Do Not Assume Symptoms Indicate Failure of Anti–Tumor Necrosis Factor Therapy in Crohn's Disease
Abstract
It is a challenge to monitor patients with Crohn's disease who remain symptomatic despite anti-tumor necrosis factor therapy. Clinicians must use a systematic approach for each patient and obtain objective evidence about disease activity and response to therapy. Alternate etiologies for symptoms should be sought and treated, if found. Active Crohn's disease despite therapy requires reassessment and adjustments to management plans.
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Many patients and providers do not want further escalation of inflammatory bowel disease-specific therapy when minimal inflammatory disease is observed.
“many patients and providers do not want further escalation of IBD-specific therapy if minimal inflammatory disease is observed.5”
From Tricyclic Antidepressants for Management of Residual Symptoms in Inflammatory Bowel Disease (2014) · cites this paper as [5]
A functional etiology is an explanatory mechanism for residual symptoms in inflammatory bowel disease patients who respond to tricyclic antidepressants.
“A functional etiology is an explanatory mechanism for residual symptoms in IBD patients responsive to TCAs.5”
From Tricyclic Antidepressants for Management of Residual Symptoms in Inflammatory Bowel Disease (2014) · cites this paper as [5]
Occult inflammation represents another mechanistic explanation for residual symptoms in inflammatory bowel disease patients without structural abnormalities.
“Occult inflammation represents another mechanistic explanation for residual symptoms in IBD patients without structural abnormalities.5”
From Tricyclic Antidepressants for Management of Residual Symptoms in Inflammatory Bowel Disease (2014) · cites this paper as [5]
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Converging goals of treatment of inflammatory bowel disease from clinical trials and practice
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- Authors
- Bruining, D. H., & Sandborn, W. J.
- Affiliations
- Mayo Clinic (US)
- University of California San Diego (US)
- Venue
- Clinical Gastroenterology and Hepatology
- Publisher
- Elsevier BV
- Published
- 2011-05
- Volume
- 9
- Issue
- 5
- Pages
- 395-399
- ISSN
- 1542-3565 (ISSN-L)
- OpenAlex
- W2105797118
- Cited by
- 20
- References
- 33
- Citations by year
- 2024: 1 · 2021: 1 · 2020: 1 · 2019: 1 · 2018: 1 · 2017: 1 · 2016: 3 · 2014: 3 · 2013: 5 · 2012: 2
- FWCI
- 0.37
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Clinical Gastroenterology and Hepatology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Inflammatory Bowel Disease
- Health Sciences › Medicine › Rheumatology › Rheumatoid Arthritis Research and Therapies
- Health Sciences › Medicine › Ophthalmology › Ocular Diseases and Behçet’s Syndrome
- Keywords
- Crohn's disease, anti-tumor necrosis factor therapy, treatment failure, disease activity monitoring, treatment reassessment, inflammatory bowel disease management
- MeSH terms
- Crohn Disease, Humans, Immunologic Factors, Tumor Necrosis Factor-alpha, Treatment Outcome, Drug Monitoring
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