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Influence of various proton pump inhibitors on intestinal metaplasia in noneradicated Helicobacter pylori patients

Intestinal metaplasia (IM) is more often found in patients with Helicobacter pylori (H pylori) infection, while eradication of H pylori results in significant reduction in the severity and activity of chronic gastritis. We aimed to determine in patients with unsuccessful eradication of H pylori the...

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Published in:World journal of gastroenterology : WJG 2005-04, Vol.11 (15), p.2334-2336
Main Authors: Marusic, Marinko, Babic, Zarko, Nesanovic, Mirjana, Lucijanic-Mlinac, Mira, Stajcar, Vesna
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description Intestinal metaplasia (IM) is more often found in patients with Helicobacter pylori (H pylori) infection, while eradication of H pylori results in significant reduction in the severity and activity of chronic gastritis. We aimed to determine in patients with unsuccessful eradication of H pylori the role of various proton pump inhibitors (PPIs) having different mechanisms in the resolution of IM. We confirmed endoscopically and pathohistologically (Sydney classification) the IM in 335 patients with gastritis before and after medication for eradication of H pylori (Maastricht Protocol 2002). H pylori infection was determined by using histology, urease test and culture. Control endoscopy and histology were done after 30 d and thereafter (within 1 year). Unsuccessful eradication was considered if only one of the three tests (histology, urease and culture) was negative after therapy protocol. We used omeprazole, pantoprazole, lansoprazole in therapy protocols (in combination with two antibiotics). We found no significant difference in resolution of IM by using different PPI between the groups of eradicated and noneradicated patients (P
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subjects 2-Pyridinylmethylsulfinylbenzimidazoles
Adolescent
Adult
Aged
Aged, 80 and over
Benzimidazoles - therapeutic use
Brief Reports
Chronic Disease
Enzyme Inhibitors - therapeutic use
Female
Gastritis - drug therapy
Gastritis - microbiology
Gastritis - pathology
Helicobacter Infections - drug therapy
Helicobacter Infections - pathology
Helicobacter pylori
Humans
Intestines - pathology
Lansoprazole
Male
Metaplasia
Middle Aged
Omeprazole - analogs & derivatives
Omeprazole - therapeutic use
Pantoprazole
Proton Pump Inhibitors
Sulfoxides - therapeutic use
title Influence of various proton pump inhibitors on intestinal metaplasia in noneradicated Helicobacter pylori patients
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