Severe and steroid-resistant Crohn's disease.

Abstract:

:Patients with moderate-to-severe disease and patients with steroid-refractory or steroid-dependent disease differ in their management, as the latter two groups usually involve patients whose condition is less acute. Systemic corticosteroids represent the mainstay of the management of moderate-to-severe disease and remain the first-line therapy in this setting. Anti-TNF agents represent choice alternatives for patients who do not respond to steroids or in whom steroids are contraindicated. Purine analogues, methotrexate and infliximab have all shown efficacy in achieving steroid-free remission in patients with steroid-refractory or steroid-dependent disease. Other fast-acting immunosuppressors showed little benefit. Surgery may be indicated in this setting. Natalizumab may prove useful in patients refractory to infliximab and other anti-TNF agents.

journal_name

Digestion

journal_title

Digestion

authors

Michetti P,Mottet C,Juillerat P,Pittet V,Felley C,Vader JP,Gonvers JJ,Froehlich F

doi

10.1159/000111023

subject

Has Abstract

pub_date

2007-01-01 00:00:00

pages

99-108

issue

2

eissn

0012-2823

issn

1421-9867

pii

000111023

journal_volume

76

pub_type

杂志文章,评审
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    abstract:BACKGROUND:Endoscopic submucosal dissection (ESD) is a standard treatment for tumors of the gastrointestinal tract. We developed a self-completion method of ESD using Endosaber to eliminate the need for an additional device or human assistance during the procedure. The aim of this study was to evaluate the technical fe...

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    pub_type: 杂志文章

    doi:10.1159/000502771

    authors: Esaki M,Minoda Y,Wada M,Sakisaka S,Tsuruta S,Hosokawa T,Matsuguchi T,Ichijima R,Suzuki S,Tamura Y,Iwao A,Yamakawa S,Irie A,Ihara E,Ogawa Y

    更新日期:2019-09-27 00:00:00

  • Role of the ileocecal valve and site of intestinal resection in malabsorption after extensive small bowel resection.

    abstract::Intestinal absorption after extensive small bowel resections, for diseases other than Crohn's disease, was studied in 17 patients. When the ileocecal valve and the right colon were preserved, malabsorption was transient and moderate and had no prejudicial nutritional effect (fecal fat: 8.8 +/- 1.8 g/24 h in resections...

    journal_title:Digestion

    pub_type: 杂志文章

    doi:10.1159/000198220

    authors: Cosnes J,Gendre JP,Le Quintrec Y

    更新日期:1978-01-01 00:00:00

  • The motor-stimulating effect of natural motilin on the lower esophageal sphincter fundus, antrum and duodenum in dogs.

    abstract::Natural motilin was investigated for its effect on gastrointestinal motor activity in anesthetized dogs. In doses starting from 10 ng/kg as single injection and 100 ng/kg-h as intravenous infusion, motilin induced phasic pressure changes in the lower esophageal sphincter (LES) and in the lumen of the fundus, antrum, a...

    journal_title:Digestion

    pub_type: 杂志文章

    doi:10.1159/000197714

    authors: Jennewein HM,Hummelt H,Siewert R,Waldeck F

    更新日期:1975-01-01 00:00:00

  • Changes in bacterial phagocytosis of macrophages in experimental ulcerative colitis.

    abstract::We previously reported that numerous macrophages which phagocytosed dextran sulfate sodium were observed to have accumulated in the mucosal lesions and in the spleen in experimental ulcerative colitis induced in mice with dextran sulfate sodium. In this paper, we investigated the bacterial phagocytic ability of macrop...

    journal_title:Digestion

    pub_type: 杂志文章

    doi:10.1159/000201236

    authors: Ohkusa T,Okayasu I,Tokoi S,Araki A,Ozaki Y

    更新日期:1995-01-01 00:00:00

  • Asthma and gastroesophageal reflux: clinical evaluation of esophago-bronchial reflex and proximal reflux.

    abstract:AIMS:To evaluate the prevalence of proximal reflux and esophago-bronchial reflex (EBR) in patients with asthma, and to compare the symptom spectrum, esophageal acid sensitivity, pH monitoring, and the endoscopic and manometric parameters of EBR-positive and -negative patients with asthma. PATIENTS AND METHODS:Forty-th...

    journal_title:Digestion

    pub_type: 杂志文章

    doi:10.1159/000146083

    authors: Rosztóczy A,Makk L,Izbéki F,Róka R,Somfay A,Wittmann T

    更新日期:2008-01-01 00:00:00

  • A rapid method of relating protein to flow in human pancreatic secretions.

    abstract::A method of obtaining linear plots of protein-flow data from human pancreatic ductal secretions is described. The protein concentration in pancreatic secretions, when related to flow rates in two individuals, gave similar regression lines, with the correlation coefficients or r = -0.97 and -0.98, respectively, and slo...

    journal_title:Digestion

    pub_type: 杂志文章

    doi:10.1159/000197922

    authors: Allan BJ,White TT

    更新日期:1976-01-01 00:00:00

  • Stimulation of disaccharidase activities in the jejunal brush border membrane of adult rat by total parenteral nutrition. Effects of thyroid hormones.

    abstract::This study examined the morphological and functional adaptations occurring in the jejunum of adult rats fed totally by parenteral nutrition during a 4-day period. Comparison was made with sham-operated animals receiving orally a similar isocaloric diet. The intravenously fed rats exhibited a 20% shortening of the vill...

    journal_title:Digestion

    pub_type: 杂志文章

    doi:10.1159/000199030

    authors: Raul F,Galluser M,Doffoel M

    更新日期:1984-01-01 00:00:00

  • Lactulose is highly potential in prophylaxis of hepatic encephalopathy in patients with cirrhosis and upper gastrointestinal bleeding: results of a controlled randomized trial.

    abstract:BACKGROUND AND AIMS:Upper gastrointestinal bleeding (UGB) is an important precipitating factor for the development of hepatic encephalopathy (HE) in cirrhotic patients. The aim of this study was to evaluate the efficacy of lactulose in a controlled randomized trial for prophylaxis of HE after UGB. PATIENTS AND METHODS...

    journal_title:Digestion

    pub_type: 杂志文章,随机对照试验

    doi:10.1159/000346083

    authors: Wen J,Liu Q,Song J,Tong M,Peng L,Liang H

    更新日期:2013-01-01 00:00:00

  • Intestinal absorption and unmediated permeation of sugars in post-infective tropical malabsorption (tropical sprue).

    abstract::Differential absorption of D-xylose and 3-O-methyl-D-glucose, and unmediated intestinal permeation of lactulose and L-rhamnose has been investigated in 14 patients with diarrhoea following tropical exposure and in 16 healthy control subjects. Five had malabsorption of fat, D-xylose and B12 ('tropical malabsorption' (T...

    journal_title:Digestion

    pub_type: 杂志文章

    doi:10.1159/000199282

    authors: Cook GC,Menzies IS

    更新日期:1986-01-01 00:00:00

  • Localized necrohemorrhagic pancreatitis in the rat after pancreatic interstitial trypsin injection. Regressive pseudochronic lesions.

    abstract::Different materials dissolved in 0.9% NaCl were injected into the connective, interlobular tissue of the duodenal part of the rat pancreas. Activated rat pancreatic juice or trypsin were able to induce localized necrohemorrhagic pancreatitis. Only mild edema and leukocytic infiltration were observed after injecting bo...

    journal_title:Digestion

    pub_type: 杂志文章

    doi:10.1159/000199313

    authors: Odaira C,Berger Z,Iovanna JL,Sarles H

    更新日期:1986-01-01 00:00:00

  • Failure of a prolyl 4-hydroxylase inhibitor to alter extracellular matrix deposition during experimental pancreatitis.

    abstract::In chronic pancreatitis the exocrine pancreatic tissue is replaced by extracellular matrix deposits from fibroblasts. We have stimulated fibrogenesis in the pancreas by inducing a single episode of cerulein pancreatitis (10 microg/kg/h for 12 h). We have used a spectrophotometrical assay to measure the tissue hydroxyp...

    journal_title:Digestion

    pub_type: 杂志文章

    doi:10.1159/000201423

    authors: Weidenbach H,Lerch MM,Turi S,Bachem M,Adler G

    更新日期:1997-01-01 00:00:00

  • Conscious Sedation Using Midazolam and Sequential Flumazenil in Cirrhotic Patients for Prophylactic Endoscopic Variceal Ligation.

    abstract:BACKGROUND/AIMS:This study investigated the safety of endoscopic variceal ligation (EVL) under conscious sedation with midazolam and sequential flumazenil after procedure in these patients. METHODS:A total of 279 patients who underwent secondary prophylactic EVL at our institution between April 2012 and June 2014, wer...

    journal_title:Digestion

    pub_type: 杂志文章

    doi:10.1159/000440715

    authors: Kim SI,Jin YJ,Lee SH,Lee JW,Lee DH,Lee D

    更新日期:2015-01-01 00:00:00

  • Effect of Helicobacter pylori infection on the activity of class I, III and IV alcohol dehydrogenase in the human stomach.

    abstract:BACKGROUND/AIMS:In the human stomach various alcohol dehydrogenase (ADH) isoenzymes exist. The gastric ADH activity is affected by a number of factors including also the infection of Helicobacter pylori. The objective was to investigate the activity of alcohol dehydrogenase isoenzymes of class I, III and IV in endoscop...

    journal_title:Digestion

    pub_type: 杂志文章

    doi:10.1159/000064416

    authors: Chrostek L,Jelski W,Szmitkowski M,Laszewicz W

    更新日期:2002-01-01 00:00:00

  • Effects of pirenzepine and atropine on amylase response to various secretagogues from the rat pancreatic acini.

    abstract::CCK-8, bombesin, secretin and urecholine added in various concentrations to the incubation medium of the dispersed pancreatic acini, obtained from rats, resulted in a dose-dependent stimulation of amylase secretion, the half-maximal response being achieved at 3 X 10(-12), 10(-10), 10(-7) and 10(-5) M, respectively. Pi...

    journal_title:Digestion

    pub_type: 杂志文章

    doi:10.1159/000199415

    authors: Jaworek J,Konturek SJ

    更新日期:1987-01-01 00:00:00

  • Newly synthesized amylase, lipase and serine proteases are transported at different rates in rat pancreas.

    abstract::The rates of intracellular transport of newly synthesized amylase, lipase, trypsinogen and chymotrypsinogen were compared in the anaesthesized rat pancreas by measuring their rates of secretion while keeping their relative rates of synthesis in a steady state. It is concluded that pancreatic proteins are not transport...

    journal_title:Digestion

    pub_type: 杂志文章

    doi:10.1159/000199327

    authors: Iovanna J,Giorgi D,Dagorn JC

    更新日期:1986-01-01 00:00:00

  • The Ameliorating Effect of Switching to Vonoprazan: A Novel Potassium-Competitive Acid Blocker in Patients with Proton Pump Inhibitor Refractory Non-Erosive Reflux Disease.

    abstract:INTRODUCTION:Weakly acidic reflux has been reported to be the major cause of symptoms in patients with proton pump inhibitor (PPI)-refractory nonerosive reflux disease (NERD) undergoing PPI treatment. We previously reported that reflux at pH 4-5 was the main factor that induced symptoms in such patients. The present st...

    journal_title:Digestion

    pub_type: 杂志文章

    doi:10.1159/000506152

    authors: Abe Y,Koike T,Saito M,Okata T,Nakagawa K,Hatta W,Asanuma K,Uno K,Asano N,Imatani A,Masamune A

    更新日期:2020-02-14 00:00:00

  • Amylase/creatinine clearance ratio and tubular proteinuria in acute pancreatitis.

    abstract::Amylase/creatinine clearance ratio (CAm/CCr), urinary protein concentration and urinary protein pattern were studied in 102 samples from 27 patients with acute pancreatitis and in 46 controls. Raised CAm/CCr, proteinuria and a tubular protein pattern were present in 74, 56 and 96% of the patients, respectively. Howeve...

    journal_title:Digestion

    pub_type: 杂志文章

    doi:10.1159/000198397

    authors: Lankisch PG,Wolfrum DI,Koop H,Winckler K

    更新日期:1979-01-01 00:00:00

  • Correlation of gut hormones with irritable bowel syndrome.

    abstract:BACKGROUND:Irritable bowel syndrome (IBS) is a functional bowel disorder which is characterized by abdominal pain and disturbed bowel habits. The pathophysiological mechanism is complex and still remains incompletely clear. Alterations at both the central and the peripheral level are thought to contribute to the sympto...

    journal_title:Digestion

    pub_type: 杂志文章

    doi:10.1159/000165352

    authors: Zhang H,Yan Y,Shi R,Lin Z,Wang M,Lin L

    更新日期:2008-01-01 00:00:00

  • Optimizing symptom relief and preventing complications in adults with gastro-oesophageal reflux disease.

    abstract::Gastro-oesophageal reflux disease (GORD) is a chronic illness causing recurrent typical and atypical symptoms. Possible complications include oesophagitis, ulcer, stricture and Barrett's oesophagus. Evidence suggests that the intraoesophageal pH correlates directly with the degree of mucosal injury. Proton pump inhibi...

    journal_title:Digestion

    pub_type: 杂志文章,评审

    doi:10.1159/000076371

    authors: Savarino V,Dulbecco P

    更新日期:2004-01-01 00:00:00

  • Healing of duodenal ulcers is not impaired by indomethacin or rofecoxib, the selective COX-2 inhibitor, in rats.

    abstract:BACKGROUND/AIM:Studies have demonstrated an important role for endogenous PG and NO in the healing of chronic gastric ulcers. We investigated the effects of COX and NOS inhibitors on the healing of duodenal ulcers, in comparison with gastric ulcers, in rats. METHODS:Gastric and duodenal ulcers were induced by serosal ...

    journal_title:Digestion

    pub_type: 杂志文章

    doi:10.1159/000066759

    authors: Araki H,Komoike Y,Matsumoto M,Tanaka A,Takeuchi K

    更新日期:2002-01-01 00:00:00

  • Submucosal fibrosis and basic-fibroblast growth factor-positive neutrophils correlate with colonic stenosis in cases of ulcerative colitis.

    abstract:BACKGROUND AND AIMS:The frequency of benign stenosis in ulcerative colitis (UC) is low, reported as being 3.2-11.2%, with fibrosis in the submucosa or deeper pointed out as one of the causes. The aim of the present study was to assess stenosis in UC cases using immunostaining and to analyze differences between stenotic...

    journal_title:Digestion

    pub_type: 杂志文章

    doi:10.1159/000320773

    authors: Yamagata M,Mikami T,Tsuruta T,Yokoyama K,Sada M,Kobayashi K,Katsumata T,Koizumi W,Saigenji K,Okayasu I

    更新日期:2011-01-01 00:00:00

  • A critical assessment of the current status of non-erosive reflux disease.

    abstract::Non-erosive reflux disease (NERD) has assumed increasing prominence in studies of gastroesophageal reflux disease (GERD), but it remains a challenge to define NERD precisely and to define its place in the investigation and treatment of GERD. Most simply, NERD may be defined as GERD in an individual who has no evidence...

    journal_title:Digestion

    pub_type: 杂志文章,评审

    doi:10.1159/000151255

    authors: Armstrong D

    更新日期:2008-01-01 00:00:00

  • Dying in yoghurt: the number of living bacteria in probiotic yoghurt decreases under exposure to room temperature.

    abstract:BACKGROUND/AIMS:While probiotic bacteria are successfully used in the treatment of ulcerative colitis, the effect of commercially available probiotic products is still controversial. Here, we study whether the number of living probiotic bacteria in yoghurts is altered by an interruption of the cold chain. METHODS:Thre...

    journal_title:Digestion

    pub_type: 杂志文章

    doi:10.1159/000308715

    authors: Scharl M,Geisel S,Vavricka SR,Rogler G

    更新日期:2011-01-01 00:00:00

  • Effect of metoclopramide on transmural oesophageal variceal pressure and portal blood flow in cirrhotic patients.

    abstract::This study was undertaken to evaluate the effect of metoclopramide on transmural oesophageal variceal pressure and portal blood flow in cirrhotic patients. Sixteen cirrhotics were randomly assigned to metoclopramide (10 mg i.v.) or saline. Metoclopramide significantly decreased transmural variceal pressure (15.7% decr...

    journal_title:Digestion

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1159/000200477

    authors: Taranto D,Suozzo R,de Sio I,Romano M,Caporaso N,Del Vecchio Blanco C,Coltorti M

    更新日期:1990-01-01 00:00:00

  • Pharmacodynamic effects of Sandostatin in the gastrointestinal tract.

    abstract::Somatostatin is widely distributed throughout the human gastrointestinal system. There it is found in neurons and fibers of both the submucosal and the myenteric plexus and the pancreas as well as in the D cells of the stomach, gut and pancreatic islets. Whereas in the intestinal nervous system, in the duodenum and th...

    journal_title:Digestion

    pub_type: 杂志文章,评审

    doi:10.1159/000201070

    authors: Gyr KE,Meier R

    更新日期:1993-01-01 00:00:00

  • Potential indications for octreotide in gastroenterology: summary of workshop.

    abstract::The potential therapeutic applications of somatostatin and octreotide in gastroenterology involve gut neuro-endocrine tumours, bleeding varices, bleeding peptic ulcers, gastro-intestinal fistulae, pancreatic fistulae, dumping syndrome, pancreatic pseudocysts, short bowel syndrome, acute pancreatitis, AIDS-related diar...

    journal_title:Digestion

    pub_type: 杂志文章

    doi:10.1159/000201079

    authors: Burroughs AK,Malagelada R

    更新日期:1993-01-01 00:00:00

  • Total denervation of the pancreas does not alter the pancreatic polypeptide response to food intake.

    abstract::The secretion of pancreatic polypeptide (PP) seems to be controlled by vagal cholinergic mechanisms, since both vagotomy and atropine significantly inhibit the PP response to food intake, sham feeding or insulin hypoglycaemia. In the present study, we examined the PP response to a meal after orthotopic autotransplanta...

    journal_title:Digestion

    pub_type: 杂志文章

    doi:10.1159/000199492

    authors: Köhler H,Becker HD

    更新日期:1987-01-01 00:00:00

  • Prospective evaluation of pain in exocrine pancreatic cancer.

    abstract:BACKGROUND:Although pain is the most feared part of the terminal life of many patients with cancer, the intensity and the quality of the pain is all too often only scantly described. METHOD:The quality and quantity of pain were prospectively registered by five variables, including a visual analogue scale (VAS), in 46 ...

    journal_title:Digestion

    pub_type: 杂志文章

    doi:10.1159/000201499

    authors: Grahm AL,Andrén-Sandberg A

    更新日期:1997-01-01 00:00:00

  • Mechanism of action of diphenolic laxatives: the role of adenylate cyclase and mucosal permeability.

    abstract::Net fluid movement and mucosal 14C-erythritol clearance were measured in ligated colonic loops of the rat in vivo. The diphenolic laxatives, oxyphenisatin and bisacodyl, dose-dependently inhibited net fluid absorption or caused secretion, both increased the 14C-erythritol clearance. Pretreatment with the adenylate cyc...

    journal_title:Digestion

    pub_type: 杂志文章

    doi:10.1159/000199105

    authors: Farack UM,Nell G

    更新日期:1984-01-01 00:00:00

  • Biliary copper excretion in man and the rat.

    abstract::The form in which copper is bound in bile was studied in bile from patients with Wilson's disease, control subjects and rats. Bile was labelled with 64Cu. Sephadex column chromatography using gels G-200--G-10 showed a major 64Cu and protein peak of about 5,000 daltons and a minor peak of about 8,000 daltons. A high-mo...

    journal_title:Digestion

    pub_type: 杂志文章

    doi:10.1159/000198027

    authors: Frommer DJ

    更新日期:1977-01-01 00:00:00