TY - JOUR
T1 - Corticosteroids in inflammatory bowel disease
T2 - Are they still a therapeutic option?
AU - Quera, Rodrigo
AU - Núñez, Paulina
AU - Sicilia, Beatriz
AU - Flores, Lilian
AU - Gomollón, Fernando
N1 - Publisher Copyright:
© 2022 The Author(s)
PY - 2022
Y1 - 2022
N2 - Despite the development and incorporation of new therapeutic strategies, such as biologic therapy and small molecules, corticosteroids still play an important role in inducting inflammatory bowel diseases (IBD) remission. Variables like indicating the right doses at the right time, in adequate intervals, the security of these drugs and the pharmacological alternatives available must be considered by the providers when they are indicated to patients with IBD. Although the use of corticosteroids is considered as a marker of quality of care in patients with IBD, the use of these drugs in the clinical practice of IBD is far from being the correct one. This review article is not intended to be just a classic review of the indications for corticosteroids. Here we explain the scenarios in which, in our opinion, steroids would not be an appropriate option for our patients, as well as the most frequent mistakes we make in our daily practice when using them.
AB - Despite the development and incorporation of new therapeutic strategies, such as biologic therapy and small molecules, corticosteroids still play an important role in inducting inflammatory bowel diseases (IBD) remission. Variables like indicating the right doses at the right time, in adequate intervals, the security of these drugs and the pharmacological alternatives available must be considered by the providers when they are indicated to patients with IBD. Although the use of corticosteroids is considered as a marker of quality of care in patients with IBD, the use of these drugs in the clinical practice of IBD is far from being the correct one. This review article is not intended to be just a classic review of the indications for corticosteroids. Here we explain the scenarios in which, in our opinion, steroids would not be an appropriate option for our patients, as well as the most frequent mistakes we make in our daily practice when using them.
KW - Budesonide
KW - Corticosteroids
KW - Health care
KW - Inflammatory bowel disease
KW - Steroids
KW - Treatment
UR - http://www.scopus.com/inward/record.url?scp=85144923486&partnerID=8YFLogxK
UR - https://www.mendeley.com/catalogue/dd55d5ad-a505-3201-8629-05699dbedeef/
U2 - 10.1016/j.gastrohep.2022.10.017
DO - 10.1016/j.gastrohep.2022.10.017
M3 - Article
C2 - 36375697
AN - SCOPUS:85144923486
SN - 0210-5705
VL - 46
SP - 716
EP - 726
JO - Gastroenterologia y Hepatologia
JF - Gastroenterologia y Hepatologia
IS - 9
ER -