The influence of Helicobacter pylori on oesophageal acid exposure in GERD during acid suppressive therapy

Autor: Peters, FTM, Kuipers, EJ, Ganesh, S, Sluiter, WJ, Klinkenberg-Knol, EC, Lamers, CBHW, Kleibeuker, JH
Přispěvatelé: Guided Treatment in Optimal Selected Cancer Patients (GUTS)
Jazyk: angličtina
Rok vydání: 1999
Předmět:
Zdroj: Alimentary Pharmacology & Therapeutics, 13(7), 921-926. Wiley
ISSN: 0269-2813
Popis: Background: Helicobacter pylori exaggerates the effect of acid suppressive drugs on intragastric pH. It is unknown whether this is relevant for the treatment of GERD. Aim: To compare oesophageal acid exposure and symptoms in H. pylori-negative and H. pylori-positive GERD patients during low and profound acid suppression. Methods: Barrett's oesophagus patients with gastro-oesophageal acid reflux were studied by 24-h oesophageal pH-metry at baseline and during randomized treatment with omeprazole 40 mg b.d. or ranitidine 150 mg b.d. a pylori status was determined by a serum IgG ELISA. Symptoms were scored on a four-graded scale. Results: Of 58 patients, 26 (14 H. pylori-negative, 12 H. pylori-positive) were randomized to omeprazole, 32 (16 H. pylori-negative, 16 H. pylori-positive) to ranitidine. At baseline, oesophageal acid exposure and symptoms did not differ between H. pylori-negative and H. pylori-positive: mean time proportion pH
Databáze: OpenAIRE