The main objectives in Crohn's disease are to avoid disease complications and preserve the patient's quality of life. Early disease control and close monitoring with specific targets to reach might be the only way to change the disease course. In two decades, we have moved from clinical response to full remission (clinical and endoscopic remission) requiring a tight monitoring of both symptoms and objective signs of inflammation. This review summarizes the concepts of tight control and treat-to-target and their potential for disease modification.
机构:
Univ Pittsburgh, Div Gastroenterol Hepatol & Nutr, Med Ctr, Pittsburgh, PA 15213 USAUniv Pittsburgh, Div Gastroenterol Hepatol & Nutr, Med Ctr, Pittsburgh, PA 15213 USA
Hashash, Jana G.
Regueiro, Miguel D.
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机构:
Univ Pittsburgh, Div Gastroenterol Hepatol & Nutr, Ctr Inflammatory Bowel Dis, Sch Med, Pittsburgh, PA 15213 USAUniv Pittsburgh, Div Gastroenterol Hepatol & Nutr, Med Ctr, Pittsburgh, PA 15213 USA
机构:
Western Univ, Div Gastroenterol, Dept Med, London, ON, Canada
Western Univ, Div Gastroenterol, Dept Epidemiol, London, ON, Canada
Western Univ, Div Gastroenterol, Dept Biostat, London, ON, CanadaWestern Univ, Div Gastroenterol, Dept Med, London, ON, Canada
机构:
Virginia Tech Carilion Sch Med, Div Gastroenterol, IBD Ctr, Roanoke, VA 24016 USAVirginia Tech Carilion Sch Med, Div Gastroenterol, IBD Ctr, Roanoke, VA 24016 USA
Nguyen, Vu Q.
Sorrentino, Dario
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Virginia Tech Carilion Sch Med, Div Gastroenterol, IBD Ctr, Roanoke, VA 24016 USA
Univ Udine, Dept Clin & Expt Med Sci, Sch Med, Udine, ItalyVirginia Tech Carilion Sch Med, Div Gastroenterol, IBD Ctr, Roanoke, VA 24016 USA