8 Safety of corticosteroids and immunosuppressive agents in ulcerative colitis

]William R. Connell MD, FRACP (Consultant Gastroenterologist), Andrew C.F. Taylor MBBS (gastroenterology Registrar)
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引用次数: 2

Abstract

For many years, corticosteroids have been the mainstay for treating acute ulcerative colitis. In patients with refractory disease, immunosuppressive therapy may be indicated, including azathioprine or its metabolite 6-mercaptopurine, cyclosporin and possibly methotrexate. Their benefits in ulcerative colitis must be weighed up against their possible adverse effects, the availability of surgical cure for this condition, and the long-term risk of carcinoma complicating colitis that applies in patients with chronic extensive disease. Information about the safety of corticosteroids and immunosuppressive agents has accumulated as a result of their extensive use in inflammatory bowel disease, organ transplantation and various other disorders.

糖皮质激素和免疫抑制剂治疗溃疡性结肠炎的安全性
多年来,皮质类固醇一直是治疗急性溃疡性结肠炎的主要药物。对于难治性疾病的患者,可能需要免疫抑制治疗,包括硫唑嘌呤或其代谢物6-巯基嘌呤、环孢素和可能的甲氨蝶呤。它们对溃疡性结肠炎的益处必须与它们可能的副作用、手术治疗的可得性以及慢性广泛疾病患者发生癌性结肠炎的长期风险进行权衡。由于皮质类固醇和免疫抑制剂在炎症性肠病、器官移植和各种其他疾病中的广泛应用,有关其安全性的信息已经积累起来。
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