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Predicate | Object |
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rdf:type | |
lifeskim:mentions |
umls-concept:C0014245,
umls-concept:C0014869,
umls-concept:C0024501,
umls-concept:C0028978,
umls-concept:C0030705,
umls-concept:C0087111,
umls-concept:C0205374,
umls-concept:C0229671,
umls-concept:C0232552,
umls-concept:C0376180,
umls-concept:C0443252,
umls-concept:C0677659,
umls-concept:C1280500,
umls-concept:C1457887,
umls-concept:C1880019
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pubmed:issue |
11
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pubmed:dateCreated |
1991-2-22
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pubmed:abstractText |
To study the effects of sudden withdrawal of long-term maintenance therapy with omeprazole for up to 4 years, 14 patients with resistant reflux oesophagitis were asked to stop their treatment temporarily. Ten days after withdrawal median basal acid output had increased significantly (p = 0.01) from 0 (range, 0-1.18) on day 1 to 1.95 (range, 0-8.45) mmol/h on day 10. Median serum gastrin levels were raised during treatment with omeprazole but decreased significantly from 166 to 42 ng/l within the 10 days of the study (p = 0.01). The median integrated gastrin response after meal stimulation decreased significantly (p less than 0.001) from 758.6 ng/l on day 1 to 267.9 ng/l on day 10. On day 10 after withdrawal of omeprazole all patients had endoscopic and symptomatic evidence of recurrent oesophagitis. Reflux patients receiving maintenance treatment with omeprazole for up to 4 years showed prompt normalization of serum gastrin levels and return of gastric acid production within 10 days after stopping the treatment. Consequently, there was a fast recurrence of aggravation of reflux symptoms and oesophagitis.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Nov
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pubmed:issn |
0036-5521
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
25
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
1144-50
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pubmed:dateRevised |
2004-11-17
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pubmed:meshHeading |
pubmed-meshheading:1980377-Adult,
pubmed-meshheading:1980377-Aged,
pubmed-meshheading:1980377-Esophagitis, Peptic,
pubmed-meshheading:1980377-Esophagoscopy,
pubmed-meshheading:1980377-Fasting,
pubmed-meshheading:1980377-Female,
pubmed-meshheading:1980377-Gastric Acid,
pubmed-meshheading:1980377-Gastrins,
pubmed-meshheading:1980377-Histamine H2 Antagonists,
pubmed-meshheading:1980377-Humans,
pubmed-meshheading:1980377-Male,
pubmed-meshheading:1980377-Middle Aged,
pubmed-meshheading:1980377-Omeprazole,
pubmed-meshheading:1980377-Recurrence,
pubmed-meshheading:1980377-Time Factors
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pubmed:year |
1990
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pubmed:articleTitle |
Temporary cessation of long-term maintenance treatment with omeprazole in patients with H2-receptor-antagonist-resistant reflux oesophagitis. Effects on symptoms, endoscopy, serum gastrin, and gastric acid output.
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pubmed:affiliation |
Dept. of Gastroenterology, Free University Hospital, Amsterdam, The Netherlands.
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pubmed:publicationType |
Journal Article
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