Margagnoni Giovanna, Clemente Valeria, Aratari Annalisa, Fascì Spurio Federica, De Gregorio Angela Maria, Spagnolo Annalisa, Koch Maurizio, Papi Claudio
Unità Operativa Complessa Gastroenterologia ed Epatologia, Azienda Ospedaliera San Filippo Neri, Roma.
Recenti Prog Med. 2013 Apr;104(4):168-76. doi: 10.1701/1271.14029.
Surgery is an almost inevitable event in Crohn's disease but is not curative; post-operative recurrence follows a sequential and predictable course. Prevention of post-operative recurrence in Crohn's disease is therefore a relevant problem in the management of the disease. Several drugs have been evaluated to decrease the risk of recurrence: these include mesalazine, antibiotics, probiotics, budesonide, thiopurines and biologic agents. This review focuses on the randomised controlled trials and meta-analyses addressing different drugs and strategies for preventing post-operative recurrence in Crohn's disease.
手术在克罗恩病中几乎是不可避免的事件,但无法治愈;术后复发遵循一个连续且可预测的过程。因此,预防克罗恩病术后复发是该疾病管理中的一个重要问题。已经评估了几种药物以降低复发风险:这些药物包括美沙拉嗪、抗生素、益生菌、布地奈德、硫唑嘌呤和生物制剂。本综述重点关注针对预防克罗恩病术后复发的不同药物和策略的随机对照试验及荟萃分析。