| Literature DB >> 32259917 |
Jun Hwan Yoo1, Stefan Holubar2, Florian Rieder3.
Abstract
The use of biologic agents including anti-tumor necrosis factor monoclonal antibodies followed by anti-integrins and anti-interleukins has drastically changed the treatment paradigm of Crohn's disease (CD) by improving clinical symptoms and mucosal healing. However, up to 70% of CD patients still eventually undergo surgery mainly due to fibrostenotic strictures. There are no specific anti-fibrotic drugs yet. This review comprehensively addresses the mechanism, prediction, diagnosis and treatment of the fibrostenotic strictures in CD. We also introduce promising anti-fibrotic agents which may be available in the near future and summarize challenges in developing novel therapies to treat fibrostenotic strictures in CD.Entities:
Keywords: Crohn disease; Endoscopic balloon dilatation; Fibrostenosis; Intestinal fibrosis; Stricture
Year: 2020 PMID: 32259917 DOI: 10.5217/ir.2019.09148
Source DB: PubMed Journal: Intest Res ISSN: 1598-9100