Effects of chronic therapy with non-steroidal antinflammatory drugs on gastric permeability of sucrose: A study on 71 patients with rheumatoid arthritis

Marta Maino, Nicola Mantovani, Roberta Merli, Giulia Martina Cavestro, Gioacchino Leandro, Lucas Giovanni Cavallaro, Vincenzo Corrente, Veronica Iori, Alberto Pilotto, Angelo Franzè, Francesco Di Mario

Research output: Contribution to journalArticlepeer-review

Abstract

Aim: To evaluate the gastric permeability after both acute and chronic use of non-steroidal anti-inflammatory drugs (NSAIDs) and to assess the clinical usefulness of sucrose test in detecting and following NSAIDs- induced gastric damage mainly in asymptomatic patients and the efficacy of a single pantoprazole dose in chronic users. Methods: Seventy-one consecutive patients on chronic therapy with NSAIDs were enrolled in the study and divided into groups A and B (group A receiving 40 mg pantoprazole daily, group B only receiving NSAIDs). Sucrose test was performed at baseline and after 2, 4 and 12 wk, respectively. The symptoms in the upper gastrointestinal tract were recorded. Results: The patients treated with pantoprazole had sucrose excretion under the limit during the entire follow-up period. The patients without gastroprotection had sucrose excretion above the limit after 2 wk, with an increasing trend in the following weeks (P = 0.000). A number of patients in this group revealed a significantly altered gastric permeability although they were asymptomatic during the follow-up period. Conclusion: Sucrose test can be proposed as a valid tool for the clinical evaluation of NSAIDs- induced gastric damage in both acute and chronic therapy. This tecnique helps to identify patients with clinically silent gastric damages. Pantoprazole (40 mg daily) is effective and well tolerated in chronic NSAID users.

Original languageEnglish
Pages (from-to)5017-5020
Number of pages4
JournalWorld Journal of Gastroenterology
Volume12
Issue number31
Publication statusPublished - Aug 21 2006

Keywords

  • Gastric mucosal permeability
  • Gastrointestinal toxicity
  • Non-steroidal anti inflammatory drugs
  • Pantoprazole
  • Sucrose test

ASJC Scopus subject areas

  • Gastroenterology

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