Ability of different rescue therapies to save the bowel in acute, severe, steroid-refractory ulcerative colitis

被引:27
作者
Farkas, Klaudia [1 ]
Molnar, Tamas [1 ]
Szepes, Zoltan [1 ]
机构
[1] Univ Szeged, Dept Med 1, H-6720 Szeged, Hungary
关键词
acute ulcerative colitis; cyclosporine; infliximab; rescue therapy; tacrolimus; ORAL TACROLIMUS FK506; TERM-FOLLOW-UP; INTRAVENOUS CYCLOSPORINE; HOSPITALIZED-PATIENTS; CONTROLLED-TRIAL; SALVAGE THERAPY; DOUBLE-BLIND; INFLIXIMAB; COLECTOMY; MANAGEMENT;
D O I
10.1586/17474124.2014.909726
中图分类号
R57 [消化系及腹部疾病];
学科分类号
100201 [内科学];
摘要
To date, corticosteroids have been the primary therapies for acute, severe ulcerative colitis (UC). Patients not responding to intravenous steroids assessed at 3-5 days of the treatment are candidates for second-line rescue therapy. Cyclosporine (CsA), tacrolimus and infliximab (IFX) are also effective therapeutic options in acute, severe UC. In this review we summarized the results of the published studies examining and comparing the efficacy of CsA, tacrolimus and IFX as rescue therapies, and assessing the outcome of switching the drugs in case of therapeutic failure.
引用
收藏
页码:695 / 702
页数:8
相关论文
共 46 条
[1]
Colectomy rate in steroid-refractory colitis initially responsive to cyclosporin: a long-term retrospective cohort study [J].
Actis, Giovanni C. ;
Fadda, Maurizio ;
David, Ezio ;
Sapino, Anna .
BMC GASTROENTEROLOGY, 2007, 7 (1)
[2]
Calcineurin inhibition in severe ulcerative colitis: Lost in translation? [J].
Annunziata, Maria Laura ;
Hanauer, Stephen B. .
INFLAMMATORY BOWEL DISEASES, 2012, 18 (05) :809-811
[3]
Long-term increase in serum cholesterol levels in ulcerative colitis patients treated with cyclosporine: an underdiagnosed side effect frequently associated with other drug-related complications [J].
Balint, Anita ;
Farkas, Klaudia ;
Szucs, Monika ;
Szepes, Zoltan ;
Nagy, Ferenc ;
Wittmann, Tibor ;
Molnar, Tamas .
SCANDINAVIAN JOURNAL OF GASTROENTEROLOGY, 2014, 49 (01) :59-65
[4]
Tacrolimus is safe and effective in patients with severe steroid-refractory or steroid-dependent inflammatory bowel disease - A long-term follow-up [J].
Baumgart, Daniel C. ;
Pintoffl, Jan P. ;
Sturm, Andreas ;
Wiedenmann, Bertram ;
Dignass, Axel U. .
AMERICAN JOURNAL OF GASTROENTEROLOGY, 2006, 101 (05) :1048-1056
[5]
Bossa F, 2009, J CROHNS COLITIS, V3, P61
[6]
Predictive Factors of Response to Cyclosporine in Steroid-Refractory Ulcerative Colitis [J].
Cacheux, Wulfran ;
Seksik, Philippe ;
Lemann, Marc ;
Marteau, Philippe ;
Nion-Larmurier, Isabelle ;
Afchain, Pauline ;
Daniel, Fady ;
Beaugerie, Laurent ;
Cosnes, Jacques .
AMERICAN JOURNAL OF GASTROENTEROLOGY, 2008, 103 (03) :637-642
[7]
Ciclosporin use in acute ulcerative colitis: a long-term experience [J].
Campbell, S ;
Travis, S ;
Jewell, D .
EUROPEAN JOURNAL OF GASTROENTEROLOGY & HEPATOLOGY, 2005, 17 (01) :79-84
[8]
Infliximab versus cyclosporine as rescue therapy in acute severe steroid-refractory ulcerative colitis: a systematic review and meta-analysis [J].
Chang, Kah Hoong ;
Burke, John P. ;
Coffey, J. Calvin .
INTERNATIONAL JOURNAL OF COLORECTAL DISEASE, 2013, 28 (03) :287-293
[9]
Infliximab salvage therapy after failure of ciclosporin in corticosteroid-refractory ulcerative colitis: a multicentre study [J].
Chaparro, M. ;
Burgueno, P. ;
Iglesias, E. ;
Panes, J. ;
Munoz, F. ;
Bastida, G. ;
Castro, L. ;
Jimenez, C. ;
Mendoza, J. L. ;
Barreiro-de Acosta, M. ;
Gomez Senent, S. ;
Gomollon, F. ;
Calvet, X. ;
Garcia-Planella, E. ;
Gomez, M. ;
Hernandez, V. ;
Hinojosa, J. ;
Manosa, M. ;
Perez Nyssen, O. ;
Gisbert, J. P. .
ALIMENTARY PHARMACOLOGY & THERAPEUTICS, 2012, 35 (02) :275-283
[10]
Cyclosporine is Safe and Effective in Patients With Severe Ulcerative Colitis [J].
Cheifetz, Adam S. ;
Stern, Joshua ;
Garud, Sagar ;
Goldstein, Eric ;
Malter, Lisa ;
Moss, Alan C. ;
Present, Daniel H. .
JOURNAL OF CLINICAL GASTROENTEROLOGY, 2011, 45 (02) :107-112