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Complete endoscopic healing associated with better outcomes than partial endoscopic healing in patients with Crohn disease

Clinical Gastroenterology and Hepatology Feb 17, 2020

Yzet C, Diouf M, Le Mouel JP, et al. - Given that mucosal healing (MH) was correlated with good outcomes of patients with Crohn disease (CD), researchers conducted this retrospective study to evaluate long-term outcomes of patients with CD according to different levels of MH. The sample consisted of 84 individuals with CD and MH who received biologic therapy (80% with infliximab) from 2008 through 2015 at two university hospitals in France and contrasted outcomes of patients with CD endoscopic index scores (CDEISs) of 0 vs CDEISs greater than 0 but less than 4. Twenty-seven patients had treatment failure and three patients had an intestinal resection after a median follow-up time of 4.8 years. Findings suggested an association of complete endoscopic healing (CDEIS = 0) with better long-term outcomes compared with partial endoscopic healing (CDEIS = 1–4) in patients with CD, as well as fewer surgeries and hospitalizations and overall reduced risk of treatment failure.
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