Histological esophagitis: clinical and histological response to omeprazole in children.
Histological esophagitis: clinical and histological response to omeprazole in children.
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组织学食管炎:儿童对奥美拉唑的临床和组织学反应。
DOI:
10.1023/a:1026666503642
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发表时间:
1999
影响因子:
3.1
通讯作者:
Mobassaleh,M
中科院分区:
文献类型:
--
作者:
Strauss,RS;Calenda,KA;Dayal,Y;Mobassaleh,M
Many children with esophagitis demonstratehistological changes without gross evidence ofesophagitis by esophagoscopy. The effect of omeprazoleon the histological healing of esophagitis in childrenis unknown. Therefore, the aim of this study wasto determine the effect of omeprazole on refractoryhistological esophagitis in pediatric patients. Eighteenpatients with histological evidence of esophagitis and recurrent symptoms despite therapy withH2-receptor antagonists and prokinetic agentswere prospectively treated with omeprazole. Dosing wasadjusted by monitoring intragastric pH, andesophagoscopy was repeated after 8-12 weeks of omeprazoletreatment. Two patients did not complete the study dueto either worsening symptoms or hypergastrinemia. Of theremaining patients, 76% were asymptomatic with omeprazole treatment and 24% reportedimprovement in their symptoms. Approximately 40%demonstrated complete histological healing of theiresophagitis. Three patients (17%) had persistentelevations in serum gastrin levels while on omeprazoletreatment, which was associated with both youngerpatient age and higher omeprazole dosing; however, allelevated gastrin levels returned to normal afterdiscontinuation of the medication. All patients had recurrenceof their symptoms after completing a course ofomeprazole, even patients with complete histologicalhealing. Omeprazole is efficacious in treating children with esophagitis refractory toH2-receptor antagonist and prokinetic agents.However, none of the patients were able to discontinueacid suppressive therapy even after documented healingof their esophagitis.
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影响因子:
3.9
作者:
Jensen,BD;Gunter,KK;Gunter,TE
通讯作者:
Gunter,TE
影响因子:
4.1
作者:
I. West;R. Mitchell;A. Moody;P. Mitchell
通讯作者:
P. Mitchell
DOI:
--
发表时间:
1979
期刊:
Journal of Biochemistry (Tokyo)
影响因子:
--
作者:
I. Matsuoka;T. Nakamura
通讯作者:
T. Nakamura
影响因子:
5.2
作者:
H. Lardy;G. Feldott
通讯作者:
G. Feldott
影响因子:
3.9
作者:
S. Clejan;P. Collipp;V. Maddaiah
通讯作者:
V. Maddaiah