Comparison of relapse rates and of mucosal abnormalities after healing of duodenal ulceration and after one year's maintenance with cimetidine or sucralfate: a light and electron microscopy study.

Abstract:

:Forty six patients with endoscopically diagnosed duodenal ulceration were randomly allocated to treatment with either sucralfate 1 g qds (n = 24) or cimetidine 200 mg tds and 400 mg nocte (n = 22). When the ulcers healed, a maintenance dose of sucralfate 1 g bd or cimetidine 400 mg nocte was given for one year (or until relapse if earlier). Biopsies of duodenal mucosa adjacent to ulcer sites for light and electron microscopy were obtained before and after healing and again after one year's maintenance if the ulcer remained healed. Duodenal biopsies were also taken from 20 age and sex matched controls. Rates of healing and relapse during maintenance did not differ between the two treatments, although relapses occurred earlier with cimetidine. In the three year post-maintenance follow up period 10/13 cimetidine patients relapsed compared with four of 11 sucralfate patients (p less than 0.05), the relapses occurring significantly earlier in the cimetidine treated patients (p less than 0.05). Mucosal biopsies from both treatment groups still showed considerable abnormalities after healing. During maintenance, however, the sucralfate scores fell significantly (p less than 0.02) to near control levels unlike the cimetidine scores which remained raised at pretreatment values. The histological and ultrastructural changes were not predictive of later relapse. These findings favour the use of sucralfate in preference to cimetidine for maintenance treatment in the prevention of relapse of healed duodenal ulcers.

journal_name

Gut

journal_title

Gut

authors

Tovey FI,Husband EM,Yiu YC,Baker L,McPhail G,Lewin MR,Jayaraj AP,Clark CG

doi

10.1136/gut.30.5.586

subject

Has Abstract

pub_date

1989-05-01 00:00:00

pages

586-93

issue

5

eissn

0017-5749

issn

1468-3288

journal_volume

30

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
  • Inflammatory gradient in Barrett's oesophagus: implications for disease complications.

    abstract:INTRODUCTION:Barrett's oesophageal epithelium (BE) is clinically important due to the associated inflammatory and malignant complications which are unevenly distributed throughout the BE segment. As the immunoregulatory environment may influence disease manifestations, we analysed the inflammatory and cytokine response...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.51.3.316

    authors: Fitzgerald RC,Abdalla S,Onwuegbusi BA,Sirieix P,Saeed IT,Burnham WR,Farthing MJ

    更新日期:2002-09-01 00:00:00

  • Evaluation of the intrinsic innervation of the internal anal sphincter using electrical stimulation.

    abstract::Stimulation of the rectal mucosa with a bipolar electrode leads to relaxation of the internal anal sphincter. Intraoperative studies in two subjects showed that transmission of the impulse was independent of extrinsic nerves and was interrupted by circular myotomy. Characteristics of the reflex were studied in 11 heal...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.30.7.935

    authors: Kamm MA,Lennard-Jones JE,Nicholls RJ

    更新日期:1989-07-01 00:00:00

  • Exocrine pancreatic insufficiency: accuracy and clinical value of the uniformly labelled 13C-Hiolein breath test.

    abstract:BACKGROUND AND AIMS:The 13C-Hiolein breath test (98% [U-13C] labelled long chain triglyceride mixture (highly labelled triolein) was evaluated as a non-invasive, non-radioactive test for exocrine pancreatic insufficiency. Accuracy and clinical validity were examined with reference to both the secretin pancreozymin test...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.39.5.668

    authors: Lembcke B,Braden B,Caspary WF

    更新日期:1996-11-01 00:00:00

  • What does the antimitochondrial antibody mean?

    abstract::In a prospective survey positive antimitochondrial antibodies have been detected in 69/4200 (1.64%) of all sera submitted to a routine immunology laboratory. Of the 69, only nine patients had uniquivocal primary biliary cirrhosis, six others had chronic active hepatitis, 10 had abnormal liver function tests without ev...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.23.10.814

    authors: Triger DR,Charlton CA,Ward AM

    更新日期:1982-10-01 00:00:00

  • Obese patients after gastric bypass surgery have lower brain-hedonic responses to food than after gastric banding.

    abstract:OBJECTIVES:Roux-en-Y gastric bypass (RYGB) has greater efficacy for weight loss in obese patients than gastric banding (BAND) surgery. We hypothesise that this may result from different effects on food hedonics via physiological changes secondary to distinct gut anatomy manipulations. DESIGN:We used functional MRI, ea...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gutjnl-2013-305008

    authors: Scholtz S,Miras AD,Chhina N,Prechtl CG,Sleeth ML,Daud NM,Ismail NA,Durighel G,Ahmed AR,Olbers T,Vincent RP,Alaghband-Zadeh J,Ghatei MA,Waldman AD,Frost GS,Bell JD,le Roux CW,Goldstone AP

    更新日期:2014-06-01 00:00:00

  • Interpretation of the breath hydrogen profile obtained after ingesting a solid meal containing unabsorbable carbohydrate.

    abstract::The extent to which monitoring breath hydrogen excretion provides information concerning the entry of the residues of a solid test meal into the colon was investigated in 89 normal subjects, and 11 patients with the irritable bowel syndrome. The profile of breath hydrogen concentration showed an early peak, that occur...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.26.8.834

    authors: Read NW,Al-Janabi MN,Bates TE,Holgate AM,Cann PA,Kinsman RI,McFarlane A,Brown C

    更新日期:1985-08-01 00:00:00

  • Bowel diversion should be used with caution in stenosing anal Crohn's disease.

    abstract::Proximal diversion has commonly been used for severe perianal Crohn's disease in an attempt to relieve local symptoms, whether the primary intestinal disease is in the colon or small bowel. Two patients are presented in whom diversion led to severe symptomatic disease in the previously normal defunctioned bowel. In ea...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.35.8.1139

    authors: Williamson ME,Hughes LE

    更新日期:1994-08-01 00:00:00

  • miR-150 as a potential biomarker associated with prognosis and therapeutic outcome in colorectal cancer.

    abstract:BACKGROUND:MicroRNAs (miRNA) have potential as prognostic biomarkers and therapeutic targets in cancer. A study was undertaken to investigate the association between miRNA expression patterns and the prognosis and therapeutic outcome of colorectal cancer (CRC). METHODS:miRNA expression profiling in tumour, adenoma and...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gutjnl-2011-301122

    authors: Ma Y,Zhang P,Wang F,Zhang H,Yang J,Peng J,Liu W,Qin H

    更新日期:2012-10-01 00:00:00

  • Intraepithelial lymphocyte mitosis in a jejunal biopsy correlates with intraepithelial lymphocyte count, irrespective of diagnosis.

    abstract::When there is villus atrophy in a jejunal biopsy, intraepithelial lymphocyte (IEL) mitosis correlates with a diagnosis of coeliac disease. We have examined the significance of IEL mitosis in jejunal biopsies with normal villi. Counts of IEL per 100 villus enterocytes, and IEL mitosis per 1000 IEL, were carried out in ...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.27.6.675

    authors: Ferguson A,Ziegler K

    更新日期:1986-06-01 00:00:00

  • Oral budesonide is as effective as oral prednisolone in active Crohn's disease. The Global Budesonide Study Group.

    abstract:BACKGROUND:The use of corticosteroids in active Crohn's disease often becomes limited by side effects. Budesonide is a potent corticosteroid with low systemic bioavailability due to an extensive first pass liver metabolism. AIMS:To compare the efficacy and safety of two dosage regimens of budesonide and prednisolone i...

    journal_title:Gut

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1136/gut.41.2.209

    authors: Campieri M,Ferguson A,Doe W,Persson T,Nilsson LG

    更新日期:1997-08-01 00:00:00

  • Extracellular cathepsin K exerts antimicrobial activity and is protective against chronic intestinal inflammation in mice.

    abstract:OBJECTIVE:Cathepsin K is a lysosomal cysteine protease that has pleiotropic roles in bone resorption, arthritis, atherosclerosis, blood pressure regulation, obesity and cancer. Recently, it was demonstrated that cathepsin K-deficient (Ctsk(-/-) ) mice are less susceptible to experimental autoimmune arthritis and enceph...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gutjnl-2011-300076

    authors: Sina C,Lipinski S,Gavrilova O,Aden K,Rehman A,Till A,Rittger A,Podschun R,Meyer-Hoffert U,Haesler R,Midtling E,Pütsep K,McGuckin MA,Schreiber S,Saftig P,Rosenstiel P

    更新日期:2013-04-01 00:00:00

  • No evidence of persistent mumps virus infection in inflammatory bowel disease.

    abstract:BACKGROUND AND AIM:There is controversy regarding whether paramyxovirus infection is causally associated with inflammatory bowel disease (IBD). The latest cohort study claimed that atypical measles and mumps infections in childhood may be risk factors for later IBD. This study was conducted to clarify the validity of a...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.48.5.637

    authors: Iizuka M,Saito H,Yukawa M,Itou H,Shirasaka T,Chiba M,Fukushima T,Watanabe S

    更新日期:2001-05-01 00:00:00

  • Psychological treatments of the irritable bowel syndrome: a review.

    abstract::Psychological treatments are increasingly being used to help patients with the irritable bowel syndrome (IBS), but the efficacy of such treatments is still debated. This review indicates that there are three ways in which they might have been effective in published studies to date; relating bowel symptoms to stress, s...

    journal_title:Gut

    pub_type: 杂志文章,评审

    doi:10.1136/gut.30.11.1601

    authors: Creed F,Guthrie E

    更新日期:1989-11-01 00:00:00

  • Split-dose preparation for colonoscopy increases adenoma detection rate: a randomised controlled trial in an organised screening programme.

    abstract:OBJECTIVE:Although a split regimen of bowel preparation has been associated with higher levels of bowel cleansing, it is still uncertain whether it has a favourable effect on the adenoma detection rate (ADR). The present study was aimed at evaluating whether a split regimen was superior to the traditional 'full-dose, 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-2015-310685

    authors: Radaelli F,Paggi S,Hassan C,Senore C,Fasoli R,Anderloni A,Buffoli F,Savarese MF,Spinzi G,Rex DK,Repici A

    更新日期:2017-02-01 00:00:00

  • Age-dependent changes in GI physiology and microbiota: time to reconsider?

    abstract::Our life expectancy is increasing, leading to a rise in the ageing population. Ageing is associated with a decline in physiological function and adaptive capacity. Altered GI physiology can affect the amount and types of nutrients digested and absorbed as well as impact the intestinal microbiota. The intestinal microb...

    journal_title:Gut

    pub_type: 杂志文章,评审

    doi:10.1136/gutjnl-2017-315542

    authors: An R,Wilms E,Masclee AAM,Smidt H,Zoetendal EG,Jonkers D

    更新日期:2018-12-01 00:00:00

  • Comparison of the hepatic clearances of campesterol, sitosterol, and cholesterol in healthy subjects suggests that efflux transporters controlling intestinal sterol absorption also regulate biliary secretion.

    abstract:BACKGROUND:Recently identified ABCG5/8 transporters are responsible in part for the different absorption rates of campesterol, sitosterol, and cholesterol. These transporters are also expressed in the liver and might regulate biliary sterol secretion. AIMS:This study was therefore conducted to determine the biliary se...

    journal_title:Gut

    pub_type: 临床试验,杂志文章

    doi:10.1136/gut.51.6.860

    authors: Sudhop T,Sahin Y,Lindenthal B,Hahn C,Lüers C,Berthold HK,von Bergmann K

    更新日期:2002-12-01 00:00:00

  • Association between Helicobacter pylori and mortality in the NHANES III study.

    abstract:OBJECTIVE:Persistent colonisation by Helicobacter pylori, and especially by cagA-positive strains, has been related to several health outcomes with effects in opposite directions. Thus, it is important to evaluate its influence on total and category-specific mortality. DESIGN:We conducted prospective cohort analyses i...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gutjnl-2012-303018

    authors: Chen Y,Segers S,Blaser MJ

    更新日期:2013-09-01 00:00:00

  • Localisation of PGK1 determines metabolic phenotype to balance metastasis and proliferation in patients with SMAD4-negative pancreatic cancer.

    abstract:OBJECTIVE:Pancreatic ductal adenocarcinoma (PDAC) is the most aggressive type of GI tumour, and it possesses deregulated cellular energetics. Although recent advances in PDAC biology have led to the discovery of recurrent genetic mutations in Kras, TP53 and SMAD4, which are related to this disease, clinical application...

    journal_title:Gut

    pub_type: 杂志文章,评审

    doi:10.1136/gutjnl-2018-317163

    authors: Liang C,Shi S,Qin Y,Meng Q,Hua J,Hu Q,Ji S,Zhang B,Xu J,Yu XJ

    更新日期:2020-05-01 00:00:00

  • Gli1, downregulated in colorectal cancers, inhibits proliferation of colon cancer cells involving Wnt signalling activation.

    abstract:BACKGROUND:Early events in the progression of 90% of sporadic colorectal cancers depend on constitutive activation of Wnt signalling. Recent data also indicate a close association between the Hedgehog (Hh) and Wnt pathways in colonic epithelial cell differentiation. AIMS:To investigate whether expression of Gli1, a tr...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.2005.080333

    authors: Akiyoshi T,Nakamura M,Koga K,Nakashima H,Yao T,Tsuneyoshi M,Tanaka M,Katano M

    更新日期:2006-07-01 00:00:00

  • Effect of monoclonal antibodies to enteroglucagon on ileal adaptation after proximal small bowel resection.

    abstract::On the basis of circumstantial clinical and experimental evidence, it has been suggested that enteroglucagon (EG) may act as an enterotrophic factor. This study was undertaken to evaluate the effects of long term in vivo immunoneutralisation of EG, using monoclonal antibodies to EG, on the hyperplastic ileal response ...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.28.suppl.9

    authors: Gregor M,Menge H,Stössel R,Riecken EO

    更新日期:1987-01-01 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

  • Long-term follow-up of patients on home parenteral nutrition in Europe: implications for intestinal transplantation.

    abstract:BACKGROUND:The indications for intestinal transplantation (ITx) are still debated. Knowing survival rates and causes of death on home parenteral nutrition (HPN) will improve decisions. METHODS:A prospective 5-year study compared 389 non-candidates (no indication, no contraindication) and 156 candidates (indication, no...

    journal_title:Gut

    pub_type: 杂志文章,多中心研究

    doi:10.1136/gut.2010.223255

    authors: Pironi L,Joly F,Forbes A,Colomb V,Lyszkowska M,Baxter J,Gabe S,Hébuterne X,Gambarara M,Gottrand F,Cuerda C,Thul P,Messing B,Goulet O,Staun M,Van Gossum A,Home Artificial Nutrition & Chronic Intestinal Failure Working Grou

    更新日期:2011-01-01 00:00:00

  • Possible paracrine growth of adenocarcinoma of the stomach induced by granulocyte colony stimulating factor produced by squamous cell carcinoma of the oesophagus.

    abstract::Synchronous cancers of the oesophagus and stomach diagnosed in a patient showing pronounced leucocytosis were examined for production of granulocyte colony stimulating factor (G-CSF) and expression of G-CSF receptor. Whereas enzyme immunoassay of tissue extracts showed that the oesophageal carcinoma produced G-CSF, th...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.46.3.432

    authors: Ichiishi E,Yoshikawa T,Kogawa T,Yoshida N,Kondo M

    更新日期:2000-03-01 00:00:00

  • Caffeine protects against experimental acute pancreatitis by inhibition of inositol 1,4,5-trisphosphate receptor-mediated Ca2+ release.

    abstract:OBJECTIVE:Caffeine reduces toxic Ca2+ signals in pancreatic acinar cells via inhibition of inositol 1,4,5-trisphosphate receptor (IP3R)-mediated signalling, but effects of other xanthines have not been evaluated, nor effects of xanthines on experimental acute pancreatitis (AP). We have determined effects of caffeine an...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gutjnl-2015-309363

    authors: Huang W,Cane MC,Mukherjee R,Szatmary P,Zhang X,Elliott V,Ouyang Y,Chvanov M,Latawiec D,Wen L,Booth DM,Haynes AC,Petersen OH,Tepikin AV,Criddle DN,Sutton R

    更新日期:2017-02-01 00:00:00

  • Studies on the effect of vagotomy on small intestinal motility using the radiotelemetering capsule.

    abstract::The radio-telemetering capsule (radio-pill) has been used to study the return of motility in the small bowel after vagotomy with a drainage procedure, gastric operations not involving vagotomy, and non-gastric operations. Small intestinal movements returned in about 10 hours after vagotomy, about four hours after the ...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.4.1.77

    authors: ROSS B,WATSON BW,KAY AW

    更新日期:1963-03-01 00:00:00

  • Incidences, temporal trends and risks of hospitalisation for gastrointestinal bleeding in new or chronic low-dose aspirin users after treatment for Helicobacter pylori: a territory-wide cohort study.

    abstract:OBJECTIVE:The risk of GI bleeding (GIB) in aspirin users after Helicobacter pylori (HP) eradication remains poorly defined. We characterised the incidences and temporal trends of hospitalisations for all GIB in aspirin users after HP eradication therapy. DESIGN:Based on a territory-wide health database, we identified ...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gutjnl-2019-318352

    authors: Guo CG,Cheung KS,Zhang F,Chan EW,Chen L,Wong IC,Leung WK

    更新日期:2020-03-01 00:00:00

  • Immunoelectrophoretic studies on human small intestinal brush border proteins: cellular alterations in the levels of brush border enzymes after jejunoileal bypass operation.

    abstract::The amounts of lactase (EC 3.2.1.23), sucrase (EC 3.2.1.48), maltase (EC 3.2.1.20), microvillus aminopeptidase (microsomal EC3.4.11.2), and dipeptidyl peptidase IV (EC 3.4.14.X) in biopsies from proximal jejunum and distal ileum were studied by quantitative crossed immunoelectrophoresis and enzymatic assays in obese p...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.21.8.662

    authors: Skovbjerg H,Gudmand-Høyer E,Norén O,Sjöström H

    更新日期:1980-08-01 00:00:00

  • Lymphocytic gastritis and Helicobacter pylori infection in gastric lymphoma.

    abstract::Lymphocytic gastritis and primary gastric lymphoma are rare conditions with unknown aetiology. It has recently been suggested that Helicobacter pylori has a role in the pathogenesis of both of them. The occurrence of lymphocytic gastritis and H pylori was studied in a series of patients with primary gastric lymphoma. ...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.37.4.471

    authors: Miettinen A,Karttunen TJ,Alavaikko M

    更新日期:1995-10-01 00:00:00

  • Effects of appendicectomy on the course of ulcerative colitis.

    abstract:BACKGROUND:Appendicectomy reduces the risk of having ulcerative colitis. However, its effect on the natural history of ulcerative colitis remains uncertain. AIM:To determine whether appendicectomy reduces the overall severity of ulcerative colitis. PATIENTS AND METHODS:Appendicectomy status and smoking habits were sp...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.51.6.803

    authors: Cosnes J,Carbonnel F,Beaugerie L,Blain A,Reijasse D,Gendre JP

    更新日期:2002-12-01 00:00:00

  • Effect of peroxisome proliferator activated receptor gamma ligands on growth and gene expression profiles of gastric cancer cells.

    abstract:BACKGROUND AND AIMS:Although peroxisome proliferator activated receptor gamma (PPARgamma) agonists have been implicated in differentiation and growth inhibition of cancer cells, the potential therapeutic and chemopreventive effects on gastric cancer are poorly defined. We examined the in vitro and in vivo effects of PP...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.2003.021105

    authors: Leung WK,Bai AH,Chan VY,Yu J,Chan MW,To KF,Wu JR,Chan KK,Fu YG,Chan FK,Sung JJ

    更新日期:2004-03-01 00:00:00