Wang Liang, Zhang Sheng-Mei, Chen Xiao-Qian
Department of Gastrointestinal Oncology Surgery, The Affiliated Hospital of Qinghai University, The Affiliated Cancer Hospital of Qinghai University, Xining 810000, Qinghai Province, China.
Department of Anorectal Surgery, The Affiliated Hospital of Qinghai University, The Affiliated Cancer Hospital of Qinghai University, Xining 810000, Qinghai Province, China.
World J Gastrointest Surg. 2025 Jan 27;17(1):99122. doi: 10.4240/wjgs.v17.i1.99122.
Currently, the use of immune checkpoint inhibitors (ICIs) has shown notable clinical efficacy in treating various malignant tumors, significantly improving patient prognosis. However, while ICIs enhance the body's anti-tumor effects, they can also trigger immune-related adverse events (irAEs), with ICI-associated colitis being one of the more prevalent forms. This condition can disrupt treatment, necessitate drug discontinuation, and adversely affect therapeutic outcomes. In severe cases, irAEs may even become life-threatening. A recent case report by Hong highlights the importance of vigilance for ICI-associated colitis in patients experiencing symptoms such as diarrhea and abdominal pain, which can arise both during and even after completion of ICI treatment. Early identification, multidisciplinary management, and continuous monitoring of patients are essential steps to further improve outcomes.
目前,免疫检查点抑制剂(ICIs)在治疗各种恶性肿瘤方面已显示出显著的临床疗效,显著改善了患者的预后。然而,虽然ICIs增强了机体的抗肿瘤作用,但它们也可能引发免疫相关不良事件(irAEs),ICI相关结肠炎是较为常见的形式之一。这种情况可能会干扰治疗,需要停药,并对治疗结果产生不利影响。在严重的情况下,irAEs甚至可能危及生命。Hong最近的一份病例报告强调,对于出现腹泻和腹痛等症状的患者,警惕ICI相关结肠炎非常重要,这些症状可能在ICI治疗期间甚至治疗完成后出现。早期识别、多学科管理以及对患者的持续监测是进一步改善治疗结果的关键步骤。