Home > Journals > Minerva Gastroenterologica e Dietologica > Past Issues > Minerva Gastroenterologica e Dietologica 2010 March;56(1) > Minerva Gastroenterologica e Dietologica 2010 March;56(1):27-34

CURRENT ISSUE
 

ARTICLE TOOLS

Reprints

MINERVA GASTROENTEROLOGICA E DIETOLOGICA

A Journal on Gastroenterology, Nutrition and Dietetics


Indexed/Abstracted in: CAB, EMBASE, PubMed/MEDLINE, Scopus, Emerging Sources Citation Index


eTOC

 

ORIGINAL ARTICLES  SMALL INTESTINE AND COLON: CURRENT PRINCIPLES AND PRACTICE


Minerva Gastroenterologica e Dietologica 2010 March;56(1):27-34

language: English

Outpatient care for inflammatory bowel disease at a primary referral hospital in Turin

Actis G. C., Rosina F.

Division of Gastro-Hepatology, Gradenigo Hospital, Turin, Italy


PDF  


AIM: This was a retrospective survey of 88 inflammatory bowel disease patients (43 with ulcerative colitis, 38 with Crohn’s disease, 7 with indeterminate colitis) who were visited between January 2008 and June 2009 at a newly established out-patient service at a primary care hospital in Turin.
METHODS: Treatments included corticosteroids (48 courses), mesalamines (79 courses), thiopurines (46 courses), and biological drugs (three treatments). With more extra-intestinal manifestations, more steroid needs, more visits and more surgeries, Crohn’s proved more fastidious than ulcerative colitis. All of the drugs used gave side-effects that required skilful action for control: switch to mercaptopurine was advantageously used to react to azathioprine intolerance.
RESULTS: Percentages of steroid needs, of stable remission, and resort to surgery were 30, 50, <20 and 40, 27, 30, respectively in ulcerative colitis and Crohn’s. Thiopurines played a crucial role in the maintenance of remission of ulcerative colitis: the patients maintaining remission in the absence of azathioprine had either been resected or had left-sided disease only; left-sided disease proved also fairly responsive to beclomethasone. The unusual conduction of this service by a single doctor caused an increased trust-in-physician, but also more bias and placebo effects as drawbacks.
CONCLUSIONS: The results suggest that in the last 30 years management of inflammatory bowel disease has still improved mainly due to refinement of the use of traditional drugs.

top of page

Publication History

Cite this article as

Corresponding author e-mail

actis_g@libero.it