Evidence map›Paper›PMID 40917367›Full record

ArticleDEN open2026

Vedolizumab Induces Remission in Two Cases of Ulcerative Colitis With Upper Gastrointestinal Involvement.

Shinya Nakatani, Yuta Yamazaki, Kensuke Higuchi, Yumi Otoyama, Norihiro Suzuki, Kazuo Kikuchi, Takahisa Fujiwara, Atsushi Katagiri, Jyun Ohara, Hitoshi Yoshida

Abstract read
In one paragraph

Article in DEN open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Shinya NakataniDepartment of Medicine Division of Gastroenterology Showa Medical University School of Medicine Tokyo Japan.ORCID https://orcid.org/0000-0003-3498-5883
Yuta YamazakiDepartment of Medicine Division of Gastroenterology Showa Medical University School of Medicine Tokyo Japan.
Kensuke HiguchiDepartment of Medicine Division of Gastroenterology Showa Medical University School of Medicine Tokyo Japan.
Yumi OtoyamaDepartment of Medicine Division of Gastroenterology Showa Medical University School of Medicine Tokyo Japan.
Norihiro SuzukiDepartment of Medicine Division of Gastroenterology Showa Medical University School of Medicine Tokyo Japan.
Kazuo KikuchiDepartment of Medicine Division of Gastroenterology Showa Medical University School of Medicine Tokyo Japan.
Takahisa FujiwaraDepartment of Medicine Division of Gastroenterology Showa Medical University School of Medicine Tokyo Japan.
Atsushi KatagiriDepartment of Medicine Division of Gastroenterology Showa Medical University School of Medicine Tokyo Japan.
Jyun OharaDepartment of Pathology Showa Medical University School of Medicine Tokyo Japan.
Hitoshi YoshidaDepartment of Medicine Division of Gastroenterology Showa Medical University School of Medicine Tokyo Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Ulcerative colitis (UC) predominantly affects the colon; upper gastrointestinal involvement (UGI) has been reported, but no established treatments exist. We report two cases of UC with concomitant UGI that showed positive responses to vedolizumab therapy. Case 1 involved a 29-year-old man who developed continuous inflammation extending from the stomach to the jejunum 1 month after an initial UC diagnosis. Intravenous prednisolone provided clinical remission; however, maintenance therapy with oral azathioprine was unsuccessful. Vedolizumab was initiated. Three months later, esophagogastroduodenoscopy (EGD) and colonoscopy confirmed the resolution of inflammation. Case 2 involved a 19-year-old man diagnosed with UGI via endoscopy while being evaluated for nausea and fever during UC treatment. 5-aminosalicylic acid and prednisolone therapies were ineffective; therefore, vedolizumab was administered. Three months later, EGD confirmed mucosal healing. Both patients have maintained clinical remission for >2 years. To our knowledge, this is the first report of UC with UGI involvement that was successfully treated with vedolizumab. These findings suggest that vedolizumab is effective and safe for UGI treatment.

Indexed as

case reportgastritisulcerative colitisupper gastrointestinal tractvedolizumab

Identifiers

PMID40917367
PMCPMC12408375

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.