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Published on: August 24, 2019
[Apheresis in inflammatory bowel disease].
1Servicio de Medicina Digestiva, Hospital Universitari La Fe, Valencia, España. nos_pil@gva.es
Apheresis, a white blood cell removal technique, shows limited evidence for moderate to severe ulcerative colitis but may benefit corticosteroid-dependent cases. It is a safe immunomodulatory option with minimal adverse effects.
Area of Science:
- Immunology
- Gastroenterology
Context:
- Apheresis systems are utilized for immunomodulation in inflammatory bowel disease (IBD).
- Key techniques include granulocytapheresis and leukocytapheresis, involving white blood cell extraction, filtration, and adsorption.
Purpose:
- To review the literature on the efficacy and safety of apheresis in distinct clinical situations within inflammatory bowel disease.
- To evaluate apheresis as an immunomodulatory therapy for ulcerative colitis.
Summary:
- Apheresis involves weekly sessions for induction therapy (5-10 weeks) and monthly sessions for maintenance therapy.
- Controlled trials do not support apheresis for moderate to severe ulcerative colitis.
- Lesser evidence suggests potential benefit in corticosteroid-dependent ulcerative colitis.
Impact:
- Apheresis is a safe procedure with minimal adverse effects.
- This review provides insights into the application of apheresis for specific ulcerative colitis patient populations.
- Highlights the need for further research in specific IBD contexts.
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