Artigo Revisado por pares

Esomeprazole 40 Mg provides more effective acid control than standard doses of all other proton pump inhibitors

2001; Elsevier BV; Volume: 120; Issue: 5 Linguagem: Inglês

10.1016/s0016-5085(08)82079-3

ISSN

1528-0012

Autores

Kerstin Röhss, Clive H. Wilder‐Smith, Catharina Claar-Nilsson, Christina Lundin, Göran Hasselgren,

Tópico(s)

Inflammatory mediators and NSAID effects

Resumo

mg/kg TID or placebo BID.On day O, each animal was equipped with a 14Fr.percutaneous esophagostomy cannula.The animals were then administered the designated drug over 3 days.On the fourth day, 8-channel radial manometry of the LES was performed in unsedated animals positioned in right lateral recumbency.Mean LES pressure, average maximal (Max) LES pressure and LES length were measured.A one week washout period was then followed by randomization to one of the other treatments and the process repeated.Results.Mean and Max LES pressures were significantly increased after treatment with both Celecoxih and Cisapride.The response to Cisapride and Celecoxib were comparable.No statistical difference in the LES length was found between treatment groups.Conclusio~ In the present study, we investigated the modifications of the canine LES under the inluence of Celecoxib, a COX-2 inhibitor.There was a significant increase in the mean and maximal LES pressures with both Celecoxib and Cisapride.We conclude that Celecoxib has a positive effect on the canine LES and that the effect is similar to that observed with Cisapride. Effects ofCelecoxib on canine lower esophageal sphincter Mean LES Max LES LES Length t pressure1" pressuret PLACEBO 26.30 _+ 5.02 60.26 ± 8.73 2.28 _+ 0.29 CELECOXlB 37.60 ± 9.68 * 105.70 +_ 28.33 * 2.16 ± 0.30 ClSAPRIDE 43.18 +_ 10.73 * 94.05 ± 20.70 * 2.11 ± 0.36 J-Results are expressed as mm Hg and shown as means ± SEM. ~Results are expressed in cm and shown as means ± SEM. • P<O.05 vs. Placebo

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