Alenazi Naif, Alsaeed Hesham, Alsulami Adel, Alanzi Turki
Diving and Hyperbaric Medicine Department, Diving Unit, Medical Services, Dammam, Saudi Arabia.
Department of Health Information Management and Technology, College of Public Health, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia.
Int J Gen Med. 2021 Oct 24;14:7099-7105. doi: 10.2147/IJGM.S336678. eCollection 2021.
IBD (inflammatory bowel disease) characterized by chronic inflammation of the gastrointestinal (GI) tract is one of the chronic diseases the prevalence of which has been increasing globally. In the past few decades, significant improvements were made in the treatments relating to IBD which have reduced the hospitalization and mortality rates; however, there is still room for improvement with other alternative therapies. HBOT (hyperbaric oxygen treatment) is one of the effective therapies used in treating various conditions including wounds, decompression sickness, stroke, etc. Several studies have reported the role of HBOT as an adjunctive treatment to IBD, while adopting conventional treatment procedures. There is an increasing trend of research in this particular area. Studies have shown that HBOT reflects its therapeutic effect by controlling inflammation, reducing oxidation stress, improving the process of cleaning damaged cells and recruiting the cells involved in repair; thereby improving the immunity response system. In this context, the purpose of this review is to summarize past clinical and experimental studies and to understand the role of hyperbaric treatment for IBD. The findings from the review have suggested that hyperbaric therapy can be an effective adjunctive approach for IBD, based on which some ideas for future clinical and research work are provided.
炎症性肠病(IBD)以胃肠道(GI)的慢性炎症为特征,是全球患病率一直在上升的慢性病之一。在过去几十年中,IBD相关治疗取得了显著进展,降低了住院率和死亡率;然而,其他替代疗法仍有改进空间。高压氧治疗(HBOT)是用于治疗包括伤口、减压病、中风等各种病症的有效疗法之一。几项研究报告了HBOT作为IBD辅助治疗的作用,同时采用传统治疗程序。这一特定领域的研究呈上升趋势。研究表明,HBOT通过控制炎症、降低氧化应激、改善清除受损细胞的过程以及募集参与修复的细胞来发挥其治疗作用;从而改善免疫反应系统。在此背景下,本综述的目的是总结过去的临床和实验研究,并了解高压治疗对IBD的作用。综述结果表明,高压治疗可能是IBD的一种有效辅助方法,并在此基础上提供了一些未来临床和研究工作的思路。