结肠混乱:当药物反抗你的肠道时
Malek Shatila1, Yinghong Wang2, Anusha Shirwaikar Thomas2
1Wayne State University/Detroit Medical Center, Department of Internal Medicine, Detroit, Michigan.
免疫媒介性腹和结肠炎 (IMDC) 是免疫检查点抑制剂 (ICI) 的严重毒性. 本综述更新了IMDC的管理指南,并纳入了有关流行病学,评估和治疗的最新发现.
科学领域:
- 在瘤学瘤学.
- 免疫学 免疫学 免疫学
- 胃肠病学 胃肠病学
背景情况:
- 免疫检查点抑制剂 (ICI) 越来越多地用于癌症治疗.
- 免疫媒介性腹和结肠炎 (IMDC) 是与ICI相关的常见和严重的不良事件.
- 管理IMDC的现有指导方针可能不符合最新的科学理解.
研究的目的:
- 审查了解免疫媒介腹和结肠炎 (IMDC) 的最新进展.
- 根据当前的文献,提出基于IMDC的更新管理算法.
- 解决对ICI相关毒性的优化治疗策略的需求.
主要方法:
- 关于IMDC的最新研究的综合文献综述.
- 对流行病学数据的分析,包括发病率和风险因素.
- 对IMDC的诊断和治疗方式的评估.
主要成果:
- 在了解IMDC流行病学和便生物标志物的作用方面取得了重大进展.
- 关于IMDC的最佳治疗选择和长期结果的数据显著缺乏.
- 最近的发现需要对IMDC的当前管理协议进行更新.
结论:
- 本综述综合了IMDC知识的最新进展.
- 建议对IMDC进行更新的管理算法,增强以前的指南.
- 鉴于ICI的使用日益扩大,优化IMDC管理至关重要.
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