Oesophageal histology in long term users of non-steroidal anti-inflammatory drugs.

Abstract:

AIMS:To study the oesophageal histological changes in long term users of non-steroidal anti-inflammatory drugs (NSAIDs) compared with patients not receiving these drugs. METHODS:Ninety eight patients were studied, 53 of whom had taken NSAIDs for three years; 45 had not. Oesophageal biopsy specimens were taken from healthy-looking mucosa in the lower third of oesophagus. The papillary length, the thickness of the basal cell layer, and the intensity of cells infiltrating the epithelium were all assessed blind. RESULTS:The NSAID group included four (7%) cases of papillary elongation and two (4%) cases of basal cell hyperplasia, compared with 13 (29%; p < 0.01) and eight (18%; p < 0.02), respectively, in patients not taking NSAIDs. The total histological scores were also lower in patients treated with NSAIDs. CONCLUSION:Long term NSAID users have fewer oesophageal histological abnormalities than patients not receiving NSAIDs. Macroscopic damage related to NSAID use is, therefore, unlikely to require pre-existing histological oesophagitis for its development.

journal_name

J Clin Pathol

authors

Taha AS,Dahill S,Nakshabendi I,Lee FD,Sturrock RD,Russell RI

doi

10.1136/jcp.47.8.705

subject

Has Abstract

pub_date

1994-08-01 00:00:00

pages

705-8

issue

8

eissn

0021-9746

issn

1472-4146

journal_volume

47

pub_type

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