PMID: 8971294Dec 1, 1996Paper

Sucralfate and hydrocortisone enemas in the treatment of active ulcerative proctitis--a randomized single-blind comparative study

Alimentary Pharmacology & Therapeutics
S ArdizzoneG Bianchi Porro

Abstract

Sucralfate is a non-absorbable aluminium salt of sucrose octasulphate which in recent studies has proved to be of possible use in the treatment of active distal ulcerative colitis. The aim of this randomized, single-blind, study was to compare 10 g sucralfate with 100 mg hydrocortisone enemas in the treatment of 40 patients (26 male and 14 female; mean age 36.5 years, range 18-65 years) with active ulcerative proctitis, twice daily for 4 weeks. A clinical, sigmoidoscopic and histological assessment was performed before and 4 weeks after the start of the therapy. Both treatments showed significant within-treatment improvement in clinical, endoscopic and histological grades (Wilcoxon's matched pair test, P < 0.05). Between-treatment comparisons, using the Mann-Whitney test, showed that hydrocortisone is more effective than sucralfate in improving the clinical score (P < 0.05). Sucralfate enema treatment, which was significantly less effective than hydrocortisone enemas in this study, has very limited use in the treatment of active ulcerative proctitis.

Citations

Jun 24, 1999·European Journal of Pharmaceutical Sciences : Official Journal of the European Federation for Pharmaceutical Sciences·S F AhrabiC Graffner
Aug 1, 1997·Alimentary Pharmacology & Therapeutics·T A Winter, I N Marks
Feb 1, 2004·Clinics in Colon and Rectal Surgery·Charles B Whitlow
Mar 1, 2008·Journal of Crohn's & Colitis·S P L TravisUNKNOWN European Crohn's and Colitis Organisation (ECCO)
Nov 26, 2010·BMC Cancer·Chen-Hsi HsiehPei-Wei Shueng
Apr 28, 2006·Scandinavian Journal of Gastroenterology·A Nilsson
Jul 30, 2014·Inflammatory Bowel Diseases·Mitchell R K L LieC Janneke van der Woude
Jan 15, 2014·Inflammatory Bowel Diseases·Mahmoud H MosliBarrett G Levesque
May 26, 2017·The Cochrane Database of Systematic Reviews·Mahmoud H MosliVipul Jairath
Jan 12, 2000·The Annals of Pharmacotherapy·G P MelkoN M Sauers
Apr 2, 2021·Gut·Bénédicte CaronLaurent Peyrin-Biroulet

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