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Improving Clinical, Endoscopic and Histological Outcomes in Inflammatory Bowel Disease

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thesis
posted on 01.03.2021, 10:52 authored by BRITT CHRISTENSEN
This thesis demonstrates that histologic healing in Crohn's disease and histological healing or normalisation in ulcerative colitis are associated with improved short- and long-term clinical outcomes. Vedolizumab, a novel anti-integrin medication, is effective at inducing mucosal and histological healing in IBD and can be effectively combined with calcineurin inhibitors to rapidly induce and maintain remission in patients with severe disease. However, a treatment gap remans and IBD patients with primary sclerosing cholangitis do not gain additional benefit in regard to their liver disease. These findings hold the prospect of changing both future IBD clinical care and clinical trial design.

History

Principal supervisor

Peter Gibson

Additional supervisor 1

David Rubin

Year of Award

2021

Department, School or Centre

Medicine - Alfred

Additional Institution or Organisation

University of Chicago

Campus location

Australia

Course

Doctor of Philosophy

Degree Type

DOCTORATE

Faculty

Faculty of Medicine, Nursing and Health Sciences