在炎症性肠道疾病中,跨壁治疗是可实现的目标吗?
Ilaria Faggiani1, Virginia Solitano1,2, Ferdinando D'Amico1
1Department of Gastroenterology and Endoscopy, IRCCS San Raffaele Hospital and Vita-Salute San Raffaele University, 20132 Milan, Italy.
在炎症性肠道疾病 (IBD) 中,跨壁治疗 (TH) 是一个与更好的结果相关的有希望的目标. 然而,深度治愈仍然需要标准化的定义和有效的治疗方法.
科学领域:
- 胃肠病学
- 医学成像
- 炎症性肠病研究
背景情况:
- 在炎症性肠病 (IBD) 中,越来越多地认识到跨壁治疗 (TH) 是一个关键的治疗目标.
- 获得TH与患者的长期结果有所改善,包括减少住院和手术.
- 像IUS,MRI和CTE这样的截面成像模式对于评估TH至关重要.
研究的目的:
- 在不同成像方式中审查当前的TH定义.
- 评估使用现有的IBD疗法实现TH的可行性和成本效益.
- 强调需要标准化定义和进一步的TH研究.
主要方法:
- 使用PubMed,Scopus和Embase进行了全面的文献搜索.
- 关键词包括"跨体疗法",成像方法和特定的IBD类型.
- 首要考虑的是英语学习.
主要成果:
- 不存在跨成像平台的TH标准化定义.
- 肠道超声波 (IUS) 是TH评估的最可行和最具成本效益的成像工具.
- 目前的治疗方法在20-40%的患者中实现了TH,生物药物和小分子之间没有显著差异.
结论:
- 一个统一的,经过验证的TH定义对于一致的研究和临床实践至关重要.
- 虽然TH是一个有前途的目标,但目前的治疗方法往往不足以完全解决.
- 需要进一步的研究来优化IBD的深度治愈策略.
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