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Inflammatory bowel disease

Prevalence
Clinical features
Differential Diagnosis
Investigations
Therapy
Prevention
Prognosis
Therapy

Give steroids
  • iv hydrocortisone 200 mg iv three times a day
  • prednisolone 30 mg daily by mouth
  • prednisone 30 mg daily by mouth
Why?
  • Steroids increase the rate of remission in active ulcerative colitis a or Crohn's disease a

Steroids induce remission in active inflammatory bowel disease

Patient Treatment Comparison Outcome CER RRR
(95% CI)
NNT
(95% CI)
active ulcerative colitis a oral prednisone placebo remission
at 28 days
17% 310%
(40% to 1100%)
2
(1 to 4)
active Crohn's disease a oral prednisone placebo remission
at 17 weeks
26% 100%
(33% to 210%)
4
(2 to 8)

Expiry date: July 2003
Levels of Evidence used in grading these guides

Author   CM   Ball
Reviewer   L   Friedman
CAT Writers   D   Ford , CM   Ball