P450 Ustekinumab and vedolizumab for extraintestinal manifestations in inflammatory bowel disease

نویسندگان

چکیده

Abstract Background Extraintestinal manifestations (EIM) occur in up to 50 % of patients with inflammatory bowel disease (IBD) and are associated significant morbidity diminished quality life. Ustekinumab (UST) vedolizumab (VDZ) effective for Crohn’s (CD) ulcerative colitis (UC). However, their efficacy treatment EIM is not well established. The aim our study was compare the effectiveness UST VDZ IBD. Methods We included IBD treated or that followed gastroenterology department Sheba medical center between 2015 2021. Only active at start were included. duration follow- 52 weeks Results 112 Fifty-three (47%) ustekinumab 59 (53%) vedolizumab: 62(55%) women, 88% (n-99) had CD (52% a small bowel,29% both colon location). Twenty-four (21%) naïve anti-tumor necrosis factor (TNF) inhibitors. most common arthralgia (95/112, 84%). Patients more likely be anti TNF experienced (n=51/53 [96%] compared n=34/59 [58%], p<0.0001). 1 UC patient (1/53, 2%) 12 (12/59, 20%) group. Clinical response week achieved 42% (n-20/47) 25% (n- 13/52) vedolizumab, this difference statistically (p =0.08). There no regarding effect on earlier timepoints (week 6, 14, 26) (n-9/39 [23%] vs. n-17/56 [30%] p=0.8, n-9/36 [25%] n-17/55 [31%], p=0.6, n-14/41 [34%] [30%], respectively). groups also observed specific types EIMs Conclusion In retrospective study, found follow-up.

برای دانلود باید عضویت طلایی داشته باشید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Extraintestinal Manifestations Associated with Inflammatory Bowel Disease.

Inflammatory bowel disease (IBD) affects multiple organ systems outside of the gastrointestinal tract. The clinician treating patients with IBD should be acutely aware of the diagnosis and treatment of extraintestinal manifestations in order to decrease morbidity. The management can be difficult and often times requires a multidisciplinary approach. Future research investigating the pathophysio...

متن کامل

Extraintestinal manifestations of inflammatory bowel disease.

Inflammatory bowel disease (IBD) is associated with a variety of extraintestinal manifestations (EIMs) that may produce greater morbidity than the underlying intestinal disease and may even be the initial presenting symptoms of the IBD. As many as 36% of patients with IBD have at least one EIM. Some are more common related to active colitis (joint, skin, ocular, and oral manifestations). Others...

متن کامل

Extraintestinal Manifestations of Inflammatory Bowel Disease

Inflammatory bowel disease (IBD) mainly affects the gastrointestinal system but is associated with various chronic diseases of other organs that are jointly called extraintestinal manifestations (EIM). In some of these disorders, onset and clinical manifestations are associated with the course of the intestinal disease while in others they are independent of the intestinal disease. The former i...

متن کامل

Extraintestinal Manifestations of Inflammatory Bowel Disease

Extraintestinal manifestations (EIM) in inflammatory bowel disease (IBD) are frequent and may occur before or after IBD diagnosis. EIM may impact the quality of life for patients with IBD significantly requiring specific treatment depending on the affected organ(s). They most frequently affect joints, skin, or eyes, but can also less frequently involve other organs such as liver, lungs, or panc...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

ژورنال

عنوان ژورنال: Journal of Crohn's and Colitis

سال: 2022

ISSN: ['1876-4479', '1873-9946']

DOI: https://doi.org/10.1093/ecco-jcc/jjab232.577