Abstract
The introduction of the anti-tumor necrosis factorα agents (anti-TNFα) in clinical practice has greatly advanced the treatment of inflammatory bowel disease. The use of these medications results in durable remission in a subset of patients, preventing surgery and hospitalizations. However, there are some concerns about safety and costs associated with their long-term use. Therefore, anti-TNF withdrawal has emerged as an important consideration in clinical practice. Herein our goal was to discuss the available evidence about anti-TNFα discontinuation in IBD that could inform the clinician on the expected rates of relapse, the potential predictors of relapse, as well the response to re-treatment.
Translated title of the contribution | Discontinuação dos Anti-TNF na doença inflamatória intestinal |
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Original language | English |
Pages (from-to) | 153-161 |
Number of pages | 9 |
Journal | GE Portuguese Journal of Gastroenterology |
Volume | 23 |
Issue number | 3 |
DOIs | |
Publication status | Published - 1 May 2016 |
Externally published | Yes |
Keywords
- Inflammatory Bowel Diseases/drug therapy
- Tumor Necrosis Factor-Alpha/antagonists and inhibitors
- Tumor Necrosis Factor-Alpha/therapeutic use
- Withholding treatment