Inhibition of nocturnal acidity is important but not essential for duodenal ulcer healing.

Abstract:

:We have determined the relative importance of day and night time gastric acid inhibition for duodenal ulcer healing by comparing the anti-ulcer efficacy of a single morning with that of a single bedtime dose of ranitidine. One hundred and thirty patients with active duodenal ulcer were randomly assigned to a double-blind therapy with ranitidine 300 mg at 8 am or the same dose at 10 pm for up to eight weeks. The antisecretory effects of these regimens were also assessed by 24 h intragastric pH monitoring in 18 of these patients. At four weeks ulcers had healed in 41/61 (67%) of patients taking the morning dose and in 47/63 (75%) of those receiving the nocturnal dose (95% CI for the difference -0.09 +0.25; p ns). At eight weeks, the corresponding healing rates were 82% and 85.5%, respectively (95% CI for the difference -0.11 +0.17; p ns). Both treatments were significantly superior to placebo in raising 24 h intragastric pH, although the effects of the morning dose were of shorter duration than those of the nocturnal dose. These findings suggest that suppression of nocturnal acidity is important but not essential to promote healing of duodenal ulcers; a prolonged period of acid inhibition during the day (as obtained with a single large morning dose of H2-blockers) may be equally effective.

journal_name

Gut

journal_title

Gut

authors

Bianchi Porro G,Parente F,Sangaletti O

doi

10.1136/gut.31.4.397

subject

Has Abstract

pub_date

1990-04-01 00:00:00

pages

397-400

issue

4

eissn

0017-5749

issn

1468-3288

journal_volume

31

pub_type

临床试验,杂志文章,随机对照试验

相关文献

GUT文献大全
  • Effect of ranitidine bismuth citrate on postprandial plasma gastrin and pepsinogens.

    abstract::Ranitidine bismuth citrate was compared with an equipotent dose of ranitidine, to determine whether the former, by an anti-Helicobacter pylori activity, would counteract the rise of gastrin resulting from ranitidine's gastric acid antisecretory activity. Twenty four men with duodenal ulcers were studied before and on ...

    journal_title:Gut

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1136/gut.34.3.338

    authors: Fraser AG,Lam WM,Luk YW,Sercombe J,Sawyerr AM,Hudson M,Samloff IM,Pounder RE

    更新日期:1993-03-01 00:00:00

  • CDK1/2/5 inhibition overcomes IFNG-mediated adaptive immune resistance in pancreatic cancer.

    abstract:OBJECTIVE:Adaptive immune resistance mediated by the cytokine interferon gamma (IFNG) still constitutes a major problem in cancer immunotherapy. We develop strategies for overcoming IFNG-mediated adaptive immune resistance in pancreatic ductal adenocarcinoma cancer (PDAC). DESIGN:We screened 429 kinase inhibitors for ...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gutjnl-2019-320441

    authors: Huang J,Chen P,Liu K,Liu J,Zhou B,Wu R,Peng Q,Liu ZX,Li C,Kroemer G,Lotze M,Zeh H,Kang R,Tang D

    更新日期:2020-08-14 00:00:00

  • Trypsinogen variants in pancreatic juice of healthy volunteers, chronic alcoholics, and patients with pancreatitis and cancer of the pancreas.

    abstract::Polyacrylamide gel electrophoresis of pure pancreatic juice from 14 healthy normal subjects, 11 chronic alcoholics without detectable pancreatic disease, 15 patients with pancreatitis, and two with cancer of the pancreas consistently demonstrated the presence of two variants of trypsinogen with different electrophoret...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.20.10.886

    authors: Rinderknecht H,Renner IG,Carmack C

    更新日期:1979-10-01 00:00:00

  • Epidemiological trends of pre-malignant gastric lesions: a long-term nationwide study in the Netherlands.

    abstract:BACKGROUND:The pre-malignant gastric lesions atrophic gastritis (AG), intestinal metaplasia (IM) and dysplasia (DYS) have long been identified as principal risk factors for gastric cancer. OBJECTIVE:To evaluate epidemiological time trends of pre-malignant gastric lesions in the Netherlands. METHODS:Patients with a fi...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.2007.127167

    authors: de Vries AC,Meijer GA,Looman CW,Casparie MK,Hansen BE,van Grieken NC,Kuipers EJ

    更新日期:2007-12-01 00:00:00

  • Treatment of bone loss in osteopenic patients with Crohn's disease: a double-blind, randomised trial of oral risedronate 35 mg once weekly or placebo, concomitant with calcium and vitamin D supplementation.

    abstract:OBJECTIVE:Osteoporosis and fractures are frequently encountered in patients with Crohn's disease. In order to prevent fractures, treatment with bone protecting drugs appears warranted early in the course of bone disease when bone loss is not yet prominent. We therefore aimed to demonstrate a beneficial effect on bone d...

    journal_title:Gut

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1136/gutjnl-2013-305523

    authors: van Bodegraven AA,Bravenboer N,Witte BI,Dijkstra G,van der Woude CJ,Stokkers PC,Russel MG,Oldenburg B,Pierik M,Roos JC,van Hogezand RA,Dik VK,Oostlander AE,Netelenbos JC,van de Langerijt L,Hommes DW,Lips P,Dutch Initiat

    更新日期:2014-09-01 00:00:00

  • Cholic acid synthesis as an index of the severity of liver disease in man.

    abstract::Bile acid pool size and kinetics were determined in 17 patients with cirrhosis and 11 patients without liver disease and correlated with the severity of liver disease as determined by the usual clinical and laboratory criteria. In order to assess the severity of liver disease, a grading system was devised which assign...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.14.11.895

    authors: McCormick WC 3rd,Bell CC Jr,Swell L,Vlahcevic ZR

    更新日期:1973-11-01 00:00:00

  • Endotoxaemia and complement activation in acute pancreatitis in man.

    abstract::Twenty-four patients who experienced 26 attacks of acute pancreatitis were studied. Endotoxaemia, as measured by the limulus lysate assay, was present in 13 of the attacks. Six out of seven patients with systemic complications of the disease had endotoxaemia. C3 catabolism was increased in all 26 attacks of pancreatit...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.23.8.656

    authors: Foulis AK,Murray WR,Galloway D,McCartney AC,Lang E,Veitch J,Whaley K

    更新日期:1982-08-01 00:00:00

  • Effect of Helicobacter pylori status on intragastric pH during treatment with omeprazole.

    abstract::To test the hypothesis that Helicobacter pylori infection is associated with a decreased intragastric acidity during omeprazole therapy, ambulatory 24 hour dual point gastric pH recordings were performed in 18 H pylori positive and 14 H pylori negative subjects. There was a four to six week washout period between the ...

    journal_title:Gut

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1136/gut.36.4.539

    authors: Verdú EF,Armstrong D,Fraser R,Viani F,Idström JP,Cederberg C,Blum AL

    更新日期:1995-04-01 00:00:00

  • Mucosal adaptation to indomethacin induced gastric damage in man--studies on morphology, blood flow, and prostaglandin E2 metabolism.

    abstract::The effect of 28 days' continuous administration of oral indomethacin on gastroduodenal morphology, gastric mucosal blood flow, and gastric mucosal prostaglandin E2 (PGE2) metabolism in man was studied to define further the mechanisms of mucosal injury induced by indomethacin. Indomethacin caused acute gastroduodenal ...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.33.2.164

    authors: Shorrock CJ,Rees WD

    更新日期:1992-02-01 00:00:00

  • Reduced mucosal antimicrobial activity in Crohn's disease of the colon.

    abstract:OBJECTIVES:In order to maintain the mucosal barrier against luminal microorganisms the intestinal epithelial cells synthesise various broad-spectrum antimicrobial peptides including defensins and cathelicidins. Recent studies indicate that both may be deficient in Crohn's disease. To elucidate the possible functional c...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.2006.118646

    authors: Nuding S,Fellermann K,Wehkamp J,Stange EF

    更新日期:2007-09-01 00:00:00

  • Influence of pregnancy, oophorectomy and contraceptive steroids on gall bladder concentrating function and hepatic bile flow in the cat.

    abstract::Pregnancy and contraceptive steroids are associated with a raised incidence of cholesterol gall stone disease. In pregnancy there is an increase in the size of the gall bladder. Investigation of hepatobiliary function in man and mammals has not established if the enlarged gall bladder is simply dilated, or if the abso...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.27.1.10

    authors: Rådberg G,Svanvik J

    更新日期:1986-01-01 00:00:00

  • Whole body positron emission tomography/computed tomography (PET/CT) tumour staging with integrated PET/CT colonography: technical feasibility and first experiences in patients with colorectal cancer.

    abstract:AIM:The aim of this study was to implement an imaging protocol for positron emission tomography/computed tomography (PET/CT) colonography and to combine this protocol with whole body PET/CT tumour staging for a single whole body examination for routine clinical use. SUBJECTS AND METHODS:A whole body PET/CT protocol fo...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.2005.064170

    authors: Veit P,Kühle C,Beyer T,Kuehl H,Herborn CU,Börsch G,Stergar H,Barkhausen J,Bockisch A,Antoch G

    更新日期:2006-01-01 00:00:00

  • ACTH-secreting 'apudoma' of gallbladder.

    abstract::The case of a 44-year-old woman is reported. The diagnosis after the appropriate tests and laparotomy was ACTH-secreting 'apudoma' of the gallbladder. This is a rare tumour and this case is believed to be the first reported of an ectopic hormone producing tumour from this side. ...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.16.6.473

    authors: Spence RW,Burns-Cox CJ

    更新日期:1975-06-01 00:00:00

  • Differing acute phase responses in Crohn's disease and ulcerative colitis.

    abstract::Thirty eight patients with Crohn's disease and 30 patients with ulcerative colitis have been assessed using the technique of faecal excretion of 111Indium granulocytes to quantify precisely acute inflammatory activity. At the time of each faecal granulocyte measurement the serum concentration of the acute phase protei...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.27.7.809

    authors: Saverymuttu SH,Hodgson HJ,Chadwick VS,Pepys MB

    更新日期:1986-07-01 00:00:00

  • NOD2-expressing bone marrow-derived cells appear to regulate epithelial innate immunity of the transplanted human small intestine.

    abstract:BACKGROUND:Intestinal allograft rejection resembles Crohn's disease clinically and pathologically. An understanding of its mechanism could impact this life-saving procedure, as well as provide insight into the pathophysiology of inflammatory bowel disease. The NOD2 protein has been implicated as a key player in intesti...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.2007.133322

    authors: Fishbein T,Novitskiy G,Mishra L,Matsumoto C,Kaufman S,Goyal S,Shetty K,Johnson L,Lu A,Wang A,Hu F,Kallakury B,Lough D,Zasloff M

    更新日期:2008-03-01 00:00:00

  • Distribution and metabolism in healthy volunteers of disodium azodisalicylate, a potential therapeutic agent for ulcerative colitis.

    abstract::A series of experiments has been performed in healthy male volunteers to investigate the disposition of orally administered disodium azodisalicylate, a potentially useful drug for the treatment of ulcerative colitis. The drug was given by mouth in doses of up to 2 g a day for six weeks and there were no adverse effect...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.23.12.1081

    authors: Willoughby CP,Aronson JK,Agback H,Bodin NO,Truelove SC

    更新日期:1982-12-01 00:00:00

  • Bifidobacterium strains from resident infant human gastrointestinal microflora exert antimicrobial activity.

    abstract:BACKGROUND AND AIMS:The gastrointestinal microflora exerts a barrier effect against enteropathogens. The aim of this study was to examine if bifidobacteria, a major species of the human colonic microflora, participates in the barrier effect by developing antimicrobial activity against enterovirulent bacteria. METHODS:...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.47.5.646

    authors: Liévin V,Peiffer I,Hudault S,Rochat F,Brassart D,Neeser JR,Servin AL

    更新日期:2000-11-01 00:00:00

  • Targeted and regulable expression of transgenes in hepatic stellate cells and myofibroblasts in culture and in vivo using an adenoviral Cre/loxP system to antagonise hepatic fibrosis.

    abstract:BACKGROUND:Activated hepatic stellate cells (HSCs) are an attractive target for antifibrotic therapy based on their key role in extracellular matrix accumulation during liver injury. AIM:: To develop a system for regulable and cell-specific gene expression in HSCs to enable targeted delivery of therapeutic genes. MET...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.2005.085704

    authors: Kinoshita K,Iimuro Y,Fujimoto J,Inagaki Y,Namikawa K,Kiyama H,Nakajima Y,Otogawa K,Kawada N,Friedman SL,Ikeda K

    更新日期:2007-03-01 00:00:00

  • Rebound nocturnal hypersecretion after four weeks treatment with an H2 receptor antagonist.

    abstract::Daytime intragastric pH, fasting and meal stimulated serum gastrin and nocturnal acid output were studied in eight male duodenal ulcer patients before, during and two days after completing nizatidine 300 mg nocte (20:00 h) for four weeks. Median nocturnal acid output (mmol/10 h) decreased during treatment to 11.6 (ran...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.30.4.449

    authors: Fullarton GM,McLauchlan G,Macdonald A,Crean GP,McColl KE

    更新日期:1989-04-01 00:00:00

  • Oesophageal hiatus hernia in three generations of one family.

    abstract::A family is described in which eight members in three successive generations had a sliding type of oesophageal hiatus hernia (or partial thoracic stomach) as a sole anomaly. The trait in this family behaved as a strict dominant, manifesting the segregation of a single abnormal autosomal gene. Other possible aetiologie...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.11.1.51

    authors: Carré IJ,Froggatt P

    更新日期:1970-01-01 00:00:00

  • Faecal alpha-1-antitrypsin and excretion of 111indium granulocytes in assessment of disease activity in chronic inflammatory bowel diseases.

    abstract::Intestinal protein loss in chronic inflammatory bowel diseases may be easily determined by measurement of alpha-1-antitrypsin (alpha 1-AT) stool concentration and alpha 1-AT clearance. Both parameters were significantly raised in 36 and 34 patients respectively with chronic inflammatory bowel diseases, compared with e...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.28.4.386

    authors: Fischbach W,Becker W,Mössner J,Koch W,Reiners C

    更新日期:1987-04-01 00:00:00

  • Evaluation of the trophic effect of longterm treatment with the histamine H2 receptor antagonist loxtidine on rat oxyntic mucosa by differential counting of dispersed cells.

    abstract::To evaluate whether the general trophic effect of gastrin on the oxyntic mucosa is an indirect effect mediated by histamine H2 receptors, sustained 24 hour hypergastrinaemia was induced in Sprague-Dawley rats by treatment with the long acting and potent histamine H2 antagonist loxtidine for five months. The trophic ef...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.35.11.1547

    authors: Brenna E,Swarts HG,Klaassen CH,de Pont JJ,Waldum HL

    更新日期:1994-11-01 00:00:00

  • Influence of somatostatin and bombesin on plasma enteroglucagon and cell proliferation after intestinal resection in the rat.

    abstract::The possible relationship between enteroglucagon and cellular proliferation in a rat model of intestinal adaptation after suppression and stimulation of enteroglucagon by somatostatin and bombesin has been investigated. Forty eight rats were divided into three groups of 16 animals, each group being further sub-divided...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.26.1.89

    authors: Sagor GR,Ghatei MA,O'Shaughnessy DJ,Al-Mukhtar MY,Wright NA,Bloom SR

    更新日期:1985-01-01 00:00:00

  • Use of an inert marker (phenol red) to improve accuracy in gastric secretion studies.

    abstract::Gastric secretion from 24 subjects was collected by continuous nasogastric aspiration during the plateau of secretion evoked by intravenous histamine diphosphate, 0.01 mg/kg/hr. Simultaneously, phenol red was instilled at a constant rate into the proximal part of the stomach. Concentrations of phenol red in 15-minute ...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.10.10.787

    authors: Hobsley M,Silen W

    更新日期:1969-10-01 00:00:00

  • Protein kinase C inhibits cyclic adenosine monophosphate generation by histamine and truncated glucagon like peptide 1 in the human gastric cancer cell line HGT-1.

    abstract::The HGT-1 gastric cancer cell line was used to determine the actions of protein kinase C on the stimulation of adenylate cyclase by the human histamine H2 receptor, and the receptors for gastric inhibitory polypeptide and truncated glucagon like peptide 1 (TGLP-1). Suspensions of HGT-1 cells were preincubated with the...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.34.7.953

    authors: McKenna P,Williams JM,Gespach CP,Hanson PJ

    更新日期:1993-07-01 00:00:00

  • Copper kinetics in liver disease.

    abstract::The plasma clearance and the liver uptake of intravenously administered (64)Cu were significantly impaired in four patients with Wilson's disease. These defects were unlikely to be simply expressions of the high liver copper concentration as the plasma clearance and hepatic uptake of (64)Cu were normal in four patient...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.12.2.139

    authors: Smallwood RA,McIlveen B,Rosenoer VM,Sherlock S

    更新日期:1971-02-01 00:00:00

  • European evidence based consensus on the diagnosis and management of Crohn's disease: special situations.

    abstract::This third section of the European Crohn's and Colitis Organisation (ECCO) Consensus on the management of Crohn's disease concerns postoperative recurrence, fistulating disease, paediatrics, pregnancy, psychosomatics, extraintestinal manifestations, and alternative therapy. The first section on definitions and diagnos...

    journal_title:Gut

    pub_type: 共识发展会议,杂志文章

    doi:10.1136/gut.2005.081950c

    authors: Caprilli R,Gassull MA,Escher JC,Moser G,Munkholm P,Forbes A,Hommes DW,Lochs H,Angelucci E,Cocco A,Vucelic B,Hildebrand H,Kolacek S,Riis L,Lukas M,de Franchis R,Hamilton M,Jantschek G,Michetti P,O'Morain C,Anwar MM

    更新日期:2006-03-01 00:00:00

  • HLA-DR antigens in primary biliary cirrhosis: lack of association.

    abstract::A study of HLA-DR antigen in 75 patients with primary biliary cirrhosis has been carried out in order to test the hypothesis that genetic factors related to genes controlling immune responses might be important in the pathogenesis of primary biliary cirrhosis. The frequencies of HLA-DR locus antigens was not significa...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.26.6.625

    authors: Bassendine MF,Dewar PJ,James OF

    更新日期:1985-06-01 00:00:00

  • Diagnostic utility of alarm features for colorectal cancer: systematic review and meta-analysis.

    abstract:OBJECTIVE:Colorectal cancer is the second most common cause of cancer death in Europe and North America. Alarm features are used to prioritize access to urgent investigation, but there is little information concerning their utility in the diagnosis of colorectal cancer. METHODS:A systematic review and meta-analysis of...

    journal_title:Gut

    pub_type: 杂志文章,meta分析,评审

    doi:10.1136/gut.2008.159723

    authors: Ford AC,Veldhuyzen van Zanten SJ,Rodgers CC,Talley NJ,Vakil NB,Moayyedi P

    更新日期:2008-11-01 00:00:00

  • Missing endomysial and reticulin binding of coeliac antibodies in transglutaminase 2 knockout tissues.

    abstract:BACKGROUND:Autoantibodies against transglutaminase 2 (TG2) are thought to be responsible for the endomysial (EMA), reticulin (ARA), and jejunal antibody (JEA) tissue binding of serum samples from coeliac patients but the exclusive role of TG2 in these staining patterns has not yet been established. AIMS:To evaluate wh...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.52.2.199

    authors: Korponay-Szabó IR,Laurila K,Szondy Z,Halttunen T,Szalai Z,Dahlbom I,Rantala I,Kovács JB,Fésüs L,Mäki M

    更新日期:2003-02-01 00:00:00