Treatment of inflammatory bowel disease with azathioprine and 6-mercaptopurine

被引:65
作者
Su, CY [1 ]
Lichtenstein, GR [1 ]
机构
[1] Univ Penn, Sch Med, Div Gastroenterol, Dept Med, Philadelphia, PA 19104 USA
关键词
D O I
10.1016/j.gtc.2004.02.004
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
6-Mercaptopurine and azathioprine have become important therapeutic options for patients with inflammatory bowel disease (IBD). Although accumulating data in the literature have supported the use of these immunomodulators; in the management of IBD, marked variation exists in the pattern of clinical practice regarding azathioprine or 6-mercaptopurine therapy in patients with IBD. This article provides a critical review of the data on the clinical efficacy and toxicities of 6-mercaptopurine and azathioprine in the management of IBD. Emerging literature on the potential application of pharmacogenetic testing and metabolite monitoring are also discussed.
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页码:209 / +
页数:27
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