Safer endoscopic gastric mucosal resection: Preoperative proton pump inhibitor administration

Yoshiyuki Watanabe, Naoyuki Kato, Tadateru Maehata, Masaru Okamoto, Takashi Tsuda, Santa Hattori, Shunichi Yamauchi, Kazuhiko Fujita, Satoshi Baba, Shinichi Nakaya, Hiroyuki Inaba, Satoshi Kitajima, Michihiro Suzuki, Hirohumi Niwa, Fumio Itoh

研究成果: Article

16 引用 (Scopus)

抄録

Background and Aim: Control of bleeding is crucial in improving the safety of endoscopic mucosal resection (EMR), and intragastric acidity has a great impact on hemostasis and blood coagulation. Proton pump inhibitors (PPI) are potent suppressors of gastric acid; however, PPI need to be continuously administered orally for several days, and thus initial effects may be insufficient if PPI is only administered immediately after EMR. The aim of this study was to determine whether preoperative administration of PPI prior to EMR can elevate intragastric acidity, facilitate better control of intraoperative bleeding (complete coagulation and hemostasis), prevent postoperative bleeding, and facilitate healing of artificial ulcers. Methods: A randomized clinical study was conducted in which EMR was performed with or without 1 week of preoperative PPI administration. Results: Artificial ulcers created by EMR healed more rapidly in patients who received preoperative PPI. Conclusions: The results of the study suggest that preoperative administration of PPI before EMR is useful for controlling and preventing bleeding, and for facilitating the healing of artificial ulcers.

元の言語English
ページ(範囲)1675-1680
ページ数6
ジャーナルJournal of Gastroenterology and Hepatology (Australia)
21
発行部数11
DOI
出版物ステータスPublished - 2006
外部発表Yes

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Proton Pump Inhibitors
Stomach
Hemorrhage
Ulcer
Hemostasis
Gastric Acid
Blood Coagulation
Endoscopic Mucosal Resection
Safety

ASJC Scopus subject areas

  • Gastroenterology
  • Hepatology

これを引用

Safer endoscopic gastric mucosal resection : Preoperative proton pump inhibitor administration. / Watanabe, Yoshiyuki; Kato, Naoyuki; Maehata, Tadateru; Okamoto, Masaru; Tsuda, Takashi; Hattori, Santa; Yamauchi, Shunichi; Fujita, Kazuhiko; Baba, Satoshi; Nakaya, Shinichi; Inaba, Hiroyuki; Kitajima, Satoshi; Suzuki, Michihiro; Niwa, Hirohumi; Itoh, Fumio.

:: Journal of Gastroenterology and Hepatology (Australia), 巻 21, 番号 11, 2006, p. 1675-1680.

研究成果: Article

Watanabe, Y, Kato, N, Maehata, T, Okamoto, M, Tsuda, T, Hattori, S, Yamauchi, S, Fujita, K, Baba, S, Nakaya, S, Inaba, H, Kitajima, S, Suzuki, M, Niwa, H & Itoh, F 2006, 'Safer endoscopic gastric mucosal resection: Preoperative proton pump inhibitor administration', Journal of Gastroenterology and Hepatology (Australia), 巻. 21, 番号 11, pp. 1675-1680. https://doi.org/10.1111/j.1440-1746.2006.04467.x
Watanabe, Yoshiyuki ; Kato, Naoyuki ; Maehata, Tadateru ; Okamoto, Masaru ; Tsuda, Takashi ; Hattori, Santa ; Yamauchi, Shunichi ; Fujita, Kazuhiko ; Baba, Satoshi ; Nakaya, Shinichi ; Inaba, Hiroyuki ; Kitajima, Satoshi ; Suzuki, Michihiro ; Niwa, Hirohumi ; Itoh, Fumio. / Safer endoscopic gastric mucosal resection : Preoperative proton pump inhibitor administration. :: Journal of Gastroenterology and Hepatology (Australia). 2006 ; 巻 21, 番号 11. pp. 1675-1680.
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AU - Tsuda, Takashi

AU - Hattori, Santa

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AU - Suzuki, Michihiro

AU - Niwa, Hirohumi

AU - Itoh, Fumio

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AB - Background and Aim: Control of bleeding is crucial in improving the safety of endoscopic mucosal resection (EMR), and intragastric acidity has a great impact on hemostasis and blood coagulation. Proton pump inhibitors (PPI) are potent suppressors of gastric acid; however, PPI need to be continuously administered orally for several days, and thus initial effects may be insufficient if PPI is only administered immediately after EMR. The aim of this study was to determine whether preoperative administration of PPI prior to EMR can elevate intragastric acidity, facilitate better control of intraoperative bleeding (complete coagulation and hemostasis), prevent postoperative bleeding, and facilitate healing of artificial ulcers. Methods: A randomized clinical study was conducted in which EMR was performed with or without 1 week of preoperative PPI administration. Results: Artificial ulcers created by EMR healed more rapidly in patients who received preoperative PPI. Conclusions: The results of the study suggest that preoperative administration of PPI before EMR is useful for controlling and preventing bleeding, and for facilitating the healing of artificial ulcers.

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KW - Intragastric acidity

KW - Proton pump inhibitors

KW - Ulceration

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