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TREATMENT OF ULCERATIVE COLITIS WITH HIGH-DOSE 5-AMINOSALICYLIC ACID ENEMAS

1981; Elsevier BV; Volume: 318; Issue: 8241 Linguagem: Inglês

10.1016/s0140-6736(81)90523-7

1474-547X

Massimo Campieri, Giorgio Assuero Lanfranchi, Gabriele Bazzocchi, G. Franzin, C. Brignola, A Battocchia, F Sarti, G Labò, P.R. Dal Monte,

Microscopic Colitis

This study is a double-blind controlled trial in 86 patients of the efficacy of retention enemas containing 4 g 5-aminosalicylic acid (5-ASA), believed to be the active metabolite of sulphasalazine, compared with retention enemas of 100 mg of hydrocortisone for the topical treatment of mild or moderate ulcerative colitis. 5-ASA enemas given to 44 patients were significantly more effective than hydrocortisone enemas given to 42 patients, and produced 93, 93, and 77% remission in clinical, sigmoidoscopic, and histological terms, respectively, compared with corresponding remission rates of 57, 54, and 33% in the hydrocortisone treated patients.