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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
4
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pubmed:dateCreated |
1994-10-17
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pubmed:abstractText |
We performed a 12-month, double-blind, randomised, placebo-controlled study to determine the long term effect of misoprostol (600-800 micrograms/d) in the prevention of gastric ulcers and gastroduodenal erosions in 83 arthritis patients on chronic NSAID therapy. Patients underwent endoscopy at 0, 3, 6 and 12 months. At the initial endoscopy, 12 patients had an ulcer (11 gastric), which was healed prior to randomization. Seventy eligible patients reached the 3 month endoscopy. Four (12.5%) of the 32 patients given misoprostol developed a gastric ulcer compared with 11 (28.9%) of the 38 on placebo (p < 0.05, life-table analysis). Six of the 11 patients with an initial gastric ulcer developed a further gastric ulcer, compared to 9 of 58 patients without an initial ulcer (p < 0.05). We conclude that misoprostol decreases the cumulative development of NSAID-induced gastric ulcers. Patients with a previous NSAID-ulcer have a higher risk of further ulceration.
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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:issn |
0300-9742
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
23
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
171-6
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:8091141-Administration, Oral,
pubmed-meshheading:8091141-Aged,
pubmed-meshheading:8091141-Anti-Inflammatory Agents, Non-Steroidal,
pubmed-meshheading:8091141-Arthritis,
pubmed-meshheading:8091141-Double-Blind Method,
pubmed-meshheading:8091141-Female,
pubmed-meshheading:8091141-Humans,
pubmed-meshheading:8091141-Male,
pubmed-meshheading:8091141-Middle Aged,
pubmed-meshheading:8091141-Misoprostol,
pubmed-meshheading:8091141-Stomach Ulcer,
pubmed-meshheading:8091141-Time Factors,
pubmed-meshheading:8091141-Treatment Outcome
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pubmed:year |
1994
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pubmed:articleTitle |
Efficacy of 12 months' misoprostol as prophylaxis against NSAID-induced gastric ulcers. A placebo-controlled trial.
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pubmed:affiliation |
University of Melbourne Department of Medicine, Austin Repatriation Hospital, Australia.
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pubmed:publicationType |
Journal Article,
Clinical Trial,
Randomized Controlled Trial,
Research Support, Non-U.S. Gov't
|