Mucosal healing in Crohn's disease: a systematic review.

Abstract:

:The traditional goals of Crohn's disease therapy, to induce and maintain clinical remission, have not clearly changed its natural history. In contrast, emerging evidence suggests that achieving and maintaining mucosal healing may alter the natural history of Crohn's disease, as it has been associated with more sustained clinical remission and reduced rates of hospitalization and surgical resection. Induction and maintenance of mucosal healing should therefore be a goal toward which therapy is now directed. Unresolved issues pertain to the benefit of achieving mucosal healing at different stages of the disease, the relationship between mucosal healing and transmural inflammation, the intensity of treatment needed to achieve mucosal healing when it has not been obtained using standard therapy, and the means by which mucosal healing is defined using current endoscopic disease activity indices. The main clinical challenge relates to defining the means of achieving high rates of mucosal healing in clinical practice.

journal_name

Inflamm Bowel Dis

authors

De Cruz P,Kamm MA,Prideaux L,Allen PB,Moore G

doi

10.1002/ibd.22977

subject

Has Abstract

pub_date

2013-02-01 00:00:00

pages

429-44

issue

2

eissn

1078-0998

issn

1536-4844

journal_volume

19

pub_type

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