Nonsteroidal anti-inflammatory drug-induced gastrointestinal toxicity: New insights into an old problem

被引:0
作者
Neal M. Davies
John L. Wallace
机构
[1] University of Calgary,Intestinal Disease Research Unit, Faculty of Medicine
来源
Journal of Gastroenterology | 1997年 / 32卷
关键词
non-steroidal anti-inflammatory drugs; gastrointestinal; cyclooxygenase; nitric oxide; prostaglandins;
D O I
暂无
中图分类号
学科分类号
摘要
Nonsteroidal anti-inflammatory drugs are widely used for the treatment of chronic arthropathies, but their gastrointestinal damage remains a significant limitation to their use. In this review, the pathogenic mechanisms through which these drugs are believed to cause gastrointestinal damage are outlined. A better understanding of the pathogenesis of gastric and intestinal injury has resulted in novel strategies that are being employed to develop nonsteroidal anti-inflammatory drugs that do not have significant adverse effects on the gastrointestinal tract.
引用
收藏
页码:127 / 133
页数:6
相关论文
共 230 条
  • [1] Blower PR(1993)Nonsteroidal anti-inflammatory drugs Br J Rheumatol 32 35-38
  • [2] Baum C(1985)Utilization of nonsteroidal antiinflammatory drugs Arth Rheum 28 686-692
  • [3] Kennedy DL(1984)Physician beliefs, attitudes, and prescribing behavior for anti-inflammatory drugs Am J Med 77 313-318
  • [4] Forbes MB(1992)The selection of a nonsteroidal antiinflammatory drug. Is there a difference J Rheumatol 19 9-12
  • [5] Epstein AM(1876)Salicin in acute rheumatism Lancet II 676-677
  • [6] Read JL(1991)NSAID gastropathy: Epidemiology J Musculoskeletal Med 8 21-28
  • [7] Winickoff R(1987)Non-steroidal anti-inflammatory drugs and the lower gastrointestinal tract Scand J Gastoenterol 22 1-4
  • [8] Wilkens RF(1979)Incidence of gastric lesions in patients with rheumatic disease on chronic aspirin therapy Ann Intern Med 91 517-520
  • [9] Myers ABR(1990)Iron deficiency anemia in patients with rheumatic disease receiving non-steroidal anti-inflammatory drugs: The role of upper gastrointestinal lesions Ann Rheum Dis 26 359-362
  • [10] Fries JF(1986)Small bowel ulceration in patients receiving NSAIDs for rheumatoid arthritis Q J Med 58 53-58