Cochrane · systematic review · CD006096

Interventions for treating lymphocytic colitis

Chande, N, Al Yatama, N, Bhanji, T, et al. · Cochrane Database of Systematic Reviews · 2017 · Cochrane Library

GutAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
9
current version
GRADE rated
9
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 3 · 33.3%Low 6 · 66.7%Moderate 0 · 0%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Bismuth subsalicylate versus placebo for treating lymphocytic colitis

Population: patients with active lymphocytic colitis
2 questions
OutcomeEffectEvidenceStatus / GRADE
Clinical response
Bismuth subsalicylate vs placebo
RR 5.25 [0.94, 1.9]1 study · 5 participantsVery low
Downgraded: risk of bias, imprecision
Histological response
Bismuth subsalicylate vs placebo
RR 1.33 [0.27, 6.6]1 study · 5 participantsVery low
Downgraded: risk of bias, imprecision

Budesonide versus mesalazine for treating lymphocytic colitis

Population: patients with active lymphocytic colitis
3 questions
OutcomeEffectEvidenceStatus / GRADE
Clinical response
Budesonide vs mesalazine
RR 2.03 [1.25, 3.33]2 studies · 57 participantsLow
Downgraded: risk of bias, imprecision
Histological response
Budesonide vs mesalazine
RR 2.44 [1.13, 5.28]2 studies · 39 participantsLow
Downgraded: imprecision
Adverse events
Budesonide vs mesalazine
RR 0.67 [0.12, 3.59]1 study · 42 participantsLow
Downgraded: imprecision

Mesalazine versus mesalazine + cholestyramine for treating lymphocytic colitis

Population: patients with maintenance of remission in lymphocytic colitis
2 questions
OutcomeEffectEvidenceStatus / GRADE
Clinical response
Mesalazine vs mesalazine + cholestyramine
RR 0.99 [0.77, 1.28]1 study · 41 participantsLow
Downgraded: risk of bias, imprecision
Histological response
Mesalazine vs mesalazine + cholestyramine
RR 0.99 [0.77, 1.28]1 study · 41 participantsLow
Downgraded: risk of bias, imprecision

Beclometasone dipropionate versus mesalazine for treating lymphocytic colitis

Population: Patients with active or quiescent lymphocytic colitis
2 questions
OutcomeEffectEvidenceStatus / GRADE
Clinical response at 8 weeks
Beclometasone dipropionate vs mesalazine
RR 0.97 [0.75, 1.24]1 study · 46 participantsLow
Downgraded: risk of bias, imprecision
Maintenance of clinical response at 12 weeks
Beclometasone dipropionate vs mesalazine
RR 1.29 [0.4, 4.18]1 study · 46 participantsVery low
Downgraded: risk of bias, imprecision