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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
2Gamma 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
3Nonlinear absorption study of a C60-toluene solution显示文摘McLean D G Sutherland R L Brant M C 1993Opt Lett1993,18,11:1
4Sulfur hexafluoride and the electric power industry显示文摘Christophorou L G OlthoffJ K Van Brant R J 1997IEEE Transactions on Electrical Insulation1997,13,5:1
5A 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
6Light- scattering investigation of the temperature-driven conformationchange in xanthan显示文摘HACCHE L S WASHINGTON G E BRANT D A 1987Macromolecules1987,20,9:1
7Effects of ventriculoperitoneal shunt on cerebral oxygenation and brain compliance in chronic obstractive hydrocephalus 显示文摘Mark G Christine L Brant'MS 2001J Neurosurg2001,94,4:1
8Introduction: Judicial Applications of artificial intelligence 显示文摘G Sartor L Karl Branting 1998Artificial Intelligence and Law1998,6,24:1
9Energy efficiency analysis of some cooperative and non-cooperative transmission schemes in wireless sensor networks 显示文摘Brante G Kakitani M T Souza R D 2011IEEE Transactions on Communica- tions2011,59,10:1
10Fast and sensitive silver staining of DNA in polyacrylamide gels 显示文摘Brant J B Gustavo C A Peter M G 1991Anal Bioehem1991,196,1:1
11Fast and sensitive silver staining of DNA in polyacrylamide gels显示文摘BRANT J CAETANO-ANOLLES G GRESSOFF P M 1991Analytical Biochemistry1991,195,:1
12Spatial diversity using analog joint source channel coding in wireless channels显示文摘BRANTE G SOUZA R D GARCIA J 2013IEEE Transactions on Communications2013,61,1:1
13Fast and sensitive silver staining of DNA in polyacrylamide gels显示文摘Brant J B Gustavo C A Peter M G 1991Anal Biochem1991,196,:1
14Fast and sensitive silver Staining of DNA in polyacrylamide gels显示文摘Brant J B Gustabo C A Petter M G 1991Anal Biochem1991,196,:1
15Fast and sensitive Silver Staining of DNA in Polyacrylamide Gels显示文摘Brant J B Gustavo C A Peter M G 1991Analytical Biochemistry1991,196,:1
16Thermomechanical analysis of coal ash-the influence of the material for the sample assembly显示文摘Brant G W Browning G J Gupta S K 2000Energy and Fuels2000,14,:1
17The sequence statistics and solution conformation of a barley (1→3) (1→4) -β-D-glucan 显示文摘Buliga G S Brant D A Fincher G B 1986Carbohydrate Research1986,157,:1
18Roll-gap temperature models for hot mills显示文摘 Heselton M O 1982Metall Technol1982,9,:1
19Development of a high fidelity ltmar soil stimulant显示文摘ROBERT J G BRANT C W MARTY A G 2008Space Technology and Applications International Forum2008,6,:1
20Fast and Sensitive Silver Staining of DNA in Polyacrylamide Gels显示文摘Brant J B Gustavo C A Peter M G 1991analytieal biochemistry1991,196,:1
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