کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
9241896 | 1209255 | 2005 | 13 صفحه PDF | دانلود رایگان |
عنوان انگلیسی مقاله ISI
Advances in Gastrointestinal Pharmacotherapy
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کلمات کلیدی
CCKTNFIBDPPISVRTh1/Th2 - Th1 / Th2interferon - اینترفرونIFN - اینترفرون هاinterleukin - اینترلوکینCrohn’s disease - بیماری کرونInflammatory bowel disease - بیماریهای التهابی رودهtumor necrosis factor - فاکتور نکروز تومورProton pump inhibitor - مهار کننده پمپ پروتونHCV - هپاتیت سیHepatitis C virus - هپاتیت سیSustained virologic response - پاسخ پایدار ویروسیcholecystokinin - کولهسیستوکینینUlcerative colitis - کولیت اولسراتیو
موضوعات مرتبط
علوم پزشکی و سلامت
پزشکی و دندانپزشکی
بیماریهای گوارشی
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چکیده انگلیسی
The medical management of patients with gastrointestinal diseases is advancing rapidly. At a recent symposium held during Digestive Disease Week in Chicago in May of 2005, specific attention was given to the future prospects for medical management of 3 common gastrointestinal disease areas: antisecretory therapy, chronic hepatitis C, and inflammatory bowel disease. Antisecretory approaches include drug combinations including a proton pump inhibitor, potassium competitive acid blockers, and antigastrin agents. The latter two classes are still experimental, but the former combinations have potential to enhance the highly effective agents currently available. The focus of treatment advances in chronic hepatitis C in the immediate future is the discovery of more effective treatment regimens for nonresponders to prior therapy, who are becoming the largest group of patients seeking treatment of hepatitis C. The combination of peginterferon with ribavirin results in 6%-15% sustained virologic response rates in patients who were prior nonresponders to standard interferon plus ribavirin. Newer strategies to eradicate hepatitis C virus infection using different interferons, such as interferon alfacon-1 or higher doses of peginterferon, or long-term maintenance peginterferon, are undergoing study and show promise based on data from preliminary studies. Several immunomodulators have promise in inflammatory bowel disease, although the risk-benefit ratio and costs of therapy require evaluation. Nevertheless, the success of new biologics such as anti-TNFα agents augurs well for effective future therapies.
ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Clinical Gastroenterology and Hepatology - Volume 3, Issue 12, December 2005, Pages 1167-1179
Journal: Clinical Gastroenterology and Hepatology - Volume 3, Issue 12, December 2005, Pages 1167-1179
نویسندگان
David C. Metz, Nimish Vakil, Emmet B. Keeffe, Gary R. Lichtenstein,