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. 2017 Nov;13(11):651–658.

Table 2.

Postoperative Preventive Strategies

Prophylactic Strategy Study Design Comparison Endoscopic Recurrence Clinical Recurrence
Mesalamine        
Caprilli et al36 Randomized, controlled trial Mesalazine 2.4 g/d or placebo 52.0% vs 85.0% (24 months)a 18.0% vs 41.0% (24 months)a
McLeod et al37 Randomized, controlled trial Mesalamine 3.0 g/d or placebo Relative risk, 0.654 (24 months)a 31.0% vs 41.0% (72 months)a
Lochs et al39 Randomized, controlled trial Mesalamine 4.0 g/d or placebo 66.0% vs 50.0% (18 months) 24.5% vs 31.4% (18 months)
Antibiotic        
Rutgeerts et al43 Randomized, controlled trial Metronidazole 20.0 mg/kg or placebo 52.0% vs 75.0% (12 weeks) 4.0% vs 25.0% (12 months)a
Rutgeerts et al44 Randomized, controlled trial Ornidazole 1.0 g/d or placebo 53.6% vs 78.8% (12 months)a 7.9% vs 37.5% (12 months)a
Immunomodulator        
Reinisch et al47 Randomized, controlled trial Mesalazine 4.0 g/d or AZA 2.0-2.5 mg/kg/d N/A 0.0% vs 10.8% (12 months)a
Hanauer et al48 Randomized, controlled trial 6-MP 50 mg or placebo 43.0% vs 64.0% (24 months)a 50.0% vs 77.0% (24 months)a
Mowat et al49 Randomized, controlled trial 6-MP 1.0 mg/kg or placebo 43.0% vs 49.0% (36 months) 27.0% vs 36.0% (36 months)
Biologic agent        
Regueiro et al33 Randomized, controlled trial Infliximab 5.0 mg/kg or placebo 9.1% vs 84.6% (12 months)a 0.0% vs 38.5% (12 months)a
Regueiro et al56 Randomized, controlled trial Infliximab 5.0 mg/kg or placebo 30.6% vs 60.0% (76 weeks)a 12.9% vs 20.0% (76 weeks)
De Cruz et al52 Nonrandomized subgroup analysis Adalimumab or AZA 2.0 mg/kg/d (6-MP 1.5 mg/kg/d) 21.0% vs 45.0% (6 months)a 18.0% vs 22.0% (6 months)

6-MP, 6-mercaptopurine; AZA, azathioprine; d, day.

a

Statistically significant.