当前位置： SCI文献检索 > INTERNATIONAL JOURNAL OF COLORECTAL DISEASE期刊下所有文献 > Topic infliximab injection for refractory rectal stenosis in Crohn's disease: long-term follow-up in two patients.

Topic infliximab injection for refractory rectal stenosis in Crohn's disease: long-term follow-up in two patients.

Abstract：

PURPOSE:TNF blockers are approved for intravenous or subcutaneous systemic therapy of many chronic inflammatory diseases. As it is not possible to achieve a sufficient local clinical improvement through systemic therapy in every patient, diverse approaches of topical therapy using TNF blockers have been investigated in recent years. METHODS:In this paper, we report on long-term clinical results of originator infliximab (IFX) injections into symptomatic combined scarring and inflammatory stenoses of the rectum in two patients with Crohn's disease. Aiming at high tissue IFX levels, 25 mg of IFX was injected into each quadrant of the stenosis after endoscopic balloon dilatation. This off-label treatment was repeated as necessary, depending on the clinical success. RESULTS:Topic IFX injection after balloon dilation reduced imperative stool pressure, isolated episodes of incontinence and incomplete emptying. Improvement lasted between 4 and 14 weeks in one patient and the treatment was repeated 13 times in the following 6.6 years. In the other patient, the technique was necessary only twice with no symptom recurrence in the subsequent 5.3 years. CONCLUSION:Our experience suggests that topic application of a systemically approved anti-TNF substance may be a successful individualized therapy for refractory stenosis of the rectum in patients with Crohn's disease.

journal_name

Int J Colorectal Dis

journal_title

International journal of colorectal disease

authors

Teich N,Wallstabe I,Schiefke I

doi

10.1007/s00384-017-2860-2

subject

Has Abstract

pub_date

2017-09-01 00:00:00

pages

1289-1294

issue

9

eissn

0179-1958

issn

1432-1262

pii

10.1007/s00384-017-2860-2

journal_volume

32

pub_type

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