Pantoprazole in severe acid-peptic disease: the effectiveness and safety of 5 years' continuous treatment
| Autor: | S. Schaefer-Preuss, Anne E. Bishop, M. Thompson, A. Rowland, Karna Dev Bardhan, P. Morris, Julia M. Polak, R. Luehmann, B. McCaldin, Hanna M. Romanska |
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| Rok vydání: | 2005 |
| Předmět: |
Adult
Male medicine.medical_specialty Peptic Ulcer medicine.drug_class Enteroendocrine Cells Proton-pump inhibitor Chronic gastritis Cell Count Gastroenterology 2-Pyridinylmethylsulfinylbenzimidazoles Helicobacter Infections Internal medicine Gastrins medicine Humans Gastrin-Secreting Cells Adverse effect Antrum Pantoprazole Aged Hepatology biology Helicobacter pylori business.industry Middle Aged medicine.disease biology.organism_classification Anti-Ulcer Agents Gastric Mucosa Gastritis Sulfoxides GERD Benzimidazoles Female medicine.symptom business Omeprazole medicine.drug |
| Zdroj: | Digestive and liver disease : official journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver. 37(1) |
| ISSN: | 1590-8658 |
| Popis: | Objective. This is our final report on the clinical effectiveness and safety of long-term pantoprazole in patients with severe peptic ulcer or reflux disease during continuous treatment for up to 5 years. Methods. Patients (n = 150) with peptic ulcer or reflux erosive oesophagitis running an aggressive course or with complications, and refractory to H2-receptor antagonists, were entered into this 5-year programme. Assessment was by serial endoscopy, clinical examination, serum gastrin estimation, gastric mucosal histology and mucosal endocrine cell quantification. Results. Healing results were presented earlier. The estimated rates of remission on maintenance treatment with pantoprazole (n = 115) were 82% at 1 year, 75% at 2 years, 72% at 3 years, 70% at 4 years and 68% at 5 years. Helicobacter pylori infection appeared not to influence the outcome in reflux patients, with roughly two-thirds continuing in remission irrespective of infection. Only four patients had adverse events considered to be definitely related to pantoprazole. Median gastrin levels rose by 1.5–2-fold and were higher in those with H. pylori infection; 13 patients had levels >500 ng/L on at least one occasion, but these high levels were not sustained. Histological changes were more marked in patients infected with H. pylori: chronic gastritis decreased in the antrum and increased in the corpus, which also showed atrophic changes. The total number of endocrine cells in the antrum showed little variation over 60 months but fell by around one-third in the corpus. Conclusion. Long-term treatment with pantoprazole is effective and safe. |
| Databáze: | OpenAIRE |
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