溃疡性结肠炎的癌症预防。

D V Podolskaya, M V Shapina, I L Khalif
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引用次数: 0

摘要

结直肠癌(CRC)是当今一个现实问题,其在炎症性肠病(IBD)患者中的发病率是健康人群的6倍。IBD患者的结直肠癌更具侵袭性,需要全结肠切除术,导致永久性残疾,这就是为什么癌症预防是IBD治疗的关键目标之一。本文综述了结直肠癌在IBD中的实际发病途径和化学预防方法。本文综述了结直肠癌的危险因素,可归纳为侵袭性疾病和慢性炎症,并以结直肠癌的发病机制为基础。这就是为什么化学预防方法需要影响炎症和其他发病途径的原因。本文综述了非甾体类抗炎药、5-氨基水杨酸、免疫调节剂、熊去氧胆酸等药物在RD患者癌症预防中的作用。
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CANCERPREVENTIVE IN ULCERATIVE COLITIS.

Colorectal cancer (CRC) is an actual problem today And it occurs 6 times more frequently in patients with inflammatory bowel diseases (IBD) than in healthy population. CRC in IBD patients is more aggressive and needs total colectomy, which leads to permanent disability That is why canceroprevention is one of the key goals of IBD treatment. The aim of this review is to overview actual pathogenesis pathways of CRC in IBD and methods of chemoprevention. In this review we describe risk factors of CRC, which can be summarized as aggressive disease and chronic inflammation and are based on pathogenesis of CRC. That is the reason why methods of chemoprevention needs to influence on inflammation and other pathogenesis pathways. The role of such classes of medication as non-steroidal anti-inflammatory drugs, 5-aminosalicylic acid, immunomodulators, ursodeoxycholic acid in canceroprevention in RD patients are described in this review.

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