Review article: the use of gastric acid-inhibitory drugs--physiological and pathophysiological considerations.

Abstract:

:All vertebrates secrete gastric acid. Acid denatures the proteins in the food and thus makes them more accessible to proteolytic enzymes, and it kills swallowed micro-organisms. Gastric acid plays an important pathogenetic role in peptic ulcer disease and reflux oesophagitis. In these diseases, drugs that inhibit secretion of gastric acid will heal the lesions and suppress the symptoms. However, both reflux oesophagitis and peptic ulcer tend to recur when the acid-inhibitory treatment is stopped. Therefore, these patients often require long-term treatment with acid-inhibitors. In this overview the potential risks of long-term profound inhibition of acid secretion, raising the pH above 4 for a considerable time, resulting in reduced killing of micro-organisms and secondary hypergastrinaemia, are discussed. Gastrin regulates both the function (production and release of histamine) and growth of the enterochromaffin-like (ECL) cell. Hitherto, the role that this cell plays in gastric carcinogenesis appears to have been underestimated.

journal_name

Aliment Pharmacol Ther

authors

Waldum HL,Brenna E,Kleveland PM,Sandvik AK,Syversen U

doi

10.1111/j.1365-2036.1993.tb00139.x

subject

Has Abstract

pub_date

1993-12-01 00:00:00

pages

589-96

issue

6

eissn

0269-2813

issn

1365-2036

journal_volume

7

pub_type

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