Effect of famotidine on recurrent bleeding after successful endoscopic treatment of bleeding peptic ulcer

Summary Aim:  We investigated the effect of acid suppression therapy on recurrent bleeding after successful endoscopic treatment of bleeding peptic ulcer. Methods:  A total of 400 patients with bleeding peptic ulcer received either intravenous infusion of famotidine (40 mg/day) (n = 207, 163 males,...

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Veröffentlicht in:Alimentary pharmacology & therapeutics 2005-06, Vol.21 (s2), p.73-78
Hauptverfasser: Kamada, T., Hata, J., Kusunoki, H., Kido, S., Hamada, H., Aoki, R., Nishida, T., Komoto, K., Todo, H., Sumioka, M., Tanimoto, T., Sanuki, E., Sumii, K., Ogoshi, H., Hidaka, T., Dongmei, Q., Chayama, K., Haruma, K.
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container_end_page 78
container_issue s2
container_start_page 73
container_title Alimentary pharmacology & therapeutics
container_volume 21
creator Kamada, T.
Hata, J.
Kusunoki, H.
Kido, S.
Hamada, H.
Aoki, R.
Nishida, T.
Komoto, K.
Todo, H.
Sumioka, M.
Tanimoto, T.
Sanuki, E.
Sumii, K.
Ogoshi, H.
Hidaka, T.
Dongmei, Q.
Chayama, K.
Haruma, K.
description Summary Aim:  We investigated the effect of acid suppression therapy on recurrent bleeding after successful endoscopic treatment of bleeding peptic ulcer. Methods:  A total of 400 patients with bleeding peptic ulcer received either intravenous infusion of famotidine (40 mg/day) (n = 207, 163 males, 44 females, mean age 61.5 years) or drip infusion of omeprazole (40 mg/day; n = 193, 134 males, 59 females, mean age 59.8 years) after successful endoscopic treatment. The fasting duration, hospital stay, volume of transfused blood, incidence of rebleeding and mortality were compared between the two groups. Results:  The incidence of rebleeding did not differ significantly between the famotidine group (9%) and the omeprazole group (8%). The mean hospital stay was significantly shorter in the omeprazole group (18.4 days) than in the famotidine group (21.5 days, P = 0.009). However, there was no statistically significant difference in fasting duration, volume of transfused blood or mortality. Conclusion:  Our findings indicate that intravenous infusion of famotidine after successful endoscopic treatment is equivalent to drip infusion of omeprazole for prevention of recurrent bleeding.
doi_str_mv 10.1111/j.1365-2036.2005.02478.x
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Methods:  A total of 400 patients with bleeding peptic ulcer received either intravenous infusion of famotidine (40 mg/day) (n = 207, 163 males, 44 females, mean age 61.5 years) or drip infusion of omeprazole (40 mg/day; n = 193, 134 males, 59 females, mean age 59.8 years) after successful endoscopic treatment. The fasting duration, hospital stay, volume of transfused blood, incidence of rebleeding and mortality were compared between the two groups. Results:  The incidence of rebleeding did not differ significantly between the famotidine group (9%) and the omeprazole group (8%). The mean hospital stay was significantly shorter in the omeprazole group (18.4 days) than in the famotidine group (21.5 days, P = 0.009). However, there was no statistically significant difference in fasting duration, volume of transfused blood or mortality. Conclusion:  Our findings indicate that intravenous infusion of famotidine after successful endoscopic treatment is equivalent to drip infusion of omeprazole for prevention of recurrent bleeding.</description><identifier>ISSN: 0269-2813</identifier><identifier>EISSN: 1365-2036</identifier><identifier>DOI: 10.1111/j.1365-2036.2005.02478.x</identifier><identifier>PMID: 15943851</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Publishing Ltd</publisher><subject>Adolescent ; Adult ; Aged ; Aged, 80 and over ; Antacids - therapeutic use ; Anti-Ulcer Agents - administration &amp; dosage ; Blood Transfusion ; Endoscopy, Gastrointestinal ; Famotidine - administration &amp; dosage ; Female ; Hemostasis, Endoscopic ; Humans ; Infusions, Intravenous ; Length of Stay ; Male ; Middle Aged ; Omeprazole - administration &amp; dosage ; Peptic Ulcer Hemorrhage - prevention &amp; control ; Peptic Ulcer Hemorrhage - surgery ; Secondary Prevention ; Treatment Outcome</subject><ispartof>Alimentary pharmacology &amp; therapeutics, 2005-06, Vol.21 (s2), p.73-78</ispartof><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4838-4c573906373d4c08e1f284bd3b97a0026ce56d2cd2a731d3ce2704faa77f0d193</citedby><cites>FETCH-LOGICAL-c4838-4c573906373d4c08e1f284bd3b97a0026ce56d2cd2a731d3ce2704faa77f0d193</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1365-2036.2005.02478.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1365-2036.2005.02478.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,1433,27924,27925,45574,45575,46409,46833</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15943851$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kamada, T.</creatorcontrib><creatorcontrib>Hata, J.</creatorcontrib><creatorcontrib>Kusunoki, H.</creatorcontrib><creatorcontrib>Kido, S.</creatorcontrib><creatorcontrib>Hamada, H.</creatorcontrib><creatorcontrib>Aoki, R.</creatorcontrib><creatorcontrib>Nishida, T.</creatorcontrib><creatorcontrib>Komoto, K.</creatorcontrib><creatorcontrib>Todo, H.</creatorcontrib><creatorcontrib>Sumioka, M.</creatorcontrib><creatorcontrib>Tanimoto, T.</creatorcontrib><creatorcontrib>Sanuki, E.</creatorcontrib><creatorcontrib>Sumii, K.</creatorcontrib><creatorcontrib>Ogoshi, H.</creatorcontrib><creatorcontrib>Hidaka, T.</creatorcontrib><creatorcontrib>Dongmei, Q.</creatorcontrib><creatorcontrib>Chayama, K.</creatorcontrib><creatorcontrib>Haruma, K.</creatorcontrib><title>Effect of famotidine on recurrent bleeding after successful endoscopic treatment of bleeding peptic ulcer</title><title>Alimentary pharmacology &amp; therapeutics</title><addtitle>Aliment Pharmacol Ther</addtitle><description>Summary Aim:  We investigated the effect of acid suppression therapy on recurrent bleeding after successful endoscopic treatment of bleeding peptic ulcer. Methods:  A total of 400 patients with bleeding peptic ulcer received either intravenous infusion of famotidine (40 mg/day) (n = 207, 163 males, 44 females, mean age 61.5 years) or drip infusion of omeprazole (40 mg/day; n = 193, 134 males, 59 females, mean age 59.8 years) after successful endoscopic treatment. The fasting duration, hospital stay, volume of transfused blood, incidence of rebleeding and mortality were compared between the two groups. Results:  The incidence of rebleeding did not differ significantly between the famotidine group (9%) and the omeprazole group (8%). The mean hospital stay was significantly shorter in the omeprazole group (18.4 days) than in the famotidine group (21.5 days, P = 0.009). However, there was no statistically significant difference in fasting duration, volume of transfused blood or mortality. Conclusion:  Our findings indicate that intravenous infusion of famotidine after successful endoscopic treatment is equivalent to drip infusion of omeprazole for prevention of recurrent bleeding.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Antacids - therapeutic use</subject><subject>Anti-Ulcer Agents - administration &amp; dosage</subject><subject>Blood Transfusion</subject><subject>Endoscopy, Gastrointestinal</subject><subject>Famotidine - administration &amp; dosage</subject><subject>Female</subject><subject>Hemostasis, Endoscopic</subject><subject>Humans</subject><subject>Infusions, Intravenous</subject><subject>Length of Stay</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Omeprazole - administration &amp; dosage</subject><subject>Peptic Ulcer Hemorrhage - prevention &amp; control</subject><subject>Peptic Ulcer Hemorrhage - surgery</subject><subject>Secondary Prevention</subject><subject>Treatment Outcome</subject><issn>0269-2813</issn><issn>1365-2036</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkDtPwzAYRS0EoqXwF5AntgQ_ktgZGKqKl1QJhjJbjv0ZpcoLOxHtvyehVVnxYsvfudfyQQhTEtNx3W9jyrM0YoRnMSMkjQlLhIx3Z2h-GpyjOWFZHjFJ-QxdhbAlhGSCsEs0o2mecJnSOSofnQPT49Zhp-u2L23ZAG4b7MEM3kPT46ICGG8_sXY9eBwGYyAEN1QYGtsG03alwb0H3dcTPjadEh10_TgcKgP-Gl04XQW4Oe4L9PH0uFm9ROu359fVch2ZRHIZJSYVPCcZF9wmhkigjsmksLzIhSbjjwykmWXGMi04tdwAEyRxWgvhiKU5X6C7Q2_n268BQq_qMhioKt1AOwSViZxKztkIygNofBuCB6c6X9ba7xUlatKstmqyqSabatKsfjWr3Ri9Pb4xFDXYv-DR6wg8HIDvsoL9v4vV8n0znfgPv0GM7w</recordid><startdate>200506</startdate><enddate>200506</enddate><creator>Kamada, T.</creator><creator>Hata, J.</creator><creator>Kusunoki, H.</creator><creator>Kido, S.</creator><creator>Hamada, H.</creator><creator>Aoki, R.</creator><creator>Nishida, T.</creator><creator>Komoto, K.</creator><creator>Todo, H.</creator><creator>Sumioka, M.</creator><creator>Tanimoto, T.</creator><creator>Sanuki, E.</creator><creator>Sumii, K.</creator><creator>Ogoshi, H.</creator><creator>Hidaka, T.</creator><creator>Dongmei, Q.</creator><creator>Chayama, K.</creator><creator>Haruma, K.</creator><general>Blackwell Publishing Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200506</creationdate><title>Effect of famotidine on recurrent bleeding after successful endoscopic treatment of bleeding peptic ulcer</title><author>Kamada, T. ; 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Methods:  A total of 400 patients with bleeding peptic ulcer received either intravenous infusion of famotidine (40 mg/day) (n = 207, 163 males, 44 females, mean age 61.5 years) or drip infusion of omeprazole (40 mg/day; n = 193, 134 males, 59 females, mean age 59.8 years) after successful endoscopic treatment. The fasting duration, hospital stay, volume of transfused blood, incidence of rebleeding and mortality were compared between the two groups. Results:  The incidence of rebleeding did not differ significantly between the famotidine group (9%) and the omeprazole group (8%). The mean hospital stay was significantly shorter in the omeprazole group (18.4 days) than in the famotidine group (21.5 days, P = 0.009). However, there was no statistically significant difference in fasting duration, volume of transfused blood or mortality. Conclusion:  Our findings indicate that intravenous infusion of famotidine after successful endoscopic treatment is equivalent to drip infusion of omeprazole for prevention of recurrent bleeding.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>15943851</pmid><doi>10.1111/j.1365-2036.2005.02478.x</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record>
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subjects Adolescent
Adult
Aged
Aged, 80 and over
Antacids - therapeutic use
Anti-Ulcer Agents - administration & dosage
Blood Transfusion
Endoscopy, Gastrointestinal
Famotidine - administration & dosage
Female
Hemostasis, Endoscopic
Humans
Infusions, Intravenous
Length of Stay
Male
Middle Aged
Omeprazole - administration & dosage
Peptic Ulcer Hemorrhage - prevention & control
Peptic Ulcer Hemorrhage - surgery
Secondary Prevention
Treatment Outcome
title Effect of famotidine on recurrent bleeding after successful endoscopic treatment of bleeding peptic ulcer
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