2005
DOI: 10.1053/j.gastro.2005.05.064
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Management of Recent Onset Crohn’s Disease: A Controlled, Randomized Trial Comparing Step-up and Top-down Therapy

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Cited by 50 publications
(42 citation statements)
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“…Early administration of aggressive medical therapy with biologics and/or immunomodulators has been shown to alter the natural history of CD. [12][13][14] Since biologics do not come without potential risks, 15,16 the topdown strategy should be reserved for selected patients who have a high chance of developing complications.…”
Section: Discussionmentioning
confidence: 99%
“…Early administration of aggressive medical therapy with biologics and/or immunomodulators has been shown to alter the natural history of CD. [12][13][14] Since biologics do not come without potential risks, 15,16 the topdown strategy should be reserved for selected patients who have a high chance of developing complications.…”
Section: Discussionmentioning
confidence: 99%
“…The search for conference abstracts yielded no further relevant trials. An abstract of the study by Hommes et al 61 was identified, which is referred to in Chapter 5, Other relevant factors. This study did not meet the criterion of a population of CD patients who are resistant or intolerant to conventional treatment.…”
Section: Quantity Of Research Availablementioning
confidence: 99%
“…Estudios han sugerido que el uso precoz de infliximab (top-down), se ha relacionado con un mejor control de la inflamación, lo que se traduce en una disminución de las secuelas crónicas, como estenosis y fístulas complejas entre otros, que implican la necesidad de cirugía en los pacientes con EII [33][34][35] . El estudio SONIC demostró que en pacientes con EC vírgenes a inmunosupresores el uso combinado de infliximab y azatioprina es más efectivo en lograr la remisión libre de esteroides y la curación de la mucosa en comparación con ambos grupos de fármacos de manera separada 33 .…”
Section: Discussionunclassified