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Interventions for treating collagenous colitis.

N Chande1, J W D McDonald, J K MacDonald

  • 15-OF 12 LHSC-UC, 339 Windermere Road, London, Ontario, Canada, N6A 5A5.

The Cochrane Database of Systematic Reviews
|August 15, 2003
PubMed
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Budesonide is an effective treatment for collagenous colitis, significantly improving clinical and histological outcomes. Bismuth subsalicylate shows promise, but more research is needed for both therapies in long-term remission.

Area of Science:

  • Gastroenterology
  • Pharmacology
  • Clinical Medicine

Background:

  • Collagenous colitis causes chronic diarrhea, with treatments lacking robust evidence.
  • This review aimed to identify therapies supported by randomized controlled trials.

Purpose of the Study:

  • Determine effective treatments for active collagenous colitis.
  • Evaluate evidence from randomized trials for collagenous colitis therapies.

Main Methods:

  • Systematic literature search of MEDLINE, PubMed, Cochrane databases (1970-2003).
  • Included randomized trials of collagenous colitis treatments.
  • Data extraction and analysis using chi-square tests and Peto odds ratios.

Main Results:

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  • Budesonide (9 mg daily) demonstrated significant clinical and histological improvement (pooled OR 12.32, NNT=2).
  • Bismuth subsalicylate showed significant clinical and histological improvement in one trial (p=0.003).
  • Conclusions:

    • Budesonide is an effective treatment for collagenous colitis.
    • Bismuth subsalicylate shows potential, though evidence is less robust.
    • Further research is needed on the role of these therapies in inducing/maintaining remission.