Giacosa Attilio, Riva Antonella, Petrangolini Giovanna, Allegrini Pietro, Fazia Teresa, Bernardinelli Luisa, Gasparri Clara, Faliva Milena Anna, Peroni Gabriella, Perna Simone, Rondanelli Mariangela
Gastroenterology Unit, Policlinico di Monza, Monza, 20900 Italy.
CDI (Centro Diagnostico Italiano), Milan, 20147 Italy.
Drugs Context. 2020 Dec 14;9. doi: 10.7573/dic.2020-9-2. eCollection 2020.
The treatment of symptomatic uncomplicated colonic diverticular disease (SUDD) is still under debate, and new data show a pathogenic role of dysbiosis and low-grade inflammation in intestinal mucosa. Recent research has highlighted the anti-inflammatory effects of botanical extracts such as L. and Roxb. ex Colebr. The aim of this work is to investigate the potential role of a new delivery formulation of the association of curcumin and boswellia phytosome extracts (CBP) in SUDD.
In a 30-day one-group longitudinal explanatory study, patients (men and women) were treated with an innovative association of CBP standardized extracts, 500 mg bid.
Treatment of SUDD with the association of CBP was followed by a significant decrease in abdominal pain (p<0.0001). The study group showed that CBP supplementation was efficacious within 10 days and that efficacy was maintained almost constant until the 30th day of intervention.
A phytosome of curcumin and boswellia extracts may be useful for the relief of SUDD pain. However, controlled studies should be performed for final conclusions to be drawn.
有症状的非复杂性结肠憩室病(SUDD)的治疗仍存在争议,新数据表明肠道微生物群失调和肠黏膜低度炎症具有致病作用。最近的研究突出了诸如长柄扁桃(Amygdalus pedunculata Pall.)和印度乳香(Boswellia serrata Roxb. ex Colebr.)等植物提取物的抗炎作用。这项研究的目的是调查姜黄素与乳香植物药提取物(CBP)联合使用的新型给药制剂在SUDD中的潜在作用。
在一项为期30天的单组纵向解释性研究中,患者(男性和女性)接受了CBP标准化提取物的创新联合用药治疗,剂量为500毫克,每日两次。
使用CBP联合治疗SUDD后,腹痛显著减轻(p<0.0001)。研究组表明,补充CBP在10天内有效,并且疗效在干预的第30天之前几乎保持恒定。
姜黄素与乳香提取物的植物药制剂可能有助于缓解SUDD疼痛。然而,需要进行对照研究才能得出最终结论。