Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
4
pubmed:dateCreated
1986-10-20
pubmed:abstractText
To determine the influence of inflammation and topical treatment with 5-aminosalicylic acid or prednisolone on arachidonic acid metabolism in vivo, we carried out a double-blind controlled study on the release of prostaglandin E2 and leukotriene B4 to the rectal lumen in 24 consecutive patients with proven distally located ulcerative colitis. Before and at days 15 and 29 a dialysis bag was placed in the emptied rectum for 4 h prior to assessing clinical, endoscopic, and histologic disease activity. A single enema was given daily at bedtime (1 g 5-aminosalicylic acid or 25 mg prednisolone) until complete remission or for a maximum of 4 wk. Clinical and endoscopic remission was obtained in 16 (7 on 5-aminosalicylic acid) and 11 (3 on 5-aminosalicylic acid) patients, respectively. Luminal concentrations of prostaglandin E2 and leukotriene B4 were positively correlated to disease activity and significantly decreased among the prednisolone-treated patients. In both treatment groups a decrease toward normal levels occurred in patients responding to therapy. In retrospect, the pretreatment prostaglandin E2 and leukotriene B4 levels were significantly higher in patients not responding to therapy than in those improving during treatment. In conclusion, luminal prostaglandin E2 and leukotriene B4 levels may prove more useful predictors of the outcome of treatment in relapsing ulcerative colitis than clinical indices of disease activity.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
AIM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Oct
pubmed:issn
0016-5085
pubmed:author
pubmed:issnType
Print
pubmed:volume
91
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
837-44
pubmed:dateRevised
2007-11-15
pubmed:meshHeading
pubmed-meshheading:3017804-Adult, pubmed-meshheading:3017804-Aged, pubmed-meshheading:3017804-Aminosalicylic Acids, pubmed-meshheading:3017804-Clinical Trials as Topic, pubmed-meshheading:3017804-Colitis, Ulcerative, pubmed-meshheading:3017804-Dialysis, pubmed-meshheading:3017804-Dinoprostone, pubmed-meshheading:3017804-Double-Blind Method, pubmed-meshheading:3017804-Enema, pubmed-meshheading:3017804-Female, pubmed-meshheading:3017804-Humans, pubmed-meshheading:3017804-Intestinal Mucosa, pubmed-meshheading:3017804-Leukotriene B4, pubmed-meshheading:3017804-Male, pubmed-meshheading:3017804-Mesalamine, pubmed-meshheading:3017804-Middle Aged, pubmed-meshheading:3017804-Prednisolone, pubmed-meshheading:3017804-Prostaglandins E, pubmed-meshheading:3017804-Random Allocation, pubmed-meshheading:3017804-Rectum
pubmed:year
1986
pubmed:articleTitle
Effects of topical 5-aminosalicylic acid and prednisolone on prostaglandin E2 and leukotriene B4 levels determined by equilibrium in vivo dialysis of rectum in relapsing ulcerative colitis.
pubmed:publicationType
Journal Article, Clinical Trial, Comparative Study, Randomized Controlled Trial, Controlled Clinical Trial, Research Support, Non-U.S. Gov't