Resumen
The association between inflammatory bowel disease (IBD)and primary sclerosing cholangitis should be considered a distinct clinical entity. This association involves genetic abnormalities, epidemiological factors (more common in men, with no a geographical pattern)and, commonly, subclinical inflammation, predominance of the right colon (endoscopic and histological), backwash ileitis and rectal sparing. Furthermore, there is an increased risk of colorectal cancer and cholangiocarcinoma. The aim of this review is to show how IBD influences the progression of this entity, transplantation requirements and recurrence. We also discuss the current evidence on the use of biological therapy in this group of patients.
Título traducido de la contribución | Primary sclerosing cholangitis and inflammatory bowel disease: Intestine-liver interrelation |
---|---|
Idioma original | Español |
Páginas (desde-hasta) | 316-325 |
Número de páginas | 10 |
Publicación | Gastroenterologia y Hepatologia |
Volumen | 42 |
N.º | 5 |
DOI | |
Estado | Publicada - may. 2019 |
Publicado de forma externa | Sí |
Nota bibliográfica
Publisher Copyright:© 2019 Elsevier España, S.L.U.
Palabras clave
- Crohn's disease
- Inflammatory bowel disease
- Primary sclerosing cholangitis
- Ulcerative colitis