原创力文档a randomized trial of nicotine enemas for active ulcerative colitis：用于溃疡性结肠炎的灌肠对尼古丁的随机试验.pdfVIP
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a randomized trial of nicotine enemas for active ulcerative colitis：用于溃疡性结肠炎的灌肠对尼古丁的随机试验
CLINICAL GASTROENTEROLOGY AND HEPATOLOGY 2005;3:1107–1114
A Randomized Trial of Nicotine Enemas for Active
Ulcerative Colitis
JOHN R. INGRAM,* GARETH A. O. THOMAS,* JOHN RHODES,* JOHN T. GREEN,*
NEIL D. HAWKES,‡ JILL L. SWIFT,* EMMANUEL D. SRIVASTAVA,§ BRIAN K. EVANS,¶
GERAINT T. WILLIAMS, ROBERT G. NEWCOMBE,# EDWARD COURTNEY,** and SURESH PILLAI‡‡
‡
*Department of Gastroenterology, Department of Histopathology, Cardiff and Vale NHS Trust, Cardiff, United Kingdom; Department of
Gastroenterology, Prince Charles Hospital, Merthyr Tydfil, North Glamorgan, United Kingdom; §Department of Gastroenterology, Gwent
Healthcare NHS Trust, Newport, United Kingdom; ¶St. Mary’s Pharmaceutical Unit, Quadrant Centre, Cardiff, United Kingdom; #Department
of Epidemiology, Statistics and Public Health, Cardiff University, Cardiff, United Kingdom; **Department of Surgery, St. George’s Hospital,
London, United Kingdom; and ‡‡Department of Surgery, North Hampshire Hospital, Basingstoke, United Kingdom
Background Aims: Ulcerative colitis (UC) is largely a role. A recent report6 suggested that nicotine may
disease of nonsmokers in which transdermal nicotine exert an anti-inflammatory effect by activation of the
improves the symptoms but often causes adverse 7 subunit of the nicotinic acetylcholine (ACh) recep-
events (AEs). Nicotine enemas cause fewer AEs and tor. Although transdermal nicotine is of benefit in
were used as supplemental treatment for active UC. UC,7,8 frequent adverse events (AEs) limit its use.9
Methods: We treated 104 patients with active UC with
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