Guillaume Bouguen, Barrett G. Levesque, Brian G

Slides:



Advertisements
Similar presentations
Risk of Neoplasia After Colectomy in Patients With Inflammatory Bowel Disease: A Systematic Review and Meta-analysis Lauranne A.A.P. Derikx, Loes H.C.
Advertisements

The Role of Psychosocial Care in Adapting to Health Care Reform
Abnormal Liver Tests and Fatty Liver on Ultrasound
Thrombocytopenia With Abnormal Liver Function Tests
Ashwin N. Ananthakrishnan, Millie D. Long, Christopher F
Issue Highlights Clinical Gastroenterology and Hepatology
Vaccination and Risk for Developing Inflammatory Bowel Disease: A Meta-Analysis of Case–Control and Cohort Studies  Guillaume Pineton de Chambrun, Luc.
Nitsan Maharshak, Scott E. Plevy 
Efficacy of Topical 5-Aminosalicylates in Preventing Relapse of Quiescent Ulcerative Colitis: A Meta-analysis  Alexander C. Ford, Khurram J. Khan, William.
Heterogeneity in Definitions of Endpoints for Clinical Trials of Ulcerative Colitis: A Systematic Review for Development of a Core Outcome Set  Christopher.
Gauree Gupta, Ebbing Lautenbach, James D. Lewis 
A Shocking Cystory Clinical Gastroenterology and Hepatology
Volume 133, Issue 1, Pages (July 2007)
Right Upper Quadrant Pain and a Normal Abdominal Ultrasound
Prevalence of Irritable Bowel Syndrome–type Symptoms in Patients With Celiac Disease: A Meta-analysis  Anita Sainsbury, David S. Sanders, Alexander C.
Laurent Peyrin-Biroulet, Julián Panés, William J
A 31-Year-Old Patient With Colitis and Perianal Disease
Stephen A. Harrison, MD, FACP  Clinical Gastroenterology and Hepatology 
A 5-Year Prospective Observational Study of the Outcomes of International Treatment Guidelines for Crohn's Disease  Garret Cullen, Denise Keegan, Hugh.
Wireless Capsule Endoscopy Fragmentation in a Patient With Crohn's Disease  Marcia Henriques de Magalhães Costa, Andre da Luz Moreira, Cyrla Zaltman  Clinical.
Risk of Colorectal Cancer in Patients With Ulcerative Colitis: A Meta-analysis of Population-Based Cohort Studies  Tine Jess, Christine Rungoe, Laurent.
Gary R. Lichtenstein, Brian G. Feagan, Russell D. Cohen, Bruce A
Nghia H. Nguyen, Vincent Nguyen, Huy N. Trinh, Brian Lin, Mindie H
Patrick B. Allen, Paul J. Kettle, Inder Mainie 
Utility of Testing Patients, on Presentation, for Serologic Features of Celiac Disease  Melpakkam Srinivas, Pandurangan Basumani, Geoff Podmore, Anna Shrimpton,
Endoscopic Therapy for Barrett's Esophagus
Traveling Internationally: Avoiding and Treating Travelers' Diarrhea
Amie L. Harvey, Tommy Yen, Anand Kunda 
AGA Clinical Practice Update on Functional Gastrointestinal Symptoms in Patients With Inflammatory Bowel Disease: Expert Review  Jean-Frederic Colombel,
A Test-based Strategy Is More Cost Effective Than Empiric Dose Escalation for Patients With Crohn's Disease Who Lose Responsiveness to Infliximab  Fernando.
Abnormal Liver Tests and Fatty Liver on Ultrasound
Thurarshen Jeyalingam, Yuto Shimamura, Christopher Teshima 
David H. Bruining, William J. Sandborn 
Najat Mourra, Nikias Colignon  Clinical Gastroenterology and Hepatology 
Prednisolone and Budesonide for Short- and Long-Term Treatment of Microscopic Colitis: Systematic Review and Meta-analysis  Michael J. Stewart, Cynthia.
Peter Bytzer  Clinical Gastroenterology and Hepatology 
Cholelithiasis in a Patient With History of Cholecystectomy
Rebecca M. Lovell, Alexander C. Ford 
Long-term Outcome of Perianal Fistulizing Crohn's Disease Treated With Infliximab  Guillaume Bouguen, Laurent Siproudhis, Emmanuel Gizard, Timothée Wallenhorst,
Mucosal Healing Is Associated With Improved Long-term Outcomes of Patients With Ulcerative Colitis: A Systematic Review and Meta-analysis  Shailja C.
Colorectal Cancer Screening: How to Stop a Moving Target
Effects of Different Coping Strategies on Physical and Mental Health of Patients With Irritable Bowel Syndrome  Lilian Dindo, PhD  Clinical Gastroenterology.
Risk of Cerebrovascular Accidents and Ischemic Heart Disease in Patients With Inflammatory Bowel Disease: A Systematic Review and Meta-analysis  Siddharth.
Issue Highlights Clinical Gastroenterology and Hepatology
Gender as a Risk Factor for Advanced Neoplasia and Colorectal Cancer: A Systematic Review and Meta-analysis  Stephen P. Nguyen, Stephen Bent, Yea-Hung.
Initiating Azathioprine for Crohn's Disease
Reinduction With Certolizumab Pegol in Patients With Relapsed Crohn's Disease: Results From the PRECiSE 4 Study  William J. Sandborn, Stefan Schreiber,
Nicolas Williet, William J. Sandborn, Laurent Peyrin–Biroulet 
Pseudoachalasia Caused by Retroperitoneal B-Cell Lymphoma
Relationships Between Disease Activity and Serum and Fecal Biomarkers in Patients With Crohn's Disease  Jennifer Jones, Edward V. Loftus, Remo Panaccione,
Thrombocytopenia With Abnormal Liver Function Tests
Walter Reinisch, Jean-Frederic Colombel, William J
Patrícia Andrade, Susana Lopes, Guilherme Macedo 
A 27-Year-Old Woman With Constipation: Diagnosis and Treatment
Christopher Hung, Desmond Leddin 
Coagulation in Liver Disease: A Guide for the Clinician
Issue Highlights Clinical Gastroenterology and Hepatology
Endoscopic Assessment and Treating to Target Increase the Likelihood of Mucosal Healing in Patients With Crohn’s Disease  Guillaume Bouguen, Barrett G.
Risk of Pancreatitis in Patients With Celiac Disease: Is Autoimmune Pancreatitis a Biologically Plausible Mechanism?  John S. Leeds, David S. Sanders 
Coloduodenal Fistula in Crohn’s Disease
Matthew J. Lee, Claire E. Parker, Sarah R
Rintaro Hashimoto, Akimichi Chonan 
Adverse Outcomes: Why Bad Things Happen to Good People
Medical Therapy for Refractory Pediatric Crohn’s Disease
Issue Highlights Clinical Gastroenterology and Hepatology
Issue Highlights Clinical Gastroenterology and Hepatology
Rintaro Hashimoto, Akimichi Chonan 
The Role of Psychosocial Care in Adapting to Health Care Reform
Subcapsular Hepatic Fluid Collection Caused by Cardiac Dysfunction
Combination Therapy With Infliximab and Azathioprine Improves Infliximab Pharmacokinetic Features and Efficacy: A Post Hoc Analysis  Jean-Frédéric Colombel,
Presentation transcript:

Treat to Target: A Proposed New Paradigm for the Management of Crohn's Disease  Guillaume Bouguen, Barrett G. Levesque, Brian G. Feagan, Arthur Kavanaugh, Laurent Peyrin–Biroulet, Jean–Frederic Colombel, Stephen B. Hanauer, William J. Sandborn  Clinical Gastroenterology and Hepatology  Volume 13, Issue 6, Pages 1042-1050.e2 (June 2015) DOI: 10.1016/j.cgh.2013.09.006 Copyright © 2015 AGA Institute Terms and Conditions

Figure 1 Overview of the treat to target concept. According to risk stratification, highly effective disease-modifying therapy should first be administered to high-risk patients. Treatments should then be monitored and adjusted by using a predefined objective target. Clinical Gastroenterology and Hepatology 2015 13, 1042-1050.e2DOI: (10.1016/j.cgh.2013.09.006) Copyright © 2015 AGA Institute Terms and Conditions

Figure 2 Schematic representation for a treat-to-target based strategy for CD. On the basis of preliminary experience from RA, proposal algorithm for CD includes careful selection of patients to active treatment, use of MH as the optimal target, and a time frame to assess treatment efficacy. Clinical Gastroenterology and Hepatology 2015 13, 1042-1050.e2DOI: (10.1016/j.cgh.2013.09.006) Copyright © 2015 AGA Institute Terms and Conditions