Adverse Effects of Proton Pump Inhibitors-Evidence and Plausibility

被引:119
作者
Fossmark, Reidar [1 ,2 ]
Martinsen, Tom C. [1 ,2 ]
Waldum, Helge L. [1 ]
机构
[1] Norwegian Univ Sci & Technol NTNU, Dept Clin & Mol Med, Fac Med & Hlth Sci, Prinsesse Kristinas Gate 3, N-7006 Trondheim, Norway
[2] Trondheim Reg & Univ Hosp, St Olavs Hosp, Dept Gastroenterol & Hepatol, Prinsesse Kristinas Gate 1, N-7030 Trondheim, Norway
关键词
proton pump inhibitors; adverse effects; gastrin; gastric cancer; renal disease; liver disease; fracture risk; LONG-TERM USE; SPONTANEOUS BACTERIAL PERITONITIS; ACUTE INTERSTITIAL NEPHRITIS; RECEPTOR ANTAGONIST USE; BONE-MINERAL DENSITY; FUNDIC GLAND POLYPS; HEPATIC-ENCEPHALOPATHY; PERNICIOUS-ANEMIA; CELL CARCINOIDS; GASTRIC-CANCER;
D O I
10.3390/ijms20205203
中图分类号
Q5 [生物化学]; Q7 [分子生物学];
学科分类号
071010 ; 081704 ;
摘要
Proton pump inhibitors (PPIs) have been increasingly used over the last decades and there are concerns about overuse and the numerous reported side-effects. It is uncertain whether associations between PPI use and potential side effects are causal. However, important evidence from experimental and mechanistic studies that could support a causal relationship may have been underestimated by epidemiologists and meta-analysists. In the current manuscript we review the combined epidemiological and mechanistic evidence of the adverse effects of PPI use.
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页数:15
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