Ontology type: schema:ScholarlyArticle
2018-01-30
AUTHORSKouhei Fukushima, Akira Sugita, Kitaro Futami, Ken-Ichi Takahashi, Satoshi Motoya, Hideaki Kimura, Shusaku Yoshikawa, Yoshitaka Kinouchi, Hideki Iijima, Katsuya Endo, Toshihumi Hibi, Mamoru Watanabe, Iwao Sasaki, Yasuo Suzuki, Surgical Research Group, the Research Committee of Inflammatory Bowel Disease, the Ministry of Health, Welfare and Labor of Japan
ABSTRACTPurposeThe prevention of postoperative recurrence is a critical issue in surgery for Crohn’s disease. Prospective randomized trials in Western countries have shown that the postoperative use of anti-tumor necrosis factor α-antibodies was effective in reducing the recurrence rate. We investigated the efficacy of infliximab (IFX) for the prevention of postoperative Crohn’s disease recurrence.MethodsWe performed a prospective randomized multicenter study. Patients who underwent intestinal resection were assigned to groups treated with or without IFX. Immediately after surgery, patients in the IFX group received IFX at 5 mg/kg at 0, 2, and 6 weeks, followed by every 8 weeks for 2 years. The primary study outcome was the proportion of patients with endoscopic and/or clinical recurrence at 2 years after surgery.ResultsThirty-eight eligible patients participated in this study: 19 in the IFX group and 19 in the non-IFX group. The disease recurrence rate in the IFX group was 52.6% (10/19), which was significantly lower than that in the non-IFX group (94.7% [18/19]).ConclusionThe postoperative use of IFX is effective in preventing Crohn’s disease recurrence for 2 years. More... »
PAGES584-590
http://scigraph.springernature.com/pub.10.1007/s00595-018-1627-x
DOIhttp://dx.doi.org/10.1007/s00595-018-1627-x
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PUBMEDhttps://www.ncbi.nlm.nih.gov/pubmed/29383596
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"description": "PurposeThe prevention of postoperative recurrence is a critical issue in surgery for Crohn\u2019s disease. Prospective randomized trials in Western countries have shown that the postoperative use of anti-tumor necrosis factor \u03b1-antibodies was effective in reducing the recurrence rate. We investigated the efficacy of infliximab (IFX) for the prevention of postoperative Crohn\u2019s disease recurrence.MethodsWe performed a prospective randomized multicenter study. Patients who underwent intestinal resection were assigned to groups treated with or without IFX. Immediately after surgery, patients in the IFX group received IFX at 5\u00a0mg/kg at 0, 2, and 6\u00a0weeks, followed by every 8\u00a0weeks for 2\u00a0years. The primary study outcome was the proportion of patients with endoscopic and/or clinical recurrence at 2\u00a0years after surgery.ResultsThirty-eight eligible patients participated in this study: 19 in the IFX group and 19 in the non-IFX group. The disease recurrence rate in the IFX group was 52.6% (10/19), which was significantly lower than that in the non-IFX group (94.7% [18/19]).ConclusionThe postoperative use of IFX is effective in preventing Crohn\u2019s disease recurrence for 2\u00a0years.",
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