Maintenance of remission in Crohn's disease.

Détails

ID Serval
serval:BIB_9C47CD646055
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Synthèse (review): revue aussi complète que possible des connaissances sur un sujet, rédigée à partir de l'analyse exhaustive des travaux publiés.
Collection
Publications
Institution
Titre
Maintenance of remission in Crohn's disease.
Périodique
Digestion
Auteur⸱e⸱s
Gonvers J.J., Juillerat P., Mottet C., Felley C., Burnand B., Vader J.P., Michetti P., Froehlich F.
ISSN
0012-2823
Statut éditorial
Publié
Date de publication
2005
Peer-reviewed
Oui
Volume
71
Numéro
1
Pages
41-8
Langue
anglais
Notes
Publication types: Journal Article ; Review - Publication Status: ppublish
Résumé
When remission of Crohn's disease is achieved, the next goal is to maintain long-term remission. Aminosalicylates may be recommended for maintenance remission, even though the results are less consistent than those observed in ulcerative colitis. The benefit is mainly observed in the post-surgical setting and in patients with ileitis, and with a prolonged disease duration. Corticosteroids are not effective in maintaining remission and should not be used for this indication. Azathioprine and 6-mercaptopurine are effective in maintaining remission. Maintenance benefits remain significant for patients who continued with the therapy for up to 5 years. Methotrexate has also been found to be effective in maintaining remission in Crohn's disease in patients who have responded acutely to methotrexate. Cyclosporine has not been found to be an effective maintenance agent. Mycophenolate mofetil could be considered a therapy in patients who are either allergic to azathioprine or in whom azathioprine failed to induce remission. The use of infliximab may change the future approach to maintenance therapy for Crohn's disease. Patients who responded clinically to infliximab have maintained their clinical response when receiving repeat infusions at 8-week intervals. In patients refractory to other therapies, infliximab may be effective in maintaining remission.
Mots-clé
Anti-Inflammatory Agents, Non-Steroidal, Crohn Disease, Drug Therapy, Combination, Gastrointestinal Agents, Humans, Immunosuppressive Agents, Remission Induction, Treatment Outcome
Pubmed
Web of science
Création de la notice
25/01/2008 16:58
Dernière modification de la notice
20/08/2019 16:03
Données d'usage