Crohn en acupunctuur
Our systematic review reveals only a few clinical trials, thereof only four robust RCTs, that evaluate the effectiveness of acupuncture treatment in gastrointestinal disorders. The trials of higher methodological quality comprise the medical conditions IBS and IBD.
In both conditions, health related QoL improved remarkably after acupuncture, although there was no difference of QoL improvement between real and sham/placebo acupuncture. Altogether, in all trials where QoL or subjective symptoms were assessed, QoL/subjective symptoms improved in AC and SAC groups without signifi cant group differences.
In contrast to this, real acupuncture was significantly superior to sham acupuncture with regard to disease activity in the Crohn and Colitis trials. It is not possible to draw sure conclusions from the trials of other gastrointestinal diseases as they are all hampered by major methodological deficits.
Acupunctuur is duidelijk zinvol en we begrijpen ook zo ongeveer het mechanisme, maar we kunnen de Crohn niet genezen! Daarom een groenoranje licht.
Paul Enck. Acupuncture treatment in gastrointestinal diseases: A systematic review.World J Gastroenterol 2007 July 7; 13(25): 3417-3424 (World Journal of Gastroenterology ISSN 1007-9327)
Carr I, Mayberry JF. The role of acupuncture in the treatment of irritable bowel syndrome: a pilot study. Hepatogastroenterology 1997; 44: 1328-1330
Kunze M, Seidel HJ, Stube G. Comparative studies of the effectiveness of brief psychotherapy, acupuncture and papaverin therapy in patients with irritable bowel syndrome. Z Gesamte Inn Med 1990; 45: 625-627