Journals / Turkish Journal of Hematology / 2012 / Cilt: 29 - Sayı: 4

Steroid dirençli gastrointestinal graft versus host hastalığında intramezenterik steroid uygulaması

Intramesenteric steroid treatment for steroid- refractory gastrointestinal graft versus host disease

Pages
409–412
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

In conclusion, intra-arterial steroid injection might be an alternative treatment approach for steroid-refractory GI GVHD.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Currently, steroid-refractory severe gastrointestinal (GI) graft versus host disease (GVHD) is among the most important complications of allogeneic transplantation, and as yet there is no standard approach to its treatment.
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Key Findings & Data:Herein we report two cases with steroid-refractory GI GVHD that received intramesenteric steroid treatment.
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Conclusion & Impact:In conclusion, intra-arterial steroid injection might be an alternative treatment approach for steroid-refractory GI GVHD.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Currently, steroid-refractory severe gastrointestinal (GI) graft versus host disease (GVHD) is among the most important complications of allogeneic transplantation, and as yet there is no standard approach to its treatment. Herein we report two cases with steroid-refractory GI GVHD that received intramesenteric steroid treatment. In both cases the frequency and volume of diarrhea resolved completely following intramesenteric methylprednisolone (MP) injection. In conclusion, intra-arterial steroid injection might be an alternative treatment approach for steroid-refractory GI GVHD.

Özet

Günümüzde, steroid dirençli gastrointestinal (Gİ) graft versus host hastalığı (GvHH) allogeneik transplantasyon yapılan hastalarda izlenen en sık komplikasyonlardan biridir ve henüz standart bir tedavi yaklaşımı yoktur. Burada, steroid refrakter GvHH olan iki vakanın intramezenterik steroid uygulamasına dair sonuçları bildirilmiştir. Her iki hastada intramezenterik metilprednizolon (MP) enjeksiyonunu takiben diarenin sıklığı ve miktarı tamamen düzelmiştir. Sonuç olarak, intra-arteriel steroid verilimi bu tip olgularda alternative bir tedavi yaklaşımı olabilir.

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Cite This Article

UĞUR, A. B., TOPÇUOĞLU, P., SANCAK, T., KONUK, N., ARAT, M. (2012). Steroid dirençli gastrointestinal graft versus host hastalığında intramezenterik steroid uygulaması. Turkish Journal of Hematology, Cilt: 29 - Sayı: 4, 409–412. https://ajindex.com/articles/413145

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References (5)

  1. Sato T, Sakamaki S, Nagaoka Y, Kuribayashi K, Nagamachi Y, Morii K, Honma H, Kogawa K, Kato J, Niitsu Y. Intra- Mesenteric Artery Steroid Administration Relieved Severe Refarctory Gastro-İntestinal Graft-Vs.-Host Disease in an Allogeneic Bone Marrow Transplantation Patient. Am J Hematol 1997; 56:277-280
  2. Tfayli A, Selby G, Maqbool F, Bierbaum W, Hamadani M. Role of Intra-arterial Steroid Administration in the Management of Steroid Refractory Acute Gastrointestinal Graft-Versus-Host Disease. Am J Hematol 2006; 81:959- 962
  3. Nakai K, Tajima K, Tanigawa N, Matsumoto N, Zen K, Nomura S, Fujimoto M, Kishimoto Y, Amakawa R, Sawada S, Fukuhara S. Intra-arterial Steroid-injection therapy for Steroid Refractory Acute Graft-Versus-Host Disease with the evaluation of angiography. Bone Marrow Transplant 2004; 33, 1231–1233
  4. Bolaños-Meade J, Vogelsang GB. Novel strategies for steroid-refractory acute graft-versus-host disease. Curr Opin Hematol 2005; 12:40-44 5. Ishii N, Chiba M, Suzuki T, Iizuka M, Masamune O, Kubo N. A successful case of intraarterial prednisolone injection therapy in severe ulserative colitis unresponsive to an intensive intravenous regimen. Gastroenterol Jpn 1993; 28:725-729 6. Momoshima S, Kohda E, Hiramatsu K, Asakura H. Intraarterial Prednisolone Infusion Therapy in Ulserative Colitis. AJR Am J Roentgenol 1985; 145:1057-1060 7. Shapira MY, Bloom AI, Or R, Sasson T, Nagler A, Resnick IB, Aker M, Zilberman I, Slavin S, Verstanding A. Intra- arterial catheter directed therapy for severe graft-versus- host disease. Br J Haematol 2002; 119:760-764 8. Rogler G, Meinel A, Lingauer A, Michl J, Zietz B, Gross V, Lang B, Andus T, Schölmerich J, Palitzsch KD. Glucocorticoid receptors are down-regulated in inflamed colonic mucosa but not in peripheral blood mononuklear cells from patients with inflammatory bowel disease. Eur J Clin Invest. 1999 Apr;29:330-336
  5. Schottelius A, Wedel S, Weltrich R, Rohde W, Buttgereit F, Schreiber S, Lochs H. Higher expression of glucocorticoid receptor in peripheral mononuklear cells in inflammatory bowel disease. Am J Gastroenterol 2000; 95:1945-1999