1.Preoperative use of anti-tumor necrosis factor therapy in Crohn's disease: promises and pitfalls.
Paulo Gustavo KOTZE ; Subrata GHOSH ; Willem A BEMELMAN ; Remo PANACCIONE
Intestinal Research 2017;15(2):160-165
Recent advances in medical and surgical therapy were achieved during the last two decades in the management of Crohn's disease (CD). Anti-tumor necrosis factor (anti-TNF) agents are widely used worldwide. However, a significant proportion of patients still need surgical resections. The impact of previous exposure to these agents on the perioperative and postoperative outcomes is still controversial. In this critical review, we aimed to position the strategy of intentional preoperative use of anti-TNF agents in the management of CD. The indications and contraindications for this strategy are detailed, and despite scarce evidence, the possible advantages and disadvantages of the intentional use of anti-TNF agents before abdominal surgery in CD are discussed.
Crohn Disease*
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Humans
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Necrosis*
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Preoperative Care
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Tumor Necrosis Factor-alpha
2.The old versus the new: which do you keep in postoperative Crohn's disease?.
Paulo Gustavo KOTZE ; Christopher MA ; Miguel REGUEIRO ; Remo PANACCIONE
Intestinal Research 2018;16(2):319-320
No abstract available.
Crohn Disease*
3.Artificial intelligence in inflammatory bowel disease: implications for clinical practice and future directions
Harris A. AHMAD ; James E. EAST ; Remo PANACCIONE ; Simon TRAVIS ; James B. CANAVAN ; Keith USISKIN ; Michael F. BYRNE
Intestinal Research 2023;21(3):283-294
Inflammatory bowel disease encompasses Crohn’s disease and ulcerative colitis and is characterized by uncontrolled, relapsing, and remitting course of inflammation in the gastrointestinal tract. Artificial intelligence represents a new era within the field of gastroenterology, and the amount of research surrounding artificial intelligence in patients with inflammatory bowel disease is on the rise. As clinical trial outcomes and treatment targets evolve in inflammatory bowel disease, artificial intelligence may prove as a valuable tool for providing accurate, consistent, and reproducible evaluations of endoscopic appearance and histologic activity, thereby optimizing the diagnosis process and identifying disease severity. Furthermore, as the applications of artificial intelligence for inflammatory bowel disease continue to expand, they may present an ideal opportunity for improving disease management by predicting treatment response to biologic therapies and for refining the standard of care by setting the basis for future treatment personalization and cost reduction. The purpose of this review is to provide an overview of the unmet needs in the management of inflammatory bowel disease in clinical practice and how artificial intelligence tools can address these gaps to transform patient care.