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Clinical outcomes and predictive factors for response after the first course of corticosteroid therapy in patients with Crohn's disease

 Duk Hwan Kim  ;  Jae Hee Cheon  ;  Jae Jun Park  ;  Jin Young Yoon  ;  Chang Mo Moon  ;  Sung Pil Hong  ;  Tae Il Kim  ;  Won Ho Kim 
 Gut and Liver, Vol.7(1) : 58-65, 2013 
Journal Title
 Gut and Liver 
Issue Date
BACKGROUND/AIMS: This study sought to determine the natural course of Crohn's disease (CD) and identify predictors that could indicate responsiveness to corticosteroid (CS) therapy. METHODS: Patients with active CD who were treated with oral CS at a single institution between August 1994 and February 2008 were retrospectively reviewed. The clinical outcomes at 1 month, 4 months, and 1 year after the treatment, as well as clinical and biochemical parameters at the time of CS initiation, were evaluated. RESULTS: A total of 96 patients with CD were enrolled. In this study, 37 patients achieved complete remission (38.5%), 49 achieved partial remission (51.0%), and 10 (10.4%) showed no response at 1 month after the initiation of CS treatment. At 4 months and 1 year after treatment, 66 (69.5%) and 47 (56.6%) patients showed prolonged response, 22 (23.2%) and 20 (24.1%) showed steroid dependency, and 7 (7.4%) and 16 (19.3%) showed refractoriness, respectively. Nonstricturing and nonpenetrating behaviors and a lower CD activity index demonstrated clinical significance for mid-term or mid- and long-term steroid responses, respectively. CONCLUSIONS: The short-term response rate to initial oral CS therapy in CD was considerably high, but responsiveness thereafter showed a tendency to decrease with time. Clinical parameters reflecting mild inflammation were associated with responsiveness after CS treatment.
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1. Journal Papers (연구논문) > 1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실)
Yonsei Authors
김덕환(Kim, Duk Hwan)
김원호(Kim, Won Ho)
김태일(Kim, Tae Il)
문창모(Moon, Chang Mo)
박재준(Park, Jae Jun)
천재희(Cheon, Jae Hee)
홍성필(Hong, Sung Pil)
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