Table 3.
Successful control severe lower gastrointestinal bleeding in Crohn's disease with infliximab
| Study | Sex | Age (yr) | Location | Duration of disease | Current treatment | Presenting symptom | PRBC (unit) | Characteristic of lesion | Infliximab therapy | Bleeding controlled in | Follow-up (mo) |
| Belaihe et al[26], 2002 | F | 28 | Ileocolon CD | 3 yr | Budesonide azathioprine | Lower GIB | 5 | Multiple deep ulcers at colon without bleeding stigmata | Infliximab 5 mg/kg (d0, week 2, week 6) | 14 d | 5 |
| F | 59 | colon CD | 9 yr | Prednisolone, metronidazole, ciprofloxacin | Lower GIB | 4 | Multiple deep ulcers at colon without bleeding stigmata | Infliximab 5 mg/kg (single dose) | 4 d | 4 | |
| Papi et al[7], 2003 | M | 50 | Ileocolon CD S/P resection and ileocolonic anastomosis due to bleeding | 9 mo | Prednisolone azathioprine | Lower GIB with hypovolumic shock | NA | Deep ulcers at ileocolon anastomosis without bleeding stigmata | Infliximab 5 mg/kg (d0, week 2, week 6) | NA | 12 |
| M | 68 | Ileum CD S/P ileal resection due to stricture | 24 yr | Mesalamine | Melena | 4 | Large ulcer at ileocolon anastomosis without bleeding stigmata | Infliximab 5 mg/kg (d0, week 2, week 6) | NA | 3 | |
| Tsujikawa et al[25], 2004 | M | 31 | Ileocolon CD S/P ileocolectomy due to ulcer bleeding | 12 yr | Salazosulfap yrimidine | Lower GIB | NA | Multiple ulcers at ileocolon anastomsosis and ileum without bleeding stigmata | Infliximab 5 mg/kg (d0, week 2, week 6) | NA | 4 |
| Ando et al[22], 2009 | F | 16 | Colonic CD | 1 yr | Mesalamine prednisolone | Lower GIB with hypovolumic shock | 6 | Multiple deep ulcers at colon with diffuse mucosal inflammation without bleeding stigmata | Infliximab 5 mg/kg (d0, week 2, week 6) | 3 d | 12 |
| Meyer et al[24], 2009 | F | 19 | Ileocolonic CD | 6 yr | Mesalamine prednisolone | Lower GIB with hypovolumic shock | 4 | Multiple ulcers at terminal ileum without bleeding stigmata | Infliximab 5 mg/kg (d0, week 2, week 6) | NA | 6 |
| Julián Gómez et al[23], 2010 | M | 44 | Ileocolon CD S/P total colectomy with ileostomy due to toxic megacolon | NA | NA | Postop small bowel resection due to obstruction bleeding | 10 | Multiple deep ulcers at small bowel without bleeding stigmata | Infliximab 5 mg/kg (d0, week 2, week 6) and maintenance dose | 5 d | 3 |
| Alcalde Vargas et al[21], 2011 | M | 27 | Ileocolon CD | 2 yr | Mesalamine | Massive lower GIB | 8 | Multiple ulcers entire colon and abundant dark red blood at terminal ileum | Infliximab 5 mg/kg (single dose) | 4 d | NA |
| F | 36 | Colon and perianal CD | NA | Amoxicillin-clavulanate metronidazole | Massive lower GIB | 12 | Multiple deep ulcers entire colon and blood clots | Infliximab 5 mg/kg (single dose) | 6 d | NA | |
| M | 24 | Colon CD | 1 mo | Prednisolone | Massive lower GIB | 5 | Multiple deep ulcers entire colon and spontaneous bleeding mucosa | Infliximab 5 mg/kg (single dose) | 4 d | NA |
CD: Crohn’s disease; GIB: Gastrointestinal bleeding; PRBC: Packed red blood cell; M: Male; F: Female; NA: Not available.