{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T13:04:33Z","timestamp":1792069473092,"version":"4.4.0"},"reference-count":24,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[2025,1,8]],"date-time":"2025-01-08T00:00:00Z","timestamp":1736294400000},"content-version":"vor","delay-in-days":9,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000002","name":"NIH","doi-asserted-by":"publisher","award":["1R03AG078927-01"],"award-info":[{"award-number":["1R03AG078927-01"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Oppenheimer-Ginzburg Research Fund"},{"name":"Icahn School of Medicine"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,12,30]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Intravenous (IV) steroids are commonly used to treat acute flares of Crohn\u2019s disease (CD). However, it is unclear if they are beneficial in the setting of uncomplicated small bowel obstruction (SBO). We sought to examine if IV steroid administration improved short-term outcomes in patients with CD hospitalized for acute, uncomplicated SBO across three New York City hospital systems.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>This retrospective study included patients\u2005\u2265\u200518 years old admitted between January 1, 2011, and December 31, 2019, with Crohn\u2019s disease and an admission diagnosis of uncomplicated acute SBO, defined as cases without adhesions, fistula, phlegmon, and sepsis. Primary endpoints (length of stay and frequency of surgery) were compared between patients who received IV steroids upon admission and those who did not.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Our analysis included 674 unique patients. Ninety-two (14%) received IV steroids, and 582 (86%) did not. IV steroid use did not result in shorter hospital stays (median days [IQR]: 3.0 (2.0-5.5) days vs 3.0 (2.0-6.0) days in the no-steroid group, P\u2005=\u2005.65) or reduce the need for surgery (4 patients (4.4%) vs 28 patients (4.8%) in the no-steroid group, P\u2005=\u2005.85). Sex, age, disease duration, concomitant biologic therapy, and NG tube placement did not independently contribute to either outcome.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>These findings suggest that IV steroid administration for uncomplicated SBO in CD patients does not decrease hospital length of stay or need for surgery. Further research may help identify specific obstruction patterns or other therapies associated with different outcomes.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/crocol\/otae064","type":"journal-article","created":{"date-parts":[[2025,1,8]],"date-time":"2025-01-08T05:03:56Z","timestamp":1736312636000},"source":"Crossref","is-referenced-by-count":2,"title":["Intravenous Steroids Do Not Improve Short-Term Outcomes of Patients With Crohn\u2019s Disease Presenting With an Acute Small Bowel Obstruction"],"prefix":"10.1093","volume":"7","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-8701-0334","authenticated-orcid":false,"given":"Mariely","family":"Garcia","sequence":"first","affiliation":[{"name":"Icahn School of Medicine at Mount Sinai , New York, NY ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anketse","family":"Debebe","sequence":"additional","affiliation":[{"name":"Department of Genetics and Genomic Sciences, Icahn School of Medicine at Mount Sinai , New York, NY ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Farhan","family":"Mahmood","sequence":"additional","affiliation":[{"name":"Icahn School of Medicine at Mount Sinai , New York, NY ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sharon","family":"Nirenberg","sequence":"additional","affiliation":[{"name":"Department of Scientific Computing, Icahn School of Medicine at Mount Sinai , New York, NY ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexa","family":"Rendon","sequence":"additional","affiliation":[{"name":"Department of Genetics and Genomic Sciences, Icahn School of Medicine at Mount Sinai , New York, NY ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eunyoung","family":"Yang","sequence":"additional","affiliation":[{"name":"Icahn School of Medicine at Mount Sinai , New York, NY ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jiani","family":"Xiang","sequence":"additional","affiliation":[{"name":"Icahn School of Medicine at Mount Sinai , New York, NY ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jean-Fr\u00e9d\u00e9ric","family":"Colombel","sequence":"additional","affiliation":[{"name":"The Dr. Henry D. Janowitz Division of Gastroenterology, Icahn School of Medicine , New York, NY ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tamara","family":"Kahan","sequence":"additional","affiliation":[{"name":"NYU Langone Health, NYU Grossman School of Medicine , New York, NY ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ghoncheh","family":"Ghiasian","sequence":"additional","affiliation":[{"name":"NYU Langone Health, NYU Grossman School of Medicine , New York, NY ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adam S","family":"Faye","sequence":"additional","affiliation":[{"name":"NYU Langone Health, NYU Grossman School of Medicine , New York, NY ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4922-1835","authenticated-orcid":false,"given":"Irving","family":"Levine","sequence":"additional","affiliation":[{"name":"Department of Medicine, Northwell Health , Manhasset, NY ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Farber","sequence":"additional","affiliation":[{"name":"Department of Medicine, Northwell Health , Manhasset, NY ,","place":["USA"]},{"name":"College of Osteopathic Medicine, New York Institute of Technology , Old Westbury, NY ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Ramada","sequence":"additional","affiliation":[{"name":"Department of Medicine, Northwell Health , Manhasset, NY ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tisor","family":"Omoakhe","sequence":"additional","affiliation":[{"name":"Department of Medicine, Northwell Health , Manhasset, NY ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Keith","family":"Sultan","sequence":"additional","affiliation":[{"name":"Department of Medicine, Division of Gastroenterology, Northwell Health , Manhasset, NY ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David B","family":"Sachar","sequence":"additional","affiliation":[{"name":"The Dr. Henry D. 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