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New Trends in Inflammatory Bowel Disease

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Resumo:Inflammatory bowel disease (IBD) is a chronic idiopathic inflammatory disease of the gastrointestinal (GI) tract. In the past decade a shift in the treatment paradigm of IBD has ensued. The availability of drugs capable of inducing mucosal healing, combined with the recognition that IBD is not an intermittent disease, but rather a progressive one causing bowel damage and disability, led us to a more stringent strategy. Tailored therapy with more aggressive treatment in high-risk patients, treating beyond symptoms, intervening early before damage occurs, optimizing therapeutic regimens, and actively pursuing sustained remission and sustained control of inflammation are strategies that are slowly being incorporated in our clinical practice. Furthermore, new drugs targeting different immunological pathways, such a s vedolizumab, have recently been approved and therefore more therapeutic resources for patients failing anti-tumour necrosis factor alpha (anti-TNFa) agents will be available. The future years look promising for IBD. Hopefully the new trends in IBD management, combined with new drugs, will make possible to change the course of disease and provide better therapy and quality of life for patients suffering from this disabling disease.
Autores principais:Palmela,Carolina
Outros Autores:Torres,Joana; Cravo,Marilia
Assunto:Antibodies Monoclonal Colitis Ulcerative Crohn Disease Inflammatory Bowel Diseases Molecular Targeted Therapy Drug Monitoring
Ano:2015
País:Portugal
Tipo de documento:artigo
Tipo de acesso:acesso aberto
Instituição associada:Fundação para a Ciência e Tecnologia
Idioma:inglês
Origem:SciELO Portugal
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author Palmela,Carolina
author2 Torres,Joana
Cravo,Marilia
author2_role author
author
author_facet Palmela,Carolina
Torres,Joana
Cravo,Marilia
author_role author
country_str PT
creators_json_txt [{\"Person.name\":\"Palmela,Carolina\"},{\"Person.name\":\"Torres,Joana\"},{\"Person.name\":\"Cravo,Marilia\"}]
datacite.creators.creator.creatorName.fl_str_mv Palmela,Carolina
Torres,Joana
Cravo,Marilia
datacite.rights.fl_str_mv http://purl.org/coar/access_right/c_abf2
datacite.subjects.subject.fl_str_mv Antibodies
Monoclonal
Colitis
Ulcerative
Crohn Disease
Inflammatory Bowel Diseases
Molecular Targeted Therapy
Drug Monitoring
datacite.titles.title.fl_str_mv New Trends in Inflammatory Bowel Disease
dc.creator.none.fl_str_mv Palmela,Carolina
Torres,Joana
Cravo,Marilia
dc.format.none.fl_str_mv text/html
dc.identifier.none.fl_str_mv http://scielo.pt/scielo.php?script=sci_arttext&pid=S2341-45452015000300005
dc.language.none.fl_str_mv eng
dc.publisher.none.fl_str_mv Sociedade Portuguesa de Gastrenterologia
dc.rights.none.fl_str_mv http://purl.org/coar/access_right/c_abf2
dc.source.none.fl_str_mv GE-Portuguese Journal of Gastroenterology v.22 n.3 2015
dc.subject.none.fl_str_mv Antibodies
Monoclonal
Colitis
Ulcerative
Crohn Disease
Inflammatory Bowel Diseases
Molecular Targeted Therapy
Drug Monitoring
dc.title.fl_str_mv New Trends in Inflammatory Bowel Disease
dc.type.none.fl_str_mv http://purl.org/coar/resource_type/c_6501
description Inflammatory bowel disease (IBD) is a chronic idiopathic inflammatory disease of the gastrointestinal (GI) tract. In the past decade a shift in the treatment paradigm of IBD has ensued. The availability of drugs capable of inducing mucosal healing, combined with the recognition that IBD is not an intermittent disease, but rather a progressive one causing bowel damage and disability, led us to a more stringent strategy. Tailored therapy with more aggressive treatment in high-risk patients, treating beyond symptoms, intervening early before damage occurs, optimizing therapeutic regimens, and actively pursuing sustained remission and sustained control of inflammation are strategies that are slowly being incorporated in our clinical practice. Furthermore, new drugs targeting different immunological pathways, such a s vedolizumab, have recently been approved and therefore more therapeutic resources for patients failing anti-tumour necrosis factor alpha (anti-TNFa) agents will be available. The future years look promising for IBD. Hopefully the new trends in IBD management, combined with new drugs, will make possible to change the course of disease and provide better therapy and quality of life for patients suffering from this disabling disease.
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person_str_mv Palmela,Carolina
Torres,Joana
Cravo,Marilia
publishDate 2015
publisher.none.fl_str_mv Sociedade Portuguesa de Gastrenterologia
reponame_str SciELO Portugal
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spelling New Trends in Inflammatory Bowel DiseasePalmela,CarolinaTorres,JoanaCravo,MariliaAntibodiesMonoclonalColitisUlcerativeCrohn DiseaseInflammatory Bowel DiseasesMolecular Targeted TherapyDrug Monitoringopen accesshttp://purl.org/coar/access_right/c_abf2http://scielo.pt/scielo.php?script=sci_arttext&pid=S2341-45452015000300005URLhttp://scielo.pt/scielo.php?script=sci_arttext&pid=S2341-45452015000300005URLHasVersion2015-06-01Inflammatory bowel disease (IBD) is a chronic idiopathic inflammatory disease of the gastrointestinal (GI) tract. In the past decade a shift in the treatment paradigm of IBD has ensued. The availability of drugs capable of inducing mucosal healing, combined with the recognition that IBD is not an intermittent disease, but rather a progressive one causing bowel damage and disability, led us to a more stringent strategy. Tailored therapy with more aggressive treatment in high-risk patients, treating beyond symptoms, intervening early before damage occurs, optimizing therapeutic regimens, and actively pursuing sustained remission and sustained control of inflammation are strategies that are slowly being incorporated in our clinical practice. Furthermore, new drugs targeting different immunological pathways, such a s vedolizumab, have recently been approved and therefore more therapeutic resources for patients failing anti-tumour necrosis factor alpha (anti-TNFa) agents will be available. The future years look promising for IBD. Hopefully the new trends in IBD management, combined with new drugs, will make possible to change the course of disease and provide better therapy and quality of life for patients suffering from this disabling disease.Sociedade Portuguesa de GastrenterologiaGE-Portuguese Journal of Gastroenterology v.22 n.3 2015text/htmlengjournal articlehttp://purl.org/coar/resource_type/c_6501literature
spellingShingle New Trends in Inflammatory Bowel Disease
Palmela,Carolina
Antibodies
Monoclonal
Colitis
Ulcerative
Crohn Disease
Inflammatory Bowel Diseases
Molecular Targeted Therapy
Drug Monitoring
status SINGLETON
subject.fl_str_mv Antibodies
Monoclonal
Colitis
Ulcerative
Crohn Disease
Inflammatory Bowel Diseases
Molecular Targeted Therapy
Drug Monitoring
title New Trends in Inflammatory Bowel Disease
title_full New Trends in Inflammatory Bowel Disease
title_fullStr New Trends in Inflammatory Bowel Disease
title_full_unstemmed New Trends in Inflammatory Bowel Disease
title_short New Trends in Inflammatory Bowel Disease
title_sort New Trends in Inflammatory Bowel Disease
topic Antibodies
Monoclonal
Colitis
Ulcerative
Crohn Disease
Inflammatory Bowel Diseases
Molecular Targeted Therapy
Drug Monitoring
topic_facet Antibodies
Monoclonal
Colitis
Ulcerative
Crohn Disease
Inflammatory Bowel Diseases
Molecular Targeted Therapy
Drug Monitoring
url http://scielo.pt/scielo.php?script=sci_arttext&pid=S2341-45452015000300005
visible 1