{"id":5588,"date":"2012-07-01T09:15:00","date_gmt":"2012-07-01T09:15:00","guid":{"rendered":"https:\/\/www.adacyte.com\/?post_type=scientific-corner&#038;p=5588"},"modified":"2021-07-12T07:42:48","modified_gmt":"2021-07-12T07:42:48","slug":"steroid-sparing-strategies-in-the-management-of-ulcerative-colitis-efficacy-of-leukocytapheresis","status":"publish","type":"scientific-corner","link":"https:\/\/www.adacyte.com\/de\/professional\/scientific-corner\/steroid-sparing-strategies-in-the-management-of-ulcerative-colitis-efficacy-of-leukocytapheresis\/","title":{"rendered":"Steroid-sparing strategies in the management of ulcerative colitis: Efficacy of leukocytapheresis."},"content":{"rendered":"<div class=\"post-content max-w-987 mx-auto px-20 lg:px-0\">\n<p><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/?term=Shiraki+M&amp;cauthor_id=23139598\">Manabu Shiraki<\/a>,&nbsp;<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/?term=Yamamoto+T&amp;cauthor_id=23139598\">Takayuki Yamamoto<\/a> , World J Gastroenterol. 2012 Nov 7;18(41):5833-8.<\/p>\n<\/div>\n\n<div class=\"post-content max-w-987 mx-auto px-20 lg:px-0\">\n<p>Active ulcerative colitis (UC) is frequently associated with infiltration of a large number of leukocytes into the bowel mucosa. Leukocytapheresis is a novel nonpharmacologic approach for active UC, in which leukocytes are mechanically removed from the circulatory system. Current data indicate that leukocytapheresis is efficacious in improving response and remission rates with excellent tolerability and safety in patients with UC. Corticosteroid therapy remains a mainstay in the treatment of active UC; however, long-term, high doses of corticosteroids usually produce predictable and potentially serious side effects. If leukocytapheresis can spare patients from exposure to corticosteroids, the risk of steroid-induced adverse events should be minimized. This may be of great benefit to patients because severe side effects of steroids seriously impair health-related quality of life. In this article, we reviewed current evidence on whether leukocytapheresis can avoid or reduce the use of corticosteroids in the management of patients with UC. Several studies have shown that leukocytapheresis was effective for steroid-na\u00efve patients with active UC. Furthermore, both short-term and long-term studies have demonstrated the steroid-sparing effects of leukocytapheresis therapy in patients with UC. Although the evidence level is not striking, the available data suggest that leukocytapheresis can avoid or reduce the use of corticosteroids in the management of UC. Large, well-designed clinical trials are necessary to more accurately evaluate the steroid-sparing effects of leukocytapheresis in the management of UC.<\/p>\n<\/div>\n\n<div class=\"post-content max-w-987 mx-auto px-20 lg:px-0\">\n<p><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/23139598\/\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/pubmed.ncbi.nlm.nih.gov\/23139598\/<\/a><\/p>\n<\/div>\n\n<div class=\"post-content max-w-987 mx-auto px-20 lg:px-0\">\n<p><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC3491589\/pdf\/WJG-18-5833.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC3491589\/pdf\/WJG-18-5833.pdf<\/a><\/p>\n<\/div>","protected":false},"excerpt":{"rendered":"<p>Manabu Shiraki,&nbsp;Takayuki Yamamoto , World J Gastroenterol. 2012 Nov 7;18(41):5833-8. Active ulcerative colitis (UC) is frequently associated with infiltration of a large number of leukocytes into the bowel mucosa. Leukocytapheresis is a novel nonpharmacologic approach for active UC, in which leukocytes are mechanically removed from the circulatory system. Current data indicate that leukocytapheresis is efficacious [&hellip;]<\/p>\n","protected":false},"template":"","scientific_tags":[138,74,354,185,306],"class_list":["post-5588","scientific-corner","type-scientific-corner","status-publish","hentry","scientific_tags-corticosteroids","scientific_tags-leukocytapheresis","scientific_tags-steroid-sparing","scientific_tags-steroid-naive","scientific_tags-ulcerative-colitis"],"acf":{"sc_authors":""},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.9 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Steroid-sparing strategies in the management of ulcerative colitis: Efficacy of leukocytapheresis. - Adacyte<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.adacyte.com\/professional\/scientific-corner\/steroid-sparing-strategies-in-the-management-of-ulcerative-colitis-efficacy-of-leukocytapheresis\/\" \/>\n<meta property=\"og:locale\" content=\"de_DE\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Steroid-sparing strategies in the management of ulcerative colitis: Efficacy of leukocytapheresis. - Adacyte\" \/>\n<meta property=\"og:description\" content=\"Manabu Shiraki,&nbsp;Takayuki Yamamoto , World J Gastroenterol. 2012 Nov 7;18(41):5833-8. Active ulcerative colitis (UC) is frequently associated with infiltration of a large number of leukocytes into the bowel mucosa. Leukocytapheresis is a novel nonpharmacologic approach for active UC, in which leukocytes are mechanically removed from the circulatory system. Current data indicate that leukocytapheresis is efficacious [&hellip;]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.adacyte.com\/professional\/scientific-corner\/steroid-sparing-strategies-in-the-management-of-ulcerative-colitis-efficacy-of-leukocytapheresis\/\" \/>\n<meta property=\"og:site_name\" content=\"Adacyte\" \/>\n<meta property=\"article:modified_time\" content=\"2021-07-12T07:42:48+00:00\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Gesch\u00e4tzte Lesezeit\" \/>\n\t<meta name=\"twitter:data1\" content=\"2\u00a0Minuten\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/www.adacyte.com\/professional\/scientific-corner\/steroid-sparing-strategies-in-the-management-of-ulcerative-colitis-efficacy-of-leukocytapheresis\/\",\"url\":\"https:\/\/www.adacyte.com\/professional\/scientific-corner\/steroid-sparing-strategies-in-the-management-of-ulcerative-colitis-efficacy-of-leukocytapheresis\/\",\"name\":\"Steroid-sparing strategies in the management of ulcerative colitis: Efficacy of leukocytapheresis. - Adacyte\",\"isPartOf\":{\"@id\":\"https:\/\/www.adacyte.com\/#website\"},\"datePublished\":\"2012-07-01T09:15:00+00:00\",\"dateModified\":\"2021-07-12T07:42:48+00:00\",\"inLanguage\":\"de\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/www.adacyte.com\/professional\/scientific-corner\/steroid-sparing-strategies-in-the-management-of-ulcerative-colitis-efficacy-of-leukocytapheresis\/\"]}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/www.adacyte.com\/#website\",\"url\":\"https:\/\/www.adacyte.com\/\",\"name\":\"Adacyte\",\"description\":\"Adacyte Therapeutics\",\"publisher\":{\"@id\":\"https:\/\/www.adacyte.com\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/www.adacyte.com\/?s={search_term_string}\"},\"query-input\":\"required name=search_term_string\"}],\"inLanguage\":\"de\"},{\"@type\":\"Organization\",\"@id\":\"https:\/\/www.adacyte.com\/#organization\",\"name\":\"Adacyte\",\"url\":\"https:\/\/www.adacyte.com\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"de\",\"@id\":\"https:\/\/www.adacyte.com\/#\/schema\/logo\/image\/\",\"url\":\"https:\/\/www.adacyte.com\/wp-content\/uploads\/2021\/01\/logo-adacyte.svg\",\"contentUrl\":\"https:\/\/www.adacyte.com\/wp-content\/uploads\/2021\/01\/logo-adacyte.svg\",\"width\":165,\"height\":46,\"caption\":\"Adacyte\"},\"image\":{\"@id\":\"https:\/\/www.adacyte.com\/#\/schema\/logo\/image\/\"}}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Steroid-sparing strategies in the management of ulcerative colitis: Efficacy of leukocytapheresis. - Adacyte","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/www.adacyte.com\/professional\/scientific-corner\/steroid-sparing-strategies-in-the-management-of-ulcerative-colitis-efficacy-of-leukocytapheresis\/","og_locale":"de_DE","og_type":"article","og_title":"Steroid-sparing strategies in the management of ulcerative colitis: Efficacy of leukocytapheresis. - Adacyte","og_description":"Manabu Shiraki,&nbsp;Takayuki Yamamoto , World J Gastroenterol. 2012 Nov 7;18(41):5833-8. Active ulcerative colitis (UC) is frequently associated with infiltration of a large number of leukocytes into the bowel mucosa. Leukocytapheresis is a novel nonpharmacologic approach for active UC, in which leukocytes are mechanically removed from the circulatory system. 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