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Aspirin-induced small bowel injuries and the preventive effect of rebamipide

查看全文 作  者:Kazuhiro [1]Mizukami;Kazunari [1]Murakami;Takashi [1]Abe;Kunimitsu [1]Inoue;Masahiro [1]Uchida;Tadayoshi [1]Okimoto;Masaaki [1]Kodama;Toshio [1]Fujioka 高影响力作者 机构地区:[1]Department of General Medicine and Gastroenterology,Faculty of Medicine,Oita University高影响力机构 出  处:《World Journal of Gastroenterology》索引2011年第17卷第46期,共6页高影响力期刊 基  金:Supported by The Department of General Medicine and Gastroenterology,Oita University 摘  要:AIM:To evaluate the influence of taking low-dose aspirin for 4 wk on small intestinal complications and to examine the preventive effect of rebamipide.METHODS:This study was conducted as a single-center,randomized,double-blind,cross-over,placebo-controlled study.Eleven healthy male subjects were enrolled.Each subject underwent video capsule endos-copy after 1 and 4 wk of taking aspirin and omepra-zole,along with either rebamipide or placebo therapy.The primary endpoint was to evaluate small bowel damage in healthy subjects before and after taking low-dose aspirin for 4 wk.RESULTS:The number of subjects with mucosal breaks(defined as multiple erosions and/or ulcers)were 1 at 1 wk and 1 at 4 wk on the jejunum,and 6 at 1 wk(P = 0.0061)and 7 at 4 wk on the ileum(P =0.0019).Rebamipide significantly prevented mucosal breaks on the ileum compared with the placebo group(P = 0.0173 at 1 wk and P = 0.0266 at 4 wk).CONCLUSION:Longer-term,low-dose aspirin adminis-tration induced damage in the small bowel.Rebamipide prevented this damage,and may be a candidate drug for treating aspirin-induced small bowel complications. 关 键 词:阿司匹林 预防效果 小肠 损伤 药物治疗 低剂量 并发症 服用
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