Table of Contents
Ulcers
Volume 2011 (2011), Article ID 156407, 7 pages
http://dx.doi.org/10.1155/2011/156407
Research Article

Short-and Long-Term Clinical Outcomes of Infliximab in Fulminant Ulcerative Colitis

1Laboratory of Gastroenterology, Institute of Clinical Medicine, University of Tromsø, 9037 Tromsø, Norway
2Department of Medical Gastroenterology, University Hospital of North Norway, 9037 Tromsø, Norway

Received 16 September 2010; Revised 3 December 2010; Accepted 14 December 2010

Academic Editor: Kazunari Tominaga

Copyright © 2011 J. Florholmen et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

The aim was to characterize short- and long-term clinical outcomes of infliximab in fulminant ulcerative colitis. Patients with severe ulcerative colitis meeting the criteria of fulminant colitis after 3 days of glucocorticosteroid treatment were randomized to control or additional induction therapy of infliximab followed by an on demand/maintenance therapy of infliximab. Twenty six patients with fulminant colitis were equally randomized. At Day 7, ten patients in the control group and none in the infliximab group were in the need of colectomy ( 𝑃 < . 0 0 1 ). Due to superior effect of infliximab, patients in the control group were of ethical reasons transformed to infliximab treatment instead of performing colectomy. The probability to avoid colectomy was 0.66 with a median observation time of 52 months and a maximal of 91 months. The addition of azathioprine reduced the risk of late colectomy. We conclude that infliximab is effective in preventing early and late colectomy in fulminant colitis.