Year 2024 / Volume 116 / Number 11
Letter
Treatment with hyperbaric oxygen in a Crohn’s disease patient

640-641

DOI: 10.17235/reed.2024.10166/2023

Paula Calderón, Rodrigo Quera, Paulina Núñez, Lilian Flores,

Abstract
Despite advances in the treatment of inflammatory bowel disease, particularly with biological therapies and new small molecules, a significant gap still exists in achieving persistent remission from a symptomatic, biomarker, and endoscopic perspective. In this context, hyperbaric oxygen therapy (HBOT) is considered as a therapeutic strategy. This approach has also been suggested for managing ischemic ulcers located at anastomotic sites. In this clinical case, we describe the clinical and endoscopic evolution of a challenging-to-manage Crohn's disease (CD) patient with an ischemic ulcer at the ileo-rectal anastomosis who underwent HBOT.
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References
1. Turner D, Ricciuto A, Lewis A, D'Amico F, Dhaliwal J, Griffiths AM, et al. STRIDE-II: An update on the Selecting therapeutic Targets in Inflammatory Bowel Disease (STRIDE) initiative of the International Organization for the Study of IBD (IOIBD): Determining therapeutic goals for Treat-to-Target strategies in IBD. Gastroenterology 2021; 160:1570-83. doi: 10.1053/j.gastro.2020.12.031.
2. Catalán-Serra I, Ricanek P, Grimstad T. “Out of the box” new therapeutic strategies for Crohn´s disease: moving beyond biologics. Rev Esp Enf Dig 2022 Jun 24. doi: 10.17235/reed.2022.9010/2022
3. Pateria P, Chong A. A recurrent, ischaemic ileocolonic anastomosis ulcer refractory to surgery treated with hyperbaric oxygen. Diving Hyperb Med 2018;48:194-6. doi: 10.28920/dhm48.3.194-196.
4. Sanzi M, Aiolfi A, Marin JN, Darawsh AEH, Bona D. Hyperbaric oxygen treatment for late now colorectal anastomosis ischaemia
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Calderón P, Quera R, Núñez P, Flores L. Treatment with hyperbaric oxygen in a Crohn’s disease patient. 10166/2023


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Publication history

Received: 13/12/2023

Accepted: 18/12/2023

Online First: 18/01/2024

Published: 11/11/2024

Article Online First time: 36 days

Article editing time: 334 days


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