The Italian Society of Gastroenterology (SIGE) and the Italian Group for the study of Inflammatory Bowel Disease (IG-IBD) Clinical Practice Guidelines: The use of tumor necrosis factor-alpha antagonist therapy in Inflammatory Bowel Disease

Ambrogio Orlando, Alessandro Armuzzi, Claudio Papi, Vito Annese, Sandro Ardizzone, Livia Biancone, Aurora Bortoli, Fabiana Castiglione, Renata D'Incà, Paolo Gionchetti, Anna Kohn, Gilberto Poggioli, Fernando Rizzello, Maurizio Vecchi, Mario Cottone

Research output: Contribution to journalArticlepeer-review

Abstract

Biological therapies are an important step in the management of Inflammatory Bowel Diseases. In consideration of high cost and safety issues there is the need to have clear recommendations for their use. Despite the American Gastroenterological Association and the European Crohn's and Colitis Organisation have published exhaustive Inflammatory Bowel Disease guidelines, national guidelines may be necessary as cultural values, economical and legal issues may differ between countries. For these reasons the Italian Society of Gastroenterology and the Italian Group for the study of Inflammatory Bowel Disease have decided to elaborate the Italian guidelines on the use of biologics in Inflammatory Bowel Disease. The following items have been chosen: definitions of active, inactive, steroid dependent and resistant disease; measures of activity; anti-tumor necrosis factor alpha therapy use in active steroid dependent and refractory luminal Crohn's Disease, in fistulising Crohn's Disease, in steroid dependent and resistant active Ulcerative Colitis; risk of cancer; risk of infections during anti-tumor necrosis factor alpha therapy; special situations. These guidelines are based on evidence from relevant medical literature and clinical experience of a national working group.

Original languageEnglish
Pages (from-to)1-20
Number of pages20
JournalDigestive and Liver Disease
Volume43
Issue number1
DOIs
Publication statusPublished - Jan 2011

Keywords

  • Biologics
  • Guidelines
  • Inflammatory Bowel Disease
  • Tumor necrosis factor-alpha antagonist

ASJC Scopus subject areas

  • Gastroenterology
  • Hepatology

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