Tripotassium dicitrato bismuthate (TDB) versus two different dosages of cimetidine in the treatment of resistant duodenal ulcers.

Abstract:

:The use of tripotassium dicitrato bismuthate (TDB) has been suggested recently for cimetidine resistant duodenal ulcers. This study compares the efficacy of TDB with two different cimetidine dosages in the treatment of duodenal ulcer patients who failed to respond to an eight week therapy with H2-blockers. Fifty two patients (40 men, 12 women) were randomly allocated to one of the following three oral regimens: (1) TDB 120 mg quid, (2) cimetidine 400 mg tid, (3) cimetidine 400 mg with meals plus 800 mg at bedtime. Endoscopy was carried out after four weeks; if the ulcer had not healed patients continued with the same treatment for a further four week period when they were endoscopically reassessed. After four weeks similar percentages of ulcer healing were registered in the two cimetidine schedules (39% with 1.2 g and 44% with 2 g), whereas TDB resulted in a significantly higher healing rate (82%) compared with cimetidine 1.2 g (p = 0.01) and with cimetidine 2 g (p = 0.025). After eight weeks the cumulative percentages of healing were 65% on cimetidine 1.2 g, 75% on cimetidine 2 g, and 94% on TDB (TDB v cimetidine 1.2 p = 0.042). These results confirm previous data that resistant duodenal ulcers are more responsive to an agent which strengthens the mucosal defences than to antisecretory compounds.

journal_name

Gut

journal_title

Gut

authors

Bianchi Porro G,Parente F,Lazzaroni M

doi

10.1136/gut.28.7.907

subject

Has Abstract

pub_date

1987-07-01 00:00:00

pages

907-11

issue

7

eissn

0017-5749

issn

1468-3288

journal_volume

28

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
  • Delta 4-3-oxosteroid 5 beta-reductase deficiency: failure of ursodeoxycholic acid treatment and response to chenodeoxycholic acid plus cholic acid.

    abstract:BACKGROUND:In some infants with liver disease, 3-oxo-delta 4 bile acids are the major bile acids in urine, a phenomenon attributed to reduced activity of the delta 4-3-oxosteroid 5 beta-reductase required for synthesis of chenodeoxycholic acid and cholic acid. These patients form a heterogeneous group. Many have a know...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.38.4.623

    authors: Clayton PT,Mills KA,Johnson AW,Barabino A,Marazzi MG

    更新日期:1996-04-01 00:00:00

  • Critical research gaps and recommendations to inform research prioritisation for more effective prevention and improved outcomes in colorectal cancer.

    abstract:OBJECTIVE:Colorectal cancer (CRC) leads to significant morbidity/mortality worldwide. Defining critical research gaps (RG), their prioritisation and resolution, could improve patient outcomes. DESIGN:RG analysis was conducted by a multidisciplinary panel of patients, clinicians and researchers (n=71). Eight working gr...

    journal_title:Gut

    pub_type: 杂志文章,评审

    doi:10.1136/gutjnl-2017-315333

    authors: Lawler M,Alsina D,Adams RA,Anderson AS,Brown G,Fearnhead NS,Fenwick SW,Halloran SP,Hochhauser D,Hull MA,Koelzer VH,McNair AGK,Monahan KJ,Näthke I,Norton C,Novelli MR,Steele RJC,Thomas AL,Wilde LM,Wilson RH,Tomlins

    更新日期:2018-01-01 00:00:00

  • Serous cystic neoplasm of the pancreas: a multinational study of 2622 patients under the auspices of the International Association of Pancreatology and European Pancreatic Club (European Study Group on Cystic Tumors of the Pancreas).

    abstract:OBJECTIVES:Serous cystic neoplasm (SCN) is a cystic neoplasm of the pancreas whose natural history is poorly known. The purpose of the study was to attempt to describe the natural history of SCN, including the specific mortality. DESIGN:Retrospective multinational study including SCN diagnosed between 1990 and 2014. ...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gutjnl-2015-309638

    authors: Jais B,Rebours V,Malleo G,Salvia R,Fontana M,Maggino L,Bassi C,Manfredi R,Moran R,Lennon AM,Zaheer A,Wolfgang C,Hruban R,Marchegiani G,Fernández Del Castillo C,Brugge W,Ha Y,Kim MH,Oh D,Hirai I,Kimura W,Jang JY

    更新日期:2016-02-01 00:00:00

  • Anti-inflammatory role of sympathetic nerves in chronic intestinal inflammation.

    abstract:BACKGROUND:Substance P (SP) is a pro-inflammatory neuropeptide in colitis, whereas sympathetic neurotransmitters are anti-inflammatory at high concentrations. AIM AND METHODS:In all layers of the colon, nerve fibre densities of SP(+) and sympathetic nerve fibres were investigated (22 Crohn's disease, six diverticuliti...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.2007.125401

    authors: Straub RH,Grum F,Strauch U,Capellino S,Bataille F,Bleich A,Falk W,Schölmerich J,Obermeier F

    更新日期:2008-07-01 00:00:00

  • Enzyme activities and morphological appearance in functioning and excluded segments of the small intestine after shunt operation for obesity.

    abstract::Five patients in whom small-intestinal bypass was performed for severe obesity had a second operation 11-19 months later because of insufficient weight loss. Mucosal enzyme activities and histological appearance were investigated in biopsies from different parts of the functioning and excluded small intestine. These w...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.20.7.553

    authors: Asp NG,Gudmand-Høyer E,Andersen B,Berg NO

    更新日期:1979-07-01 00:00:00

  • Molecular testing for antibiotic resistance in Helicobacter pylori.

    abstract::An estimated 7.5 million individuals in England and Wales are actively infected with Helicobacter pylori and hence knowledge of local resistance rates is of growing importance. Also, information on strain resistance following treatment failure is crucial in selecting an appropriate regimen as the development of bacter...

    journal_title:Gut

    pub_type: 杂志文章,评审

    doi:10.1136/gut.50.3.285

    authors: Owen RJ

    更新日期:2002-03-01 00:00:00

  • Studies of the effect of metoclopramide and apomorphine on gastric emptying and secretion in man.

    abstract::With oral and intravenous doses of metoclopramide there was no constant effect on the gastric emptying of test meals of glucose or sodium citrate, nor was secretion of acid by the stomach in response to test meals of glucose or sodium citrate affected. Apomorphine, in subnauseous doses (0.25 mg intravenously) slowed t...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.11.12.989

    authors: Ramsbottom N,Hunt JN

    更新日期:1970-12-01 00:00:00

  • Early cancer of the gastric remnant.

    abstract::Early carcinoma of the gastric remnant was diagnosed in 19 patients between January 1976 and January 1986. In all patients early cancer was suspected at endoscopy and confirmed by biopsy and histology. The main reason for endoscopic examination was diffuse epigastric pain suggestive of stump gastritis. The surgical pr...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.29.3.298

    authors: Pointner R,Schwab G,Königsrainer A,Bodner E,Schmid KW

    更新日期:1988-03-01 00:00:00

  • CPT2 downregulation adapts HCC to lipid-rich environment and promotes carcinogenesis via acylcarnitine accumulation in obesity.

    abstract:OBJECTIVE:Metabolic reprogramming of tumour cells that allows for adaptation to their local environment is a hallmark of cancer. Interestingly, obesity-driven and non-alcoholic steatohepatitis (NASH)-driven hepatocellular carcinoma (HCC) mouse models commonly exhibit strong steatosis in tumour cells as seen in human st...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gutjnl-2017-315193

    authors: Fujiwara N,Nakagawa H,Enooku K,Kudo Y,Hayata Y,Nakatsuka T,Tanaka Y,Tateishi R,Hikiba Y,Misumi K,Tanaka M,Hayashi A,Shibahara J,Fukayama M,Arita J,Hasegawa K,Hirschfield H,Hoshida Y,Hirata Y,Otsuka M,Tateishi K,

    更新日期:2018-08-01 00:00:00

  • Randomised controlled trial of long term portographic follow up versus variceal band ligation following transjugular intrahepatic portosystemic stent shunt for preventing oesophageal variceal rebleeding.

    abstract:BACKGROUND/AIMS:Transjugular intrahepatic portosystemic stent shunt (TIPSS) is effective in the prevention of variceal rebleeding but requires invasive portographic follow up. This randomised controlled trial aims to test the hypothesis that combining variceal band ligation (VBL) with TIPSS can obviate the need for lon...

    journal_title:Gut

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1136/gut.2003.013532

    authors: Tripathi D,Lui HF,Helmy A,Dabos K,Forrest E,Stanley AJ,Jalan R,Redhead DN,Hayes PC

    更新日期:2004-03-01 00:00:00

  • Detection of Helicobacter pylori infection of the gastric mucosa by measurement of gastric aspirate ammonium and urea concentrations.

    abstract::Helicobacter pylori possesses unusually high urease activity that lowers the urea concentration and raises the ammonium concentration of the gastric juice in infected people. The value of measuring urea and ammonium concentrations in gastric juice obtained during upper gastrointestinal endoscopy as a means of diagnosi...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.32.9.973

    authors: Neithercut WD,Milne A,Chittajallu RS,el Nujumi AM,McColl KE

    更新日期:1991-09-01 00:00:00

  • Profound spatial clustering of simultaneous peptic ulcers.

    abstract::In an endoscopic study of 90 consecutive patients with more than one peptic ulcer, the ulcers in an individual were profoundly spatially clustered. Clustering of ulcer locations was shown using a non-parametric test of clustering (Kruskal-Wallis statistic with 89 degrees of freedom = 151.31, probability of observing t...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.30.10.1329

    authors: Cappell MS

    更新日期:1989-10-01 00:00:00

  • Fat transforms ascorbic acid from inhibiting to promoting acid-catalysed N-nitrosation.

    abstract:BACKGROUND:The major potential site of acid nitrosation is the proximal stomach, an anatomical site prone to a rising incidence of metaplasia and adenocarcinoma. Nitrite, a pre-carcinogen present in saliva, can be converted to nitrosating species and N-nitroso compounds by acidification at low gastric pH in the presenc...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.2007.128587

    authors: Combet E,Paterson S,Iijima K,Winter J,Mullen W,Crozier A,Preston T,McColl KE

    更新日期:2007-12-01 00:00:00

  • Postprandial duodenal function in man.

    abstract::Duodenal function was studied in 11 healthy volunteers after intragastric instillation of a mixed semi-elemental meal. The duodenum accepted chyme of varying pH, osmolality, and nutrient concentration; and, as a result of biliary, pancreatic, and enteric secretion as well as absorption, it delivered chyme with nearly ...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.19.8.699

    authors: Miller LJ,Malagelada JR,Go VL

    更新日期:1978-08-01 00:00:00

  • Sex differences in colonic function: a randomised trial.

    abstract::There are sex differences in large bowel cancer rates and a variety of other gastrointestinal disorders possibly because of differences in gut biology. To determine whether men and women have different gastrointestinal responses when consuming identical intakes of dietary fibre, 16 women and 18 men consumed liquid for...

    journal_title:Gut

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1136/gut.34.4.531

    authors: Lampe JW,Fredstrom SB,Slavin JL,Potter JD

    更新日期:1993-04-01 00:00:00

  • Growth differentiation factor 11 attenuates liver fibrosis via expansion of liver progenitor cells.

    abstract:OBJECTIVE:Liver fibrosis and cirrhosis resulting from chronic liver injury represent a major healthcare burden worldwide. Growth differentiation factor (GDF) 11 has been recently investigated for its role in rejuvenation of ageing organs, but its role in chronic liver diseases has remained unknown. Here, we investigate...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gutjnl-2019-318812

    authors: Dai Z,Song G,Balakrishnan A,Yang T,Yuan Q,Möbus S,Weiss AC,Bentler M,Zhu J,Jiang X,Shen X,Bantel H,Jaeckel E,Kispert A,Vogel A,Saborowski A,Büning H,Manns M,Cantz T,Ott M,Sharma AD

    更新日期:2020-06-01 00:00:00

  • Clonal chromosomal abnormalities in congenital bile duct dilatation (Caroli's disease).

    abstract:BACKGROUND:Caroli's disease is a rare congenital disorder characterised by cystic dilatation of the intrahepatic bile ducts and an increased risk of cholangiocellular carcinoma. The cause is unknown, but occasional familial clustering suggests that some cases are inherited, in particular when occurring in association w...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.45.5.780

    authors: Parada LA,Hallén M,Hägerstrand I,Tranberg KG,Johansson B

    更新日期:1999-11-01 00:00:00

  • Gastric mucosal morphology and faecal blood loss during ethanol ingestion.

    abstract::The faecal blood loss of six alcoholic subjects with normal gastric mucosa, six with superficial gastritis, and six with atrophic gastritis was studied before and during ingestion of 40% v/v ethanol using (51)Cr-tagged red blood cells. No significant change in faecal blood loss was observed in the normal mucosa and su...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.14.4.289

    authors: Dinoso VP Jr,Meshkinpour H,Lorber SH

    更新日期:1973-04-01 00:00:00

  • Varicella-zoster virus DNA in the oesophageal myenteric plexus in achalasia.

    abstract::In a search for past or present infection with herpes viruses, serum antibody titres to herpes simplex type 1 virus, cytomegalovirus, and varicella-zoster virus were measured by complement fixation test in 58 patients with achalasia. Serum was also taken from 40 age and sex matched patients without oesophageal symptom...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.34.3.299

    authors: Robertson CS,Martin BA,Atkinson M

    更新日期:1993-03-01 00:00:00

  • Predictive value of arterial ammonia for complications and outcome in acute liver failure.

    abstract:BACKGROUND AND AIMS:In acute liver failure (ALF), the brain is exposed to high levels of ammonia. Human studies defining the clinical significance of ammonia in ALF are lacking. This prospective study evaluated the relationship of arterial ammonia levels at admission to complications and survival among patients with AL...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.2004.061754

    authors: Bhatia V,Singh R,Acharya SK

    更新日期:2006-01-01 00:00:00

  • Pancreatic alkaline phosphatase and a tumour variant.

    abstract::Alkaline phosphatase has been extracted from human pancreas with n-butanol and has been shown to have distinctive isoenzyme characteristics when compared with the enzymes of small intestine and of normal serum. The enzyme has been demonstrated histochemically in a carcinoma of the pancreas and also in an islet cell tu...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.13.7.513

    authors: Warnes TW,Timperley WR,Hine P,Kay G

    更新日期:1972-07-01 00:00:00

  • Specific probiotic therapy attenuates antibiotic induced visceral hypersensitivity in mice.

    abstract:BACKGROUND AND AIMS:Abdominal pain and discomfort are common symptoms in functional disorders and are attributed to visceral hypersensitivity. These symptoms fluctuate over time but the basis for this is unknown. Here we examine the impact of changes in gut flora and gut inflammatory cell activity on visceral sensitivi...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.2005.066100

    authors: Verdú EF,Bercik P,Verma-Gandhu M,Huang XX,Blennerhassett P,Jackson W,Mao Y,Wang L,Rochat F,Collins SM

    更新日期:2006-02-01 00:00:00

  • Lactate and pH in faeces from patients with colonic adenomas or cancer.

    abstract::Earlier studies have reported that faecal pH is more alkaline in patients with colonic cancer, indicating a reduction in colonic carbohydrate fermentation to organic acids. The pH of faeces from 11 pre and 14 postoperative, selected colonic cancer patients without intestinal obstruction, major loss of appetite or weig...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.34.5.625

    authors: Hove H,Rye Clausen M,Brøbech Mortensen P

    更新日期:1993-05-01 00:00:00

  • Gall bladder emptying in severe idiopathic constipation.

    abstract:BACKGROUND:It has been suggested that slow transit constipation (STC) may be part of a panenteric motor disorder. AIM:To evaluate motility of an upper gastrointestinal organ, the gall bladder, in 16 patients with STC and 20 healthy controls. METHODS:Gall bladder emptying (ultrasonography) was studied in response to n...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.45.2.264

    authors: Penning C,Gielkens HA,Delemarre JB,Lamers CB,Masclee AA

    更新日期:1999-08-01 00:00:00

  • Mucosal sulfhydryl compounds evaluation by in vivo electron spin resonance spectroscopy in mice with experimental colitis.

    abstract:BACKGROUND:Sulfhydryl (SH) compounds are essential in maintaining mucosal integrity in the gastrointestinal tract. A decrease in colonic mucosal SH compounds affects the redox status of the mucosa, resulting in vulnerability to further attacks. Therefore, there is a strong need for in vivo evaluation of SH compounds in...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.52.9.1291

    authors: Togashi H,Oikawa K,Adachi T,Sugahara K,Ito J,Takeda T,Watanabe H,Saito K,Saito T,Fukui T,Takeda H,Ohya H,Kawata S

    更新日期:2003-09-01 00:00:00

  • Indices of granulocyte activity in inflammatory bowel disease.

    abstract::In conditions with increased neutrophil production, the serum total vitamin B(12)-binding capacity (TBBC) is considered to correlate with the blood pool size of neutrophil granulocytes. The serum lysozyme, on the other hand, is a measure of neutrophil (and monocyte) turnover. The mean serum TBBC was significantly rais...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.15.12.953

    authors: Kane SP,Hoffbrand AV,Neale G

    更新日期:1974-12-01 00:00:00

  • Changes in the gastric mucosa of the mouse associated with long lasting unsurmountable histamine H2 blockade.

    abstract::The oral administration of loxtidine to mice at doses of 600, 250, and 50 mg/kg/day for 746 days produced carcinoid tumours of the gastric fundus. The fundic mucosa also showed marked atypical hyperplasia with changes in foveolar cells similar to those seen in early incomplete metaplasia. These effects may be related ...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.27.11.1338

    authors: Poynter D,Selway SA,Papworth SA,Riches SR

    更新日期:1986-11-01 00:00:00

  • Autonomic dysfunction in gastrointestinal motility disorders.

    abstract::The records of 113 consecutive patients with a suspected gastrointestinal motility disorder referred between January 1988 and July 1991 were retrospectively reviewed. The aims were to identify the prevalence of autonomic dysfunction in those with or without associated neurological disease and to determine the diagnost...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.34.3.397

    authors: Bharucha AE,Camilleri M,Low PA,Zinsmeister AR

    更新日期:1993-03-01 00:00:00

  • Peptic ulcer bleeding: accessory risk factors and interactions with non-steroidal anti-inflammatory drugs.

    abstract:AIMS:To determine risk factors for peptic ulcer bleeding other than non-steroidal anti-inflammatory drugs (NSAIDs). Methods-Data on possible antecedent risk factors obtained in a large case control study of 1121 patients admitted to hospitals in Glasgow, Newcastle, Nottingham, Oxford, and Portsmouth with bleeding pepti...

    journal_title:Gut

    pub_type: 杂志文章,多中心研究

    doi:10.1136/gut.46.1.27

    authors: Weil J,Langman MJ,Wainwright P,Lawson DH,Rawlins M,Logan RF,Brown TP,Vessey MP,Murphy M,Colin-Jones DG

    更新日期:2000-01-01 00:00:00

  • Iron, anaemia, and inflammatory bowel diseases.

    abstract::Iron deficiency anaemia is one of the most common disorders in the world. Also, one third of inflammatory bowel disease (IBD) patients suffer from recurrent anaemia. Anaemia has significant impact on the quality of life of affected patients. Chronic fatigue, a frequent IBD symptom itself, is commonly caused by anaemia...

    journal_title:Gut

    pub_type: 杂志文章,评审

    doi:10.1136/gut.2003.035758

    authors: Gasche C,Lomer MC,Cavill I,Weiss G

    更新日期:2004-08-01 00:00:00