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10/15/2026 5:45:56 AM | Browse: 1 | Download: 2
Publication Name World Journal of Gastroenterology
Manuscript ID 120646
Country India
Received
2026-03-06 02:18
Peer-Review Started
2026-03-06 02:18
First Decision by Editorial Office Director
2026-04-03 09:10
Return for Revision
2026-04-03 09:10
Revised
2026-04-07 01:39
Publication Fee Transferred
Second Decision by Editor
2026-05-15 02:39
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director
2026-05-15 07:41
Articles in Press
2026-05-15 07:41
Edit the Manuscript by Language Editor
Typeset the Manuscript
2026-10-07 12:03
Publish the Manuscript Online
2026-10-15 05:45
ISSN 1007-9327 (print) and 2219-2840 (online)
Open Access This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution-NonCommercial (CC BY-NC 4.0) license. No commercial re-use. See Permissions. Published by Baishideng Publishing Group Inc.
Copyright ©Author(s) (or their employer(s)) 2026. No commercial re-use. See Permissions. Published by Baishideng Publishing Group Inc.
Article Reprints For details, please visit: http://www.wjgnet.com/bpg/gerinfo/247
Permissions For details, please visit: http://www.wjgnet.com/bpg/gerinfo/207
Publisher Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA
Website http://www.wjgnet.com
Category Gastroenterology & Hepatology
Manuscript Type Retrospective Cohort Study
Article Title Long-term lymphoma risk in thiopurine-treated inflammatory bowel disease: A 15-year propensity-matched cohort study
Manuscript Source Invited Manuscript
All Author List Manjeet K Goyal, Rishi Chowdhary, Megh Patel, Marc Landsman, Kirti Arora, Shivam Kalra, Rahul Chowdhary, Ashita R Vuthaluru, Sowmya Durga Subhasri Guna and Vishal Sharma
ORCID
Author(s) ORCID Number
Manjeet K Goyal http://orcid.org/0000-0002-5511-2099
Rishi Chowdhary http://orcid.org/0000-0002-3075-0684
Vishal Sharma http://orcid.org/0000-0003-2472-3409
Funding Agency and Grant Number
Corresponding Author Manjeet K Goyal, Department of Gastroenterology and Human Nutrition, All India Institute of Medical Sciences, Ansari Nagar East, New Delhi 110029, India. manjeetgoyal@gmail.com
Key Words Inflammatory bowel diseases; Thiopurine; Lymphoma; Immunosuppressive agents; Risk assessment; Advanced therapy; Drug-related side effects and adverse reactions
Core Tip Thiopurines remain central to maintenance therapy in inflammatory bowel disease (IBD), yet concerns about lymphoma risk complicate long-term use. This large, propensity-matched cohort study clarifies the temporal dynamics of malignancy risk, using 5-aminosalicylates as a safe active comparator. We demonstrate that thiopurines are not associated with increased lymphoma risk during the first three years of therapy, with risk elevation emerging only after prolonged use. These findings support a time-dependent, immune suppression-linked oncogenic mechanism and provide a rational basis for limited-duration thiopurine therapy with individualized risk stratification to maximize safety in IBD care.
Publish Date 2026-10-15 05:45
Citation

Goyal MK, Chowdhary R, Patel M, Landsman M, Arora K, Kalra S, Chowdhary R, Vuthaluru AR, Subhasri Guna SD, Sharma V. Long-term lymphoma risk in thiopurine-treated inflammatory bowel disease: A 15-year propensity-matched cohort study. World J Gastroenterol 2026; 32(45): 120646

URL https://www.wjgnet.com/1007-9327/full/v32/i45/120646.htm
DOI https://doi.org/10.3748/wjg.120646
Full Article (PDF) WJG-32-120646-with-cover.pdf
STROBE Statement 120646-STROBE-statement.pdf
Manuscript File 120646_Auto_Edited_010350.docx
Answering Reviewers 120646-answering-reviewers.pdf
Audio Core Tip 120646-audio.mp4
Biostatistics Review Certificate 120646-biostatistics-statement.pdf
Conflict-of-Interest Disclosure Form 120646-conflict-of-interest-statement.pdf
Copyright License Agreement 120646-copyright-assignment.pdf
Signed Informed Consent Form(s) or Document(s) 120646-informed-consent-statement.pdf
Institutional Review Board Approval Form or Document 120646-institutional-review-board-statement.pdf
Supplementary Material 120646-supplementary-material.pdf
Peer-review Report 120646-peer-reviews.pdf
Scientific Misconduct Check 120646-scientific-misconduct-check.png
CrossCheck Report 120646-crosscheck-report.pdf