Successful Long-Term Use of Infliximab in Refractory Pouchitis in an Adolescent

Pouchitis is a common complication that develops after an ileal pouch-anal anastomosis after colectomy for ulcerative colitis. In some cases, pouchitis becomes chronic and refractory to conventional therapies including antibiotics, corticosteroids, immunomodulators, probiotics, and anti-inflammatory...

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Main Authors: Jessica Yeates, Mohsin Rashid
Format: Article
Language:English
Published: Wiley 2010-01-01
Series:Gastroenterology Research and Practice
Online Access:http://dx.doi.org/10.1155/2010/860394
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author Jessica Yeates
Mohsin Rashid
author_facet Jessica Yeates
Mohsin Rashid
author_sort Jessica Yeates
collection DOAJ
description Pouchitis is a common complication that develops after an ileal pouch-anal anastomosis after colectomy for ulcerative colitis. In some cases, pouchitis becomes chronic and refractory to conventional therapies including antibiotics, corticosteroids, immunomodulators, probiotics, and anti-inflammatory drugs. We report a case of an adolescent with chronic pouchitis who not only improved with infliximab therapy but remains in long-term remission with maintenance therapy without any adverse effects. Infliximab is a safe and effective therapy for refractory pouchitis and may obviate the need for pouch removal and a permanent ileostomy.
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spelling doaj-art-af03e7150fc64e76abedee550e9b09ee2025-08-20T02:23:15ZengWileyGastroenterology Research and Practice1687-61211687-630X2010-01-01201010.1155/2010/860394860394Successful Long-Term Use of Infliximab in Refractory Pouchitis in an AdolescentJessica Yeates0Mohsin Rashid1Division of Gastroenterology and Nutrition, Department of Paediatrics, Faculty of Medicine, Dalhousie University, IWK Health Centre, 5850 University Avenue, Halifax, NS, B3K 6R8, CanadaDivision of Gastroenterology and Nutrition, Department of Paediatrics, Faculty of Medicine, Dalhousie University, IWK Health Centre, 5850 University Avenue, Halifax, NS, B3K 6R8, CanadaPouchitis is a common complication that develops after an ileal pouch-anal anastomosis after colectomy for ulcerative colitis. In some cases, pouchitis becomes chronic and refractory to conventional therapies including antibiotics, corticosteroids, immunomodulators, probiotics, and anti-inflammatory drugs. We report a case of an adolescent with chronic pouchitis who not only improved with infliximab therapy but remains in long-term remission with maintenance therapy without any adverse effects. Infliximab is a safe and effective therapy for refractory pouchitis and may obviate the need for pouch removal and a permanent ileostomy.http://dx.doi.org/10.1155/2010/860394
spellingShingle Jessica Yeates
Mohsin Rashid
Successful Long-Term Use of Infliximab in Refractory Pouchitis in an Adolescent
Gastroenterology Research and Practice
title Successful Long-Term Use of Infliximab in Refractory Pouchitis in an Adolescent
title_full Successful Long-Term Use of Infliximab in Refractory Pouchitis in an Adolescent
title_fullStr Successful Long-Term Use of Infliximab in Refractory Pouchitis in an Adolescent
title_full_unstemmed Successful Long-Term Use of Infliximab in Refractory Pouchitis in an Adolescent
title_short Successful Long-Term Use of Infliximab in Refractory Pouchitis in an Adolescent
title_sort successful long term use of infliximab in refractory pouchitis in an adolescent
url http://dx.doi.org/10.1155/2010/860394
work_keys_str_mv AT jessicayeates successfullongtermuseofinfliximabinrefractorypouchitisinanadolescent
AT mohsinrashid successfullongtermuseofinfliximabinrefractorypouchitisinanadolescent