Mucosal Healing in Crohn’s Disease: Bull’s Eye or Bust? “The Pro Position”

Background: Crohn’s disease (CD) is a chronic inflammatory disorder affecting the gastrointestinal tract with disease behaviour based on the depth and severity of mucosal injury. Cumulative injury can result in complications including stricture formation and penetrating complications which often req...

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Autores principales: Neil O’Moráin, Jayne Doherty, Roisin Stack, Glen A. Doherty
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Lenguaje:EN
Publicado: Karger Publishers 2021
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Acceso en línea:https://doaj.org/article/3aad84e79955407fa3e45aba553780a9
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spelling oai:doaj.org-article:3aad84e79955407fa3e45aba553780a92021-12-02T12:40:23ZMucosal Healing in Crohn’s Disease: Bull’s Eye or Bust? “The Pro Position”2296-94032296-936510.1159/000519521https://doaj.org/article/3aad84e79955407fa3e45aba553780a92021-11-01T00:00:00Zhttps://www.karger.com/Article/FullText/519521https://doaj.org/toc/2296-9403https://doaj.org/toc/2296-9365Background: Crohn’s disease (CD) is a chronic inflammatory disorder affecting the gastrointestinal tract with disease behaviour based on the depth and severity of mucosal injury. Cumulative injury can result in complications including stricture formation and penetrating complications which often require surgical resection of diseased segments of the intestine resulting in significant morbidity. Accurate assessment of disease activity and appropriate treatment is essential in preventing complications. Summary: Treatment targets in the management of CD have evolved with the advent of more potent immunosuppressive therapy. Targeting the resolution of sub-clinical inflammation and achieving mucosal healing is associated with the prevention of stricturing and penetrating complications. Identifying non-invasive modalities to assess mucosal healing remains a challenge. Key Messages: Mucosal healing minimizes the risk of developing disease complications, prolongs steroid-free survival, and reduces hospitalization and the need for surgical intervention.Neil O’MoráinJayne DohertyRoisin StackGlen A. DohertyKarger Publishersarticlecrohn’s diseasedisease assessmenttreatment targetsclinical remissionmucosal healingDiseases of the digestive system. GastroenterologyRC799-869ENInflammatory Intestinal Diseases, Pp 1-6 (2021)
institution DOAJ
collection DOAJ
language EN
topic crohn’s disease
disease assessment
treatment targets
clinical remission
mucosal healing
Diseases of the digestive system. Gastroenterology
RC799-869
spellingShingle crohn’s disease
disease assessment
treatment targets
clinical remission
mucosal healing
Diseases of the digestive system. Gastroenterology
RC799-869
Neil O’Moráin
Jayne Doherty
Roisin Stack
Glen A. Doherty
Mucosal Healing in Crohn’s Disease: Bull’s Eye or Bust? “The Pro Position”
description Background: Crohn’s disease (CD) is a chronic inflammatory disorder affecting the gastrointestinal tract with disease behaviour based on the depth and severity of mucosal injury. Cumulative injury can result in complications including stricture formation and penetrating complications which often require surgical resection of diseased segments of the intestine resulting in significant morbidity. Accurate assessment of disease activity and appropriate treatment is essential in preventing complications. Summary: Treatment targets in the management of CD have evolved with the advent of more potent immunosuppressive therapy. Targeting the resolution of sub-clinical inflammation and achieving mucosal healing is associated with the prevention of stricturing and penetrating complications. Identifying non-invasive modalities to assess mucosal healing remains a challenge. Key Messages: Mucosal healing minimizes the risk of developing disease complications, prolongs steroid-free survival, and reduces hospitalization and the need for surgical intervention.
format article
author Neil O’Moráin
Jayne Doherty
Roisin Stack
Glen A. Doherty
author_facet Neil O’Moráin
Jayne Doherty
Roisin Stack
Glen A. Doherty
author_sort Neil O’Moráin
title Mucosal Healing in Crohn’s Disease: Bull’s Eye or Bust? “The Pro Position”
title_short Mucosal Healing in Crohn’s Disease: Bull’s Eye or Bust? “The Pro Position”
title_full Mucosal Healing in Crohn’s Disease: Bull’s Eye or Bust? “The Pro Position”
title_fullStr Mucosal Healing in Crohn’s Disease: Bull’s Eye or Bust? “The Pro Position”
title_full_unstemmed Mucosal Healing in Crohn’s Disease: Bull’s Eye or Bust? “The Pro Position”
title_sort mucosal healing in crohn’s disease: bull’s eye or bust? “the pro position”
publisher Karger Publishers
publishDate 2021
url https://doaj.org/article/3aad84e79955407fa3e45aba553780a9
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AT roisinstack mucosalhealingincrohnsdiseasebullseyeorbusttheproposition
AT glenadoherty mucosalhealingincrohnsdiseasebullseyeorbusttheproposition
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