Perioperative Management of Biologic Agents in Ulcerative Colitis

Author(s):  
Amy L. Lightner ◽  
Phillip R. Fleshner
2019 ◽  
Vol 34 (8) ◽  
pp. 1296-1315 ◽  
Author(s):  
Choon Jin Ooi ◽  
Ida Hilmi ◽  
Rupa Banerjee ◽  
Sai Wei Chuah ◽  
Siew Chien Ng ◽  
...  

2019 ◽  
Vol 17 (3) ◽  
pp. 285-310 ◽  
Author(s):  
Choon Jin Ooi ◽  
Ida Hilmi ◽  
Rupa Banerjee ◽  
Sai Wei Chuah ◽  
Siew Chien Ng ◽  
...  

2021 ◽  
Vol 116 (1) ◽  
pp. S1374-S1374
Author(s):  
Carlos J. Figueredo ◽  
Konstantin Boroda ◽  
Christopher Andrade ◽  
Tehseen Haider ◽  
Tamoor Shahid ◽  
...  

2021 ◽  
Vol 64 (9) ◽  
pp. 605-613
Author(s):  
Hyo Yeop Song ◽  
Geom Seog Seo

Background: The treatment of inflammatory bowel diseases has evolved with the development of anti-tumor necrosis factor agents. Despite the long-term effectiveness, many patients experience primary non-response, secondary loss of response, or intolerance. Therefore, the development of new drugs that act on different inflammatory pathways has become necessary. This review focuses on biologic agents and new therapies for the treatment of inflammatory bowel diseases.Current Concepts: Vedolizumab, a gut-selective agent that targets α4β7 integrin is effective in both ulcerative colitis and Crohn’s disease. Ustekinumab is a monoclonal antibody that binds to p40 subunit of interleukin-12/interleukin-23. Ustekinumab is available for the treatment of Crohn’s disease and ulcerative colitis. Tofacitinib is the first Janus kinase inhibitor approved for the treatment of ulcerative colitis. The advantage of tofacitinib is an oral prescription medicine and has rapid action.Discussion and Conclusion: Since vedolizumab, ustekinumab and tofacitinib are effective agents for the treatment of inflammatory bowel diseases, positioning of old and new biologic agents and small molecules should be determined. The safety and efficacy of novel and emerging drugs needs to be evaluated in patients with inflammatory bowel disease.


2021 ◽  
Vol 116 (1) ◽  
pp. S335-S335
Author(s):  
Rahul S. Dalal ◽  
Emma L. McClure ◽  
Jessica R. Allegretti

2021 ◽  
Author(s):  
Dario Sorrentino ◽  
Vu Q. Nguyen ◽  
Kim Love

Introduction: Fecal Lactoferrin (FL) is a timely and accurate marker of inflammation in ulcerative colitis (UC) and Crohn’s disease (CD). Aim of this study was to verify whether FL can predict primary non-response (PNR) to biologic agents during induction. Methods: Retrospective outcome review in 27 patients (13 with CD and 14 with UC) tested for baseline FL and re-tested within a week after the first and second induction doses. Clinical/biochemical outcomes were evaluated at end of induction and at follow up (3-24 months). Results: Compared to baseline, changes of the Harvey-Bradshaw (CD) and Partial Mayo Scoring (UC) indices at end of induction separated responders (18/27 or 67%) from non-responders (9/17 or 33%). In all patients the initial FL value at induction decreased compared to baseline, continuing to decrease after the following dose in clinical responders while bouncing back in the others. Models targeting the two consecutively decreased FL values or the second FL value compared to baseline or the second FL value compared to the first were able to accurately predict response at end of induction. Follow-up assessment confirmed clinical remission in initial responders (with FL values reduced on the average by 94±10% compared to baseline). Conclusions: In CD and UC patients during induction with biologic agents early FL measurements accurately separate clinical responders from those experiencing PNR. The method described here offers several potential advantages over other strategies to assess and manage these patients.


2021 ◽  
Vol 160 (6) ◽  
pp. S-361
Author(s):  
Luca Degli Esposti ◽  
Valentina Perrone ◽  
Diego Sangiorgi ◽  
Stefania Saragoni ◽  
Elisa Giacomini ◽  
...  

2017 ◽  
Vol 152 (5) ◽  
pp. S592-S593
Author(s):  
Siddharth Singh ◽  
Mathurin Fumery ◽  
Parambir Dulai ◽  
Mohammad Murad ◽  
William J. Sandborn

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