Scientific corner

Addition of granulocyte/monocyte apheresis to oral prednisone for steroid-dependent ulcerative colitis: A randomized, multicentre, clinical trial.

Eugeni Domènech 1Julián Panés 2Joaquín Hinojosa 3Vito Annese 4Fernando Magro 5Giacomo Carlo Sturniolo 6Fabrizio Bossa 7Francisco Fernández 8Benito González-Conde 9Valle García-Sánchez 10Axel Dignass 11José Manuel Herrera 12José Luis Cabriada 13Jordi Guardiola 14Maurizio Vecchi 15Francisco Portela 16Daniel Ginard 17, J Crohns Colitis. 2018 May 25;12(6):687-694.

In a randomized trial, the addition of 7 weekly sessions of GMA to a conventional course of oral prednisone did not increase the proportion of steroid-free remissions in patients with active steroid-dependent UC, though it delayed clinical relapse.

https://pubmed.ncbi.nlm.nih.gov/29490024/

Scientific corner

Efficacy of granulocyte and monocyte apheresis for antibiotic-refractory pouchitis after proctocolectomy for ulcerative colitis: an open-label, prospective, multicentre study

Takayuki Yamamoto 1Toshiaki Tanaka 2Tadashi Yokoyama 3Takahiro Shimoyama 1Hiroki Ikeuchi 4Motoi Uchino 4Toshiaki Watanabe 5 , Therap Adv Gastroenterol. 2017 Feb;10(2):199-206.

GMA has a good safety profile, but its efficacy appears to be limited in the management of chronic refractory pouchitis. However, a large controlled study should be conducted to evaluate the efficacy of GMA therapy in patients with pouchitis at an earlier clinical stage, before the disease has become refractory to conventional medical therapy.

https://pubmed.ncbi.nlm.nih.gov/28203278/

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5298477/pdf/10.1177_1756283X16679348.pdf

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