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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
2
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pubmed:dateCreated |
1989-5-26
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pubmed:abstractText |
The effectiveness of cimetidine (30-40 mg/kg/day) was evaluated in 32 children with gastroesophageal reflux disease complicated by esophagitis who entered a random double-blind trial for 12 weeks. Esophagitis was diagnosed in all patients by endoscopy with biopsy. Seventeen patients (age, mean +/- SD: 21.7 +/- 37.65 months) received cimetidine (c-pts), and 15 (age, mean +/- SD: 29.03 +/- 39.73 months) received a placebo (p-pts). All patients received intensive postural therapy. Based on clinical and endoscopic (and histologic) data, 12 c-pts and three p-pts were healed (p less than 0.01), the condition of four c-pts and three p-pts had improved (not statistically significant), and the condition of one c-pt and nine p-pts had worsened (p less than 0.01). Both clinical and esophagitis scores significantly decreased only in the c-pt group, as compared with p-pts. Improvement of esophagitis was seen in all (100%) of c-pts with mild or moderate esophagitis versus 57.14% of p-pts (p less than 0.01) and in 87.5% of c-pts with severe esophagitis as compared with 25% of the p-pt group (p less than 0.01). We conclude that cimetidine is an effective agent for treatment of reflux esophagitis in children. Although gastroesophageal reflux disease in infancy has a naturally self-limited course with conservative care (thickened feedings and posture adjustment), extensive pharmacologic therapy is needed in the presence of esophagitis.
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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 |
Feb
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pubmed:issn |
0277-2116
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
8
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
150-6
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pubmed:dateRevised |
2007-11-15
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pubmed:meshHeading |
pubmed-meshheading:2651632-Adolescent,
pubmed-meshheading:2651632-Child,
pubmed-meshheading:2651632-Child, Preschool,
pubmed-meshheading:2651632-Cimetidine,
pubmed-meshheading:2651632-Clinical Trials as Topic,
pubmed-meshheading:2651632-Double-Blind Method,
pubmed-meshheading:2651632-Esophagitis, Peptic,
pubmed-meshheading:2651632-Gastroesophageal Reflux,
pubmed-meshheading:2651632-Humans,
pubmed-meshheading:2651632-Infant,
pubmed-meshheading:2651632-Infant, Newborn,
pubmed-meshheading:2651632-Multicenter Studies as Topic,
pubmed-meshheading:2651632-Random Allocation
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pubmed:year |
1989
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pubmed:articleTitle |
Cimetidine treatment of reflux esophagitis in children: an Italian multicentric study.
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pubmed:affiliation |
Department of Pediatrics, Universities of Naples, Italy.
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pubmed:publicationType |
Journal Article,
Clinical Trial,
Randomized Controlled Trial,
Multicenter Study
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