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Indian Journal of Gastroenterology

Erschienen in:

29.04.2019 | Review Article

Mucosal healing in inflammatory bowel disease: Expanding horizon

verfasst von: Jimil Shah, Manik Lal Thakur, Usha Dutta

Erschienen in: Indian Journal of Gastroenterology | Ausgabe 2/2019

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Abstract

Management of inflammatory bowel diseases has witnessed paradigm shift from 5-aminosalicylic acid and glucocorticoids to various immunosuppressant and biological agents. Targets of therapy have also been changed drastically from symptomatic improvement to mucosal, histological healing, and recently transmural healing. Mucosal healing is associated with reduced need of steroid therapy, hospitalization, and surgery. However, whether mucosal healing alters the natural history of disease remains to be proven. Though assessment of mucosal healing is traditionally done by endoscopic examination, newer tests like fecal calprotectin, capsule endoscopy, and magnetic resonance enterography have also shown promising results. Various immunosuppressants and biologicals are the main therapy being used to achieve mucosal healing. This review focuses on the need for achieving mucosal healing, its long-term benefits, various methods and algorithm for diagnosis, and achievement of mucosal healing.

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Titel: Mucosal healing in inflammatory bowel disease: Expanding horizon
verfasst von: Jimil Shah
Manik Lal Thakur
Usha Dutta
Publikationsdatum: 29.04.2019
Verlag: Springer India
Erschienen in: Indian Journal of Gastroenterology / Ausgabe 2/2019
Print ISSN: 0254-8860
Elektronische ISSN: 0975-0711
DOI: https://doi.org/10.1007/s12664-019-00950-x

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