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1Colonic ulcerations may predict steroid-refractory course in patients with ipilimumab-mediated enterocolitis显示文摘AIM To investigate management of patients who develop ipilimumab-mediated enterocolitis, including association of endoscopic findings with steroid-refractory symptoms and utility of infliximab as second-line therapy.METHODS We retrospectively reviewed all patients at our centerwith metastatic melanoma who were treated with ipilimumab between March 2011 and May 2014. All patients received a standard regimen of intravenous ipilimumab 3 mg/kg every 3 wk for four doses or until therapy was stopped due to toxicity or disease progression. Basic demographic and clinical data were collected on all patients. For patients who developed grade 2 or worse diarrhea(increase of 4 bowel movements per day), additional data were collected regarding details of gastrointestinal symptoms, endoscopic findings and treatment course. Descriptive statistics were used.RESULTS A total of 114 patients were treated with ipilimumab during the study period and all were included. Sixteen patients(14%) developed ≥ grade 2 diarrhea. All patients were treated with high-dose corticosteroids(1-2 mg/kg prednisone daily or equivalent). Nine of 16 patients(56%) had ongoing diarrhea despite highdose steroids. Steroid-refractory patients received one dose of intravenous infliximab at 5 mg/kg, and all but one had brisk resolution of diarrhea. Fourteen of the patients underwent either colonoscopy or sigmoidoscopy with variable endoscopic findings, ranging from mild erythema to colonic ulcers. Among 8 patients with ulcers demonstrated by sigmoidoscopy or colonoscopy, 7 patients(88%) developed steroidrefractory symptoms requiring infliximab. With a median follow-up of 264 d, no major adverse events associated with prednisone or infliximab were reported.CONCLUSION In patients with ipilimumab-mediated enterocolitis, the presence of colonic ulcers on endoscopy was associated with a steroid-refractory course.Animesh Jain Evan J Lipson William H Sharfman Steven R Brant Mark G Lazarev 2017World Journal of Gastroenterology2017,23,11:8
2The effect of anode flow characteristics and temperature on the performance of a direct methanol fuel cell显示文摘JOHN C A BRANT A P ELA H 2001Journal of Power Source2001,96,1:1
3Gamma glutamyltransferase as a risk factor for cardiovascular disease mortality:an epidemiological investigation in a cohort of 163,944 Austrian adults显示文摘Ruttmann E Brant L J Conein H Diem G Rapp K Ulmer H 2005Circulation2005,112,:1
4Dielectric parameters relevant to microwave dielectric heating显示文摘GABRIEL C GABRIEL S BRANT E H 1998Chemical Society Review1998,27,:1
5A prospective cohort study on antioxidant and folate intake and male lung cancer risk显示文摘Voorrips L E Goldbohm R A Brant H A M 1998Cancer Epidemiol Biomark Prev1998,9,:1
6Viscoelastic behavior of thermally treated aqueous xanthan solutions in the semidilute concentration regime 显示文摘OVIATT H W BRANT D A 1994Macromolecules1994,27,:1
7A spectrophotometric method for detecting blood in white-shell eggs显示文摘Brant A W Norris K H Chin G 1953Poultry Scienc1953,32,2:1
8显示文摘Brant J Lecoanet H Wiesner M R 2005J Nanopart Res2005,7,12:1
9Intake of conjugated linoleic acid,fat,and other fatty acids in relation to postmenopausal breast cancer:the Netherlands cohort study on diet and cancer显示文摘VOORRIPS L E BRANTS H A KARDINAAL A F M 2002Am J Clin Nutr2002,76,4:1
10Maternal mood and neuroendocrine programming:effects of time of exposure and sex显示文摘Vedhara K Metcalfe C Brant H 2012J Neuroendocrinol2012,24,:1
11Aggregation and deposition characteristics of fullerene nanoparticles in aqueous systems显示文摘Brant J Lecoanet H Wiesner MR 2005J NanopartRes2005,4,5:1
12Gamma-glutamyltransferase as a risk factor for cardiovascular disease mortality:an epidemiological investigation in a cohort of 163,944 Austrian adults显示文摘Ruttmann E Brant LJ Concin H 2005Circulation2005,112,14:1
13Gamma - glutamyltransferase as a risk factor for cardiovascular disease mortality: an epidemiological investigation in a cohort of 163944 Austrianadults 显示文摘Ruttmann E Brant LJ Concin H 2005Circulation2005,112,14:1
14Gamma- glu- tamyltransferase as a risk factor for cardiovascular disease mor- tality:an epidemiological investigation in a cohort of 163,944 Austrian adults显示文摘RUTrMANN E BRANT L J CONCIN H 2005Circulation2005,112,14:1
15A prospective cohort study on antioxidant and folate intake and male lung cancer risk 显示文摘Voorrips L E Goldbohm R A Brants H A M 2000Cancer Epidemiol Biomarkers Prev2000,9,4:1
16In- take of conjugated linoleic acid, fat, and other fatty acids in relation to postmenopausal breast cancer, the Netherlands Cohort Study on Diet and Cancer显示文摘Voorrips L E Brants H A Kardinaal A F 2002Am J Clin Nutr2002,76,4:1
17Gamma-glutamyltransferase as a risk factor for cardiovascular disease mortality: an epidemiological investigation in a cohort of 163, 944 Austrian adults显示文摘Ruttmann E Brant L J Concin H 2005Circulation2005,112,14:1
18Dielectric parameters relevant to microwave dielectric heating显示文摘Gabriel C Gabriel S Brant E H 1998Chemical Society Review1998,27,:1
19Effects of supplementation on voluntary forage intake, diet digestibility, and animal performance 显示文摘MOORE J E BRANT M H KUNKLE W E 1999Journal of Animal Scienge1999,77,2:1
20Plant sterol intakes and colorectal cancer risk in the Netherlands cohort study on diet and cancer显示文摘Normen A L Brants H A M Voorrips L E 2001Am J Clin Nutr2001,74,:1
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