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[溃疡性结肠炎治疗指南的比较:生物制剂的作用]

[Comparison of Treatment Guidelines for Ulcerative Colitis: Role of Biologics].

作者信息

Bae Jung Ho, Yang Dong Hoon

机构信息

Department of Internal Medicine, Healthcare System Gangnam Center, Seoul National University Hospital, Seoul, Korea.

Department of Gastroenterology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.

出版信息

Korean J Gastroenterol. 2018 Apr 25;71(4):192-195. doi: 10.4166/kjg.2018.71.4.192.

Abstract

Ulcerative colitis (UC) is a chronic inflammatory condition of the colon, characterized by diffuse mucosal inflammation with bloody diarrhea. The therapeutic goals in UC have evolved from symptomatic relief to deep remission, including sustained steroid-free clinical remission, mucosal healing, and ideally histologic remission. The management of UC has significantly been improved by advance of biologic agents including anti-tumor necrosis factor alpha (TNF-α) antibodies. Anti-TNF-α agent have progressively been introduced earlier in treatment algorithms for UC in order to minimize steroid exposure and dependence and to maximize disease control and quality of life. We reviewed the therapeutic recommendations of biologic agents for UC in the Korean and European Crohn's and Colitis Organization guidelines.

摘要

溃疡性结肠炎(UC)是一种结肠的慢性炎症性疾病,其特征为弥漫性黏膜炎症伴血性腹泻。UC的治疗目标已从症状缓解发展为深度缓解,包括持续的无类固醇临床缓解、黏膜愈合,理想情况下还包括组织学缓解。生物制剂(包括抗肿瘤坏死因子α(TNF-α)抗体)的进展显著改善了UC的管理。为了尽量减少类固醇暴露和依赖,并最大限度地控制疾病和提高生活质量,抗TNF-α药物已逐渐在UC治疗方案中更早引入。我们回顾了韩国和欧洲克罗恩病和结肠炎组织指南中关于UC生物制剂的治疗建议。

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