Efficacy of a new nutraceutical formulation (CHETOGERD®) in patients with nonerosive reflux disease (NERD): a prospective observational study.

作者: Giulia Fiorini , Ilaria Maria Saracino , Matteo Pavoni , Laura Saccomanno , Dino Vaira

DOI: 10.1007/S11739-020-02309-Z

关键词: Sodium bicarbonateInternal medicineAdverse effectEpigastric painHeartburnRefluxGastrointestinal disorderRegurgitation (digestion)GastroenterologyNerdMedicine

摘要: Nonerosive reflux disease (NERD) is a gastrointestinal disorder that leads to symptoms such as heartburn and regurgitation without visible esophageal mucosal injury, it treated with proton-pump inhibitors (PPIs). CHETOGERD® gel or orosoluble (oro) formulations—an association of natural active ingredient: hyaluronic acid, altea, malva, apple TM, Aloe vera, l-triptophan, calcium gluconate, sodium bicarbonate, Musa paradisiaca)—may be an alternative coadjutant treatment in patients NERD. The aim the study was evaluate, prospectively, efficacy oro inducing symptom’s reduction remission, consecutive Patients were divided two groups oro, 3 sachets/day for 3 months, decreased 1 sachet/day other 3 months. Symptoms evaluated at baseline, 6 months using questionnaire (RDQ). Symptoms’ remission defined retrosternal pain burning, epigastric acid sensation mouth. Frequency, distribution analyses non-parametric tests used statistical analysis. Results considered statistically significant p values < 0.05. Four hundred twenty-three (M/F 240/183; mean age 50 years) diagnosed NERD consecutively enrolled. 146 underwent therapy gel, while 277 oro. 108 from first group 172 second completed follow up 100 each follow-up 6 months. Both formulations able significantly reduce frequency intensity analysed RDQ. No adverse events reported. are valid alternatives control nonerosive disease.

参考文章(19)
Allison A. Lambert, Jennifer O. Lam, Julie J. Paik, Cesar Ugarte-Gil, M. Bradley Drummond, Trevor A. Crowell, Risk of Community-Acquired Pneumonia with Outpatient Proton-Pump Inhibitor Therapy: A Systematic Review and Meta-Analysis PLOS ONE. ,vol. 10, pp. e0128004- ,(2015) , 10.1371/JOURNAL.PONE.0128004
Hashem B. El-Serag, Epidemiology of non-erosive reflux disease. Digestion. ,vol. 78, pp. 6- 10 ,(2008) , 10.1159/000151249
Usha Dutta, Paul Moayyedi, Management of reflux-related symptoms Best Practice & Research in Clinical Gastroenterology. ,vol. 27, pp. 387- 400 ,(2013) , 10.1016/J.BPG.2013.06.004
Fabio Pace, Pamela Scarlata, Valentina Casini, Piercarlo Sarzi-Puttini, Gabriele Bianchi Porro, Validation of the reflux disease questionnaire for an Italian population of patients with gastroesophageal reflux disease. European Journal of Gastroenterology & Hepatology. ,vol. 20, pp. 187- 190 ,(2008) , 10.1097/MEG.0B013E3282F246B2
Edoardo Savarino, Patrizia Zentilin, Vincenzo Savarino, NERD: an umbrella term including heterogeneous subpopulations Nature Reviews Gastroenterology & Hepatology. ,vol. 10, pp. 371- 380 ,(2013) , 10.1038/NRGASTRO.2013.50
Philip O Katz, Lauren B Gerson, Marcelo F Vela, Guidelines for the Diagnosis and Management of Gastroesophageal Reflux Disease The American Journal of Gastroenterology. ,vol. 108, pp. 308- 328 ,(2013) , 10.1038/AJG.2012.444
J. Tack, A. Becher, C. Mulligan, D. A. Johnson, Systematic review: the burden of disruptive gastro‐oesophageal reflux disease on health‐related quality of life Alimentary Pharmacology & Therapeutics. ,vol. 35, pp. 1257- 1266 ,(2012) , 10.1111/J.1365-2036.2012.05086.X
Nimish Vakil, Sander V. van Zanten, Peter Kahrilas, John Dent, Roger Jones, , The Montreal Definition and Classification of Gastroesophageal Reflux Disease: A Global Evidence-Based Consensus The American Journal of Gastroenterology. ,vol. 101, pp. 1900- 1920 ,(2006) , 10.1111/J.1572-0241.2006.00630.X
D Armstrong, JR Bennett, AL Blum, J Dent, FT De Dombal, JP Galmiche, L Lundell, M Margulies, JE Richter, SJ Spechler, GN Tytgat, L Wallin, The endoscopic assessment of esophagitis: A progress report on observer agreement Gastroenterology. ,vol. 111, pp. 85- 92 ,(1996) , 10.1053/GAST.1996.V111.PM8698230