COMPARISON OF TRI-POTASSIUM DI-CITRATO BISMUTHATE TABLETS WITH RANITIDINE IN HEALING AND RELAPSE OF DUODENAL ULCERS
1985; Elsevier BV; Volume: 325; Issue: 8441 Linguagem: Inglês
10.1016/s0140-6736(85)92793-x
ISSN1474-547X
Autores Tópico(s)Inflammatory Bowel Disease
Resumo120 patients were randomly allocated to receive ranitidine 150 mg twice daily or a tri-potassium di-citrato bismuthate (TDB) tablet four times a day in a trial comparing the effects of these drugs in the short-term healing and post-healing relapse rates of duodenal ulceratio. At 4 weeks 81 % of those on ranitidine and 90% of those on TDB had healed ulcer craters. At 8 weeks 97% of those on ranitidine and 97 % of those on TDB had healed. These diffrences are not significant. After ulcer healing, the cumulative rates of relapse, as determined endoscopically, for symptomatic and symptomless ulcers were 74 % for ranitidine and 41 % for tDB at 4 months (p<0.001), 87 % for ranitidine and 55% for TDB at 8 months (p<0.001), and 89 % for ranitidine and 62 % for TDB at 12 months (p<0.001). Females had significantly lower relapse rates than males. In the ranitidine group smokers had a higher rate of early relapse and failure to remain healed at 12 months than did non-smokers; no such difference occurred in the TDB-treated group.
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