Naftali Timna, Bar-Lev Schleider Lihi, Kayless Hen, Bromberg Zohar, Dotan Iris, Broide Efrat
Institute of Gastroenterology and Hepatology, Meir Medical Center, Kfar Saba, Israel.
Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel.
ACG Case Rep J. 2023 Aug 17;10(8):e01131. doi: 10.14309/crj.0000000000001131. eCollection 2023 Aug.
Many patients with ulcerative colitis after ileoanal pouch anastomosis report improvement of pouchitis with the use of cannabis. Nine patients with chronic pouchitis used 1 g/d of cannabis: 7 patients were male with average age 51 ± 16 years. Average partial pouchitis disease activity index were 11 (range 8-17), 6 (range 5-8), and 5 (range 4-8); endoscopic subscores were 7 .3 ± 2.3, 6 ± 1.1, and 4.4 ± 0.9; average bowel movements per day were 14 (range 8-20), 8 (range 2-13), and 10 (range 13-8); and quality of life increased from 72 ± 1 to 90 ± 16 and 97 ± 10 ( = 0.001) before cannabis treatment and after 8-12 and 52 weeks, respectively. No adverse events were reported.
许多回肠肛管吻合术后的溃疡性结肠炎患者报告称,使用大麻后袋炎症状有所改善。9名慢性袋炎患者使用了每日1克的大麻:7名男性,平均年龄51±16岁。平均部分袋炎疾病活动指数分别为11(范围8 - 17)、6(范围5 - 8)和5(范围4 - 8);内镜亚评分为7.3±2.3、6±1.1和4.4±0.9;平均每日排便次数分别为14(范围8 - 20)、8(范围2 - 13)和10(范围13 - 8);生活质量在大麻治疗前为72±1,在8 - 12周和52周后分别提高到90±16和97±10(P = 0.001)。未报告不良事件。