Use of the tumor necrosis factor-blockers for Crohn's disease

doi:10.3748/wjg.v18.i35.4823

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Sep 21, 2012 (publication date) through Nov 5, 2024

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World Journal of Gastroenterology

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1007-9327

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

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World J Gastroenterol. Sep 21, 2012; 18(35): 4823-4854
Published online Sep 21, 2012. doi: 10.3748/wjg.v18.i35.4823

Table 28 Associations of mucosal healing in Crohn's disease

Fewer symptoms
No previous surgery
Previous surgery
Less inflammation at 5 yr requiring steroid use
Less use of steroids
Steroid-free remission and no flare at years 3 and 4	Yes (TG, 44%)
Steroid-free remission, no flare and no TNFB at years 3 and 4	Yes (TG, 44%)
No new or persistently active fistulas	No

How do these associations with mucosal healing (MH) in CD compare with UC? About 90% of patients remain asymptomatic after achieving MH on once-a-day 5-aminosalicylic acid (Mezavant^®), and after MH, 40% of UC patients remain asymptomatic (TG, 22%). TG: Therapeutic gain; CD: Crohn's disease; UC: Ulcerative colitis; TNFB: Tumor necrosis factor-α blockers (response in active treatment group minus response in placebo group; differences statistically significant).

Citation: Thomson AB, Gupta M, Freeman HJ. Use of the tumor necrosis factor-blockers for Crohn's disease. World J Gastroenterol 2012; 18(35): 4823-4854
URL: https://www.wjgnet.com/1007-9327/full/v18/i35/4823.htm
DOI: https://dx.doi.org/10.3748/wjg.v18.i35.4823