid Resistant Acute Severe Ulcerative Colitis

被引:7
作者
Bernstein, Charles N. [1 ,2 ]
Kornbluth, Asher [3 ]
机构
[1] Univ Manitoba, Max Rady Coll Med, IBD Clin & Res Ctr, 804F-715 McDermot Ave, Winnipeg, MB R3E 3P4, Canada
[2] Univ Manitoba, Max Rady Coll Med, Dept Internal Med, 804F-715 McDermot Ave, Winnipeg, MB R3E 3P4, Canada
[3] Icahn Sch Med Mt Sinai, Henry Janowitz Div Gastroenterol, New York, NY 10029 USA
关键词
RESCUE THERAPY; CYCLOSPORINE;
D O I
10.1038/ajg.2017.282
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
The Spanish IBD Registry (ENEIDA) is reporting in this issue of the Journal on a retrospective assessment of outcomes of cyclosporine use and infliximab use to treat steroid refractory acute severe ulcerative colitis (SR-ASUC) between 1989 and 2013. Overall, they found similar outcomes in terms of 3 month and 1 year colectomy rates. Serious adverse events were lower in cyclosporine users. While this study does not meet the standard of a prospective randomized controlled trial, it does remind us that cyclosporine can be effective in (SR-ASUC) and should be considered in those who have already failed antibody to tumor necrosis factor therapy or as a bridge to immunomodulators that have a slower onset of action.
引用
收藏
页码:1719 / 1721
页数:3
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