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Preoperative use of anti-tumor necrosis factor therapy in Crohn's disease: promises and pitfalls
Intestinal Research ; : 160-165, 2017.
Article in English | WPRIM | ID: wpr-117647
ABSTRACT
Recent advances in medical and surgical therapy were achieved during the last two decades in the management of Crohn's disease (CD). Anti-tumor necrosis factor (anti-TNF) agents are widely used worldwide. However, a significant proportion of patients still need surgical resections. The impact of previous exposure to these agents on the perioperative and postoperative outcomes is still controversial. In this critical review, we aimed to position the strategy of intentional preoperative use of anti-TNF agents in the management of CD. The indications and contraindications for this strategy are detailed, and despite scarce evidence, the possible advantages and disadvantages of the intentional use of anti-TNF agents before abdominal surgery in CD are discussed.
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Full text: Available Index: WPRIM (Western Pacific) Main subject: Preoperative Care / Crohn Disease / Tumor Necrosis Factor-alpha / Necrosis Limits: Humans Language: English Journal: Intestinal Research Year: 2017 Type: Article

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Full text: Available Index: WPRIM (Western Pacific) Main subject: Preoperative Care / Crohn Disease / Tumor Necrosis Factor-alpha / Necrosis Limits: Humans Language: English Journal: Intestinal Research Year: 2017 Type: Article