Current therapy of ulcerative colitis in children

被引:11
作者
Bremner, AR
Griffiths, DM
Beattie, RM
机构
[1] Univ Southampton, Sch Med, Div Infect Inflammat & Repair, Southampton Gen Hosp, Southampton SO16 6YD, Hants, England
[2] Southampton Univ Hosp, NHS Trust, Wessex Reg Ctr Paediat Surg, Child Hlth Directorate, Southampton, Hants, England
[3] Southampton Univ Hosp, NHS Trust, Paediat Med Unit, Child Hlth Directorate, Southampton, Hants, England
关键词
children; immunosuppression; inflammatory bowel disease; therapy; ulcerative colitis;
D O I
10.1517/eoph.5.1.37.25503
中图分类号
R9 [药学];
学科分类号
1007 ;
摘要
Ulcerative colitis presents in childhood in 10% of those affected, usually with pancolitis. Important features in management include growth, development and avoidance of treatment toxicity. This review addresses the current treatment options including both the paediatric evidence-based experience and areas where paediatric practice is informed by adult studies. Standard treatments include sulfasalazine or 5-aminosalicylates, corticosteroids, purine derivatives (azathioprine or 6-mercaptopurine) and surgery. Other immunosuppressant therapies and the emerging roles for biological therapies and probiotics are discussed.
引用
收藏
页码:37 / 53
页数:17
相关论文
共 121 条
[61]   Experiences with 6-mercaptopurine and azathioprine therapy in pediatric patients with severe ulcerative colitis [J].
Kader, HA ;
Mascarenhas, MR ;
Piccoli, DA ;
Stouffer, NO ;
Baldassano, RN .
JOURNAL OF PEDIATRIC GASTROENTEROLOGY AND NUTRITION, 1999, 28 (01) :54-58
[62]   Oral budesonide therapy for steroid-dependent ulcerative colitis: a pilot trial [J].
Keller, R ;
Stoll, R ;
Foerster, EC ;
Gutsche, N ;
Domschke, W .
ALIMENTARY PHARMACOLOGY & THERAPEUTICS, 1997, 11 (06) :1047-1052
[63]   Role of serology and routine inflammatory laboratory tests in childhood bowel disease [J].
Khan, K ;
Schwarzenberg, SJ ;
Sharp, H ;
Greenwood, D ;
Weisdorf-Schindele, S .
INFLAMMATORY BOWEL DISEASES, 2002, 8 (05) :325-329
[64]   Safety of azathioprine and 6-mercaptopurine in pediatric patients with inflammatory bowel disease [J].
Kirschner, BS .
GASTROENTEROLOGY, 1998, 115 (04) :813-821
[65]   Infliximab Retreatment in adults and children with Crohn's disease: Risk factors for the development of delayed severe systemic reaction [J].
Kugathasan, S ;
Levy, MB ;
Saeian, K ;
Vasilopoulos, S ;
Kim, JP ;
Prajapati, D ;
Emmons, J ;
Martinez, A ;
Kelly, KJ ;
Binion, DG .
AMERICAN JOURNAL OF GASTROENTEROLOGY, 2002, 97 (06) :1408-1414
[66]   Gastral antral biopsy in the differentiation of pediatric colitides [J].
Kundhal, PS ;
Stormon, MO ;
Zachos, M ;
Critch, JN ;
Cutz, E ;
Griffiths, AM .
AMERICAN JOURNAL OF GASTROENTEROLOGY, 2003, 98 (03) :557-561
[67]   PRELIMINARY-REPORT - CYCLOSPORINE IN TREATMENT OF SEVERE ACTIVE ULCERATIVE-COLITIS [J].
LICHTIGER, S ;
PRESENT, DH .
LANCET, 1990, 336 (8706) :16-19
[68]   Ten year follow up of ulcerative colitis patients with and without low grade dysplasia [J].
Lim, CH ;
Dixon, MF ;
Vail, A ;
Forman, D ;
Lynch, DAF ;
Axon, ATR .
GUT, 2003, 52 (08) :1127-1132
[69]   Oral budesonide versus prednisolone in patients with active extensive and left-sided ulcerative colitis [J].
Lofberg, R ;
Danielsson, A ;
Suhr, O ;
Nilsson, A ;
Schioler, R ;
Nyberg, A ;
Hultcrantz, R ;
Kollberg, B ;
Gillberg, R ;
Willen, R ;
Persson, T ;
Salde, L .
GASTROENTEROLOGY, 1996, 110 (06) :1713-1718
[70]   Cyclosporin for refractory ulcerative colitis [J].
Loftus, CG ;
Loftus, EV ;
Sandborn, WJ .
GUT, 2003, 52 (02) :172-173