PREVENTION OF DUODENAL-ULCER RELAPSE WITH AMOXICILLIN AND OMEPRAZOLE

被引:14
作者
SPINZI, GC
SANGIOVANNI, A
IMPERIALI, G
TERRUZZI, V
MINOLI, G
BARATELLI, G
POSCA, M
SCARPIS, M
SNIDER, L
机构
[1] Division of Medicine, Valduce Hospital, Como
[2] Division of Surgery, Gravedona Hospital, Como
[3] Division of Medicine, Erba Hospital, Como
[4] Division of Surgery, Menaggio Hospital, Como
[5] Division of Medicine, S. Anna Hospital, Como
关键词
OMEPRAZOLE; HELICOBACTER-PYLORI; DUODENAL ULCER;
D O I
10.1097/00042737-199407000-00006
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Objective: To evaluate, prospectively, whether omeprazole and amoxycillin eradicate Helicobacter pylori and prevent duodenal ulcer relapse. Patients and methods: This prospective multicentre trial included 53 patients. Twenty-nine H. pylori-positive patients were treated with omeprazole for 4 weeks (group A) and the remaining 24 received amoxycillin 'plus' omeprazole for 2 weeks. Eradication of H. pylori was evaluated using the rapid urease test and histological examination. Results: Six months after the end of therapy, H. pylori was eradicated in two out of 23 patients (9%) from group A and 10 out of 21 (48%) from group B. The ulcer relapse rate was 68% (n = 15) for patients from group A and 17% (n = 3) for those from group B. Conclusions: Our regimen eradicated H. pylori in half of our patients and is effective in preventing ulcer relapse with few adverse events.
引用
收藏
页码:599 / 602
页数:4
相关论文
共 28 条
[11]  
Carfani G., Vandelli A., Santini D., Caselli A., Fontano G., Omeprazole in short-term treatment of Helicobacter pylori positive duodenal ulcer, Ital J Gastroenterol, 23, pp. 597-598, (1991)
[12]  
Rauws E., Langenberg W., Bosma A., Dankert J., Tytgat G.N.J., Lack of eradication of Helicobacter pylori after omeprazole [letter], Lancet, 337, (1991)
[13]  
De Koster E., Nyst J.F., Glupczynski Y., Jonas C., Denis P., Van Geel J., Et al., Omeprazole and HP: The long and winding road [abstract], Irj Med Soc, 161, (1992)
[14]  
Vigneri S., Termini R., Scialabba A., Pisciotta G., Di Mario F., Omeprazole therapy modifies the gastric localisation of Helicobacter pylori [letter], Am J Gastroenterol, 86, (1991)
[15]  
Graham D.Y., Lew G.M., Klein P.D., Evans D.G., Evans D.J., Saeed Z.A., Et al., Effect of treatment of Helicobacter pylori infection on long term recurrence of gastric or duodenal ulcer. A randomized controlled study, Ann Intern Med, 116, pp. 705-708, (1992)
[16]  
Hentschel E., Brandstatter G., Dragosics B., Hirschl A.M., Ne-Mec H., Schutze K., Et al., Effect of ranitidine and amoxycillin plus metronidazole on the eradication of Helicobacter pylori and the recurrence of duodenal ulcer, N Engl J Med, 328, pp. 308-312, (1993)
[17]  
Graham D.Y., Lew G.M., Malaty H.M., Evans D.G., Evans D.J., Klein P.D., Et al., Factors influencing the eradication of Helicobacter pylori with triple therapy, Gastroenterology, 102, pp. 493-496, (1992)
[18]  
McNulty C., Bacteriological and pharmacological basis for treatment of Campylobacter pylori infection, Campylobacter Pylori and Gastroduodenal Disease, pp. 209-216, (1989)
[19]  
Bhatia S.J., Kochar N., Abraham P., Nair N.G., Menta A.P., Lactobacillus acidophilus inhibits growth of Campylobacter pylori in vitro, J Clin Microbiol, 27, pp. 2328-2330, (1989)
[20]  
Sharma B.K., Santana I.A., Wood E.C., Walt R.P., Pereira M., Noone P., Et al., Intragastric bacterial activity and nitrosation before, during and after treatment with omeprazole, BMJ, 289, pp. 717-719, (1984)