Changes in Therapy Are Not Associated With Increased Remission in Patients With Crohn's Disease of the Pouch.

Kayal, Maia; Deepak, Parakkal; Beniwal-Patel, Poonam; Raffals, Laura; Dubinsky, Marla; Chang, Shannon; Higgins, Peter D R; Jiang, Yue et al. · Am J Gastroenterol · 2024

prospective_cohort · Level II

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Abstract

There is a paucity of data on the real-world effectiveness of therapies in patients with Crohn's disease of the pouch. This was a prospective multicenter study evaluating the primary outcome of remission at 12 months of therapy for Crohn's disease of the pouch. One hundred thirty-four patients were enrolled. Among the 77 patients with symptoms at baseline, 35 (46.7%) achieved remission at 12 months. Of them, 12 (34.3%) changed therapy. There was no significant association between therapy patterns and remission status. Approximately 50% with symptoms at enrollment achieved clinical remission at 12 months, most of whom did so without a change in therapy.

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