在患有短肠综合征相关的肠衰竭的成年人中使用泰杜格卢泰德
Loris Pironi1,2, Johane P Allard3, Francisca Joly4
1Department of Medical and Surgical Sciences, University of Bologna, Bologna, Italy.
概括
泰杜格卢提德是一种类似于葡萄糖的2类比物,有效地减少了肠道衰竭短肠综合征 (SBS-IF) 患者静脉补充的依赖性. 这种治疗可以改善患有这种罕见的胃肠道疾病的人的生活质量.
科学领域:
- 胃肠病学 胃肠病学
- 内分泌学 在内分泌学.
- 临床药理学 临床药理学
背景情况:
- 肠衰竭短肠综合征 (SBS-IF) 是一种罕见的疾病,导致吸收不良和依赖静脉补充剂 (IVS).
- 目前的管理旨在最大限度地提高肠道吸收并减少对IVS的依赖.
- 泰杜格卢提德是一种类似于葡萄糖的2模拟剂,研究用于SBS-IF治疗.
研究的目的:
- 审查Teduglutide在治疗SBS-IF患者的临床使用情况.
- 概述特杜格卢提德治疗的实际考虑,包括符合条件,启动,监测和IVS断奶.
主要方法:
- 叙述性综述综合了来自临床试验,观察性研究和临床经验的数据.
- 专注于Teduglutide在现实世界SBS-IF患者护理中的应用的实际方面.
主要成果:
- 泰德古胺在减少SBS-IF患者的IVS依赖性方面已经证明了临床有效性.
- 与泰杜格胺治疗相关的与健康相关的生活质量改善的潜力.
结论:
- 泰杜格胺为减少SBS-IF患者的IVS依赖提供了一个有前途的治疗选择.
- 综合管理,包括仔细的患者选择和监测,对于成功的泰杜格胺治疗至关重要.
相关概念视频
Drugs for Treatment of Diarrhea-Predominant IBS
219
Diarrhea-predominant irritable bowel syndrome (IBS-D) is a subtype of IBS characterized primarily by frequent, loose, or watery stools, abdominal pain, and abdominal discomfort. Therapeutic approaches to managing IBS-D include dietary changes, stress management techniques, and pharmaceutical interventions.
Two specific drugs used in the treatment are alosetron (Lotronex) and eluxadoline (Viberzi). Alosetron, a 5-HT3 antagonist, works by slowing the movement of stools in the gut, reducing bowel...
Two specific drugs used in the treatment are alosetron (Lotronex) and eluxadoline (Viberzi). Alosetron, a 5-HT3 antagonist, works by slowing the movement of stools in the gut, reducing bowel...
219
Inflammatory Bowel Disease V: Surgical Management
174
Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Here are some common surgical interventions for IBD:
174
Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding
210
Enteral nutrition encompasses various methods of delivering nutrition directly to the gastrointestinal (GI) tract, bypassing traditional oral intake. It is particularly beneficial for patients who cannot eat by mouth but have a functioning digestive system. Key methods include nasointestinal feeding, gastrostomy, and jejunostomy, each suited to different clinical scenarios based on the patient's needs and condition.
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube...
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube...
210
Inflammatory Bowel Disease III: Diagnostic Studies and Management I-Nutritional Therapy
364
Various diagnostic tests are employed in the diagnostic process for Inflammatory Bowel Disease (IBD), particularly to differentiate between Crohn's disease and ulcerative colitis.
Diagnostic studies
A colonoscopy is the definitive screening test, distinguishing ulcerative colitis from other colon diseases with similar symptoms. During a colonoscopy test, inflamed mucosa with exudate ulcerations can be observed, and biopsies are taken to determine the histologic characteristics of the...
Diagnostic studies
A colonoscopy is the definitive screening test, distinguishing ulcerative colitis from other colon diseases with similar symptoms. During a colonoscopy test, inflamed mucosa with exudate ulcerations can be observed, and biopsies are taken to determine the histologic characteristics of the...
364
Drugs for Treatment of Crohn's Disease in IBD Using Glucocorticoids
161
Glucocorticoids, a class of anti-inflammatory drugs, are pivotal in treating moderate to severe Crohn's disease by inducing remission. They exhibit their anti-inflammatory action by inhibiting the production of inflammatory cytokines such as tumor necrosis factor (TNF)-α, interleukin (IL)-1, and chemokines like IL-8. In addition, they reduce the expression of inflammatory cell adhesion molecules and inhibit gene transcription of nitric oxide synthase, phospholipase A2, cyclooxygenase-2...
161
Inflammatory Bowel Disease IV: Pharmacological Management
159
Upon diagnosis, managing Inflammatory Bowel Disease (IBD) involves addressing several crucial aspects. The primary goals include resting the bowel, correcting malnutrition, and providing symptomatic relief. Resting the bowel may consist of medications to reduce inflammation and promote healing. Correcting malnutrition is essential, often requiring dietary adjustments and nutritional supplements. Symptomatic relief aims to ease pain, diarrhea, and other discomforts in IBD.
Pharmacologic...
Pharmacologic...
159


