Age does not influence acute aspirin-induced gastric mucosal damage

作者: John G. Moore , David J. Bjorkman , Murray D. Mitchell , Andre Avots-avotins

DOI: 10.1016/0016-5085(91)90661-4

关键词:

摘要: Gastroduodenal ulceration and complications occur more commonly in elderly patients consuming aspirin other nonsteroidal antiinflammatory drugs than younger cohorts. To test the hypothesis that gastroduodenal mucosa of is sensitive to drug damage, acetylsalicylic acid low (325 mg) high (1300 doses was administered on separate days 10 (median age, 67.5; range, 60-74 years) young 24.5; 19-30 healthy, male volunteer subjects. mucosal damage assessed 2 hours after dosage by video-endoscopic techniques. At conclusion study, videotapes all procedures were randomly evaluated two endoscopists blinded subject identification or study sequence. Endoscopically observed lesions counted duodenum, gastric antrum, body. Aspirin dose-related severe stomach duodenum. There no significant differences total lesion counts between age groups. In addition, median pH tissue 6-ketoprostaglandin F1 alpha content These data suggest not a factor determining extent acutely aspirin-induced damage.

参考文章(22)
István Dobó, Károly Tihanyi, János Banai, Imre Szántó, Imre Rózsa, Mucosal prostaglandin levels of the gastric stump. Gastroenterologia Japonica. ,vol. 23, pp. 514- 520 ,(1988) , 10.1007/BF02779482
David Y. Graham, J.Lacey Smith, Harlan J. Spjut, Elizabeth Torres, Gastric adaptation Gastroenterology. ,vol. 95, pp. 327- 333 ,(1988) , 10.1016/0016-5085(88)90487-8
David Y. Graham, The relationship between nonsteroidal anti-inflammatory drug use and peptic ulcer disease. Gastroenterology Clinics of North America. ,vol. 19, pp. 171- 182 ,(1990) , 10.1016/S0889-8553(21)00463-5
William N. Kelley, Textbook of Rheumatology ,(1985)
Marie R Griffin, Wayne A Ray, William Schaffner, Nonsteroidal Anti-Inflammatory Drug Use and Death from Peptic Ulcer in Elderly Persons Annals of Internal Medicine. ,vol. 109, pp. 359- 363 ,(1988) , 10.7326/0003-4819-109-5-359
Horace W. Davenport, Salicylate Damage to the Gastric Mucosal Barrier New England Journal of Medicine. ,vol. 276, pp. 1307- 1312 ,(1967) , 10.1056/NEJM196706082762308
E. C. ATWATER, Peptic Ulcer and Rheumatoid Arthritis Archives of Internal Medicine. ,vol. 115, pp. 184- 189 ,(1965) , 10.1001/ARCHINTE.1965.03860140064013
D. E. MALONE, P. A. McCORMICK, L. DALY, B. JONES, A. LONG, B. BRESNIHAN, J. MOLONY, D. P. O'DONOGHUE, PEPTIC ULCER IN RHEUMATOID ARTHRITIS-INTRINSIC OR RELATED TO DRUG THERAPY? Rheumatology. ,vol. 25, pp. 342- 344 ,(1986) , 10.1093/RHEUMATOLOGY/25.4.342