Antisecretory treatment efficacy by proton pump inhibitors at gastroduodenal ulcer bleedings

The aim of review. To assess clinical efficacy of antisecretory drugs at gastroduodenal ulcer bleedings.Original positions. Parenteral forms of Н2-blockers as conservative hemostasis components showed efficacy which statistically does not differ from that of placebo. Metaanalysis of 18 studies revea...

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Main Authors: M. A. Evseyev, I. M. Klishin
Format: Article
Language:Russian
Published: Gastro LLC 2010-06-01
Series:Российский журнал гастроэнтерологии, гепатологии, колопроктологии
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Online Access:https://www.gastro-j.ru/jour/article/view/1525
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author M. A. Evseyev
I. M. Klishin
author_facet M. A. Evseyev
I. M. Klishin
author_sort M. A. Evseyev
collection DOAJ
description The aim of review. To assess clinical efficacy of antisecretory drugs at gastroduodenal ulcer bleedings.Original positions. Parenteral forms of Н2-blockers as conservative hemostasis components showed efficacy which statistically does not differ from that of placebo. Metaanalysis of 18 studies revealed, that continuous intravenous infusion of omeprazole significantly reduces frequency of recurrent hemorrhage. Parenteral injection of esomeprazole after endoscopic hemostasis provides highly effective decrease in frequency of recurrent ulcer bleeding in the first 72 hs of hospital stay, as well as for the next 7 and 30 days.Conclusion. Prolonged intravenous injection of esomeprazole with subsequent intake of the drug per os is proved for application in clinical practice for patients with bleeding stomach and duodenum ulcers after endoscopical verification of hemostasis.
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publisher Gastro LLC
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series Российский журнал гастроэнтерологии, гепатологии, колопроктологии
spelling doaj-art-2554dc83ba33414abe4b0a36db25abb12025-02-10T16:14:30ZrusGastro LLCРоссийский журнал гастроэнтерологии, гепатологии, колопроктологии1382-43762658-66732010-06-0120355621042Antisecretory treatment efficacy by proton pump inhibitors at gastroduodenal ulcer bleedingsM. A. Evseyev0I. M. Klishin1Московская медицинская академия им. И.М. СеченоваМосковская медицинская академия им. И.М. СеченоваThe aim of review. To assess clinical efficacy of antisecretory drugs at gastroduodenal ulcer bleedings.Original positions. Parenteral forms of Н2-blockers as conservative hemostasis components showed efficacy which statistically does not differ from that of placebo. Metaanalysis of 18 studies revealed, that continuous intravenous infusion of omeprazole significantly reduces frequency of recurrent hemorrhage. Parenteral injection of esomeprazole after endoscopic hemostasis provides highly effective decrease in frequency of recurrent ulcer bleeding in the first 72 hs of hospital stay, as well as for the next 7 and 30 days.Conclusion. Prolonged intravenous injection of esomeprazole with subsequent intake of the drug per os is proved for application in clinical practice for patients with bleeding stomach and duodenum ulcers after endoscopical verification of hemostasis.https://www.gastro-j.ru/jour/article/view/1525gastroduodenal ulcerative bleedingsantisecretory drugsн2-blockersproton pump inhibitorsfamotidineomeprazoleesomeprazole
spellingShingle M. A. Evseyev
I. M. Klishin
Antisecretory treatment efficacy by proton pump inhibitors at gastroduodenal ulcer bleedings
Российский журнал гастроэнтерологии, гепатологии, колопроктологии
gastroduodenal ulcerative bleedings
antisecretory drugs
н2-blockers
proton pump inhibitors
famotidine
omeprazole
esomeprazole
title Antisecretory treatment efficacy by proton pump inhibitors at gastroduodenal ulcer bleedings
title_full Antisecretory treatment efficacy by proton pump inhibitors at gastroduodenal ulcer bleedings
title_fullStr Antisecretory treatment efficacy by proton pump inhibitors at gastroduodenal ulcer bleedings
title_full_unstemmed Antisecretory treatment efficacy by proton pump inhibitors at gastroduodenal ulcer bleedings
title_short Antisecretory treatment efficacy by proton pump inhibitors at gastroduodenal ulcer bleedings
title_sort antisecretory treatment efficacy by proton pump inhibitors at gastroduodenal ulcer bleedings
topic gastroduodenal ulcerative bleedings
antisecretory drugs
н2-blockers
proton pump inhibitors
famotidine
omeprazole
esomeprazole
url https://www.gastro-j.ru/jour/article/view/1525
work_keys_str_mv AT maevseyev antisecretorytreatmentefficacybyprotonpumpinhibitorsatgastroduodenalulcerbleedings
AT imklishin antisecretorytreatmentefficacybyprotonpumpinhibitorsatgastroduodenalulcerbleedings