Role of conventional therapies in the era of biological treatment in Crohn’s disease

Outstanding progress regarding the pathophysiology of Crohn’s disease (CD) has led to the development of innovative therapeutic concepts. Numerous controlled trials have been performed in CD. This review concentrates on the results of randomized,placebo-controlled trials,and meta-analyses when avail...

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Veröffentlicht in:World journal of gastroenterology : WJG 2011-04, Vol.17 (14), p.1797-1806
Hauptverfasser: Gionchetti, Paolo, Calabrese, Carlo, Tambasco, Rosy, Brugnera, Ramona, Straforini, Giulia, Liguori, Giuseppina, Fornarini, Giulia Spuri, Riso, Donatella, Campieri, Massimo, Rizzello, Fernando
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container_end_page 1806
container_issue 14
container_start_page 1797
container_title World journal of gastroenterology : WJG
container_volume 17
creator Gionchetti, Paolo
Calabrese, Carlo
Tambasco, Rosy
Brugnera, Ramona
Straforini, Giulia
Liguori, Giuseppina
Fornarini, Giulia Spuri
Riso, Donatella
Campieri, Massimo
Rizzello, Fernando
description Outstanding progress regarding the pathophysiology of Crohn’s disease (CD) has led to the development of innovative therapeutic concepts. Numerous controlled trials have been performed in CD. This review concentrates on the results of randomized,placebo-controlled trials,and meta-analyses when available,that provide the highest degree of evidence. Current guidelines on the management of CD recommend a step-up approach to treatment involving the addition of more powerful therapies as the severity of disease and refractoriness to therapy increase. The advent of biological drugs has opened new therapeutic horizons for treating CD,modifying the treatment goals. However,the large majority of patients with CD will be managed through conventional therapy,even if they are a prelude to biological therapy.
doi_str_mv 10.3748/wjg.v17.i14.1797
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source MEDLINE; Baishideng "World Journal of" online journals; EZB-FREE-00999 freely available EZB journals; PubMed Central; Alma/SFX Local Collection
subjects Crohn Disease - drug therapy
Crohn Disease - physiopathology
Crohn Disease - surgery
Humans
Meta-Analysis as Topic
Placebos
Randomized Controlled Trials as Topic
Remission Induction
Review
传统
对照试验
生物治疗
生物药物
疗法
病理生理学
耐火度
title Role of conventional therapies in the era of biological treatment in Crohn’s disease
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