Effect of Sucralfate onHelicobacter pyloriand Severity of Gastritis in Patients with Duodenal Ulcer

Autor: J. A. Louw, Trevor A. Winter, M Callanan, Marks In, Lucke W, K. Jaskiewicz
Rok vydání: 1995
Předmět:
Zdroj: Scandinavian Journal of Gastroenterology. 30:85-88
ISSN: 1502-7708
0036-5521
DOI: 10.3109/00365529509090279
Popis: Background: Duodenal ulcer relapse rates have been reported to be lower following healing with sucralfate. The question arises whether this is related to an effect on Helicobacter pylori. Methods: In order to investigate this possibility, 43 patients with active duodenal ulcer were entered into a study. Endoscopy was performed at entry, following 6 weeks' treatment with sucralfate 1 g q.i.d., and at 4 and 12 weeks of post-documented healing. Antral and gastric corpus biopsies were taken for assessment of H. pylori status (CLOtest), density of infection, and severity of gastritis. In addition, 14C urea breath tests (UBT) were performed. Results: Sucralfate therapy induced a significant decrease in the density of H. pylori infection, with a trend to improvement of the gastritis in the antrum, but not in the corpus. However, all patients remained CLOtest positive, and the overall gastric urease activity was unchanged following therapy. These effects did not appear to influence either initial duodenal ulcer h...
Databáze: OpenAIRE