Document Detail


Colloid bismuth versus famotidine in the treatment and prevention of duodenal ulcer relapse: results of a double-blind, double dummy randomized study.
MedLine Citation:
PMID:  7557824     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Fifty-three consecutive patients with active duodenal ulcer (DU) were randomly included in a double-blind, double-dummy study to test the healing and relapsing rate of two treatment regimens: famotidine 40 mg nocte for 4-8 weeks, followed by 20 mg for 12 months after healing of the ulcer and colloidal bismuth (CBS) (240 mg bid) for 4-8 weeks, followed by placebo maintenance treatment. The results of the short term period confirmed the efficacy of CBS in healing DU (24/25 in CBS group and 19/23 in famotidine group). However, the relapse rate in the CBS-treated group was higher (77.8% at 12 months) than in the famotidine group (35.7%) (p = 0.041). Only 7 patients (41.2%) were cleared from Helicobacter pylori (HP) after CBS treatment. In conclusion, the high relapse rate observed in CBS treated patients may be related to the high percentage of patients with HP infection in the tested group and support the hypothesis that lack of efficacy of CBS in preventing DU recurrence is related to its poor eradication of HP.
Authors:
E Masci; E Colombo; P A Testoni; L Fanti; M Guslandi; A Tittobello
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Publication Detail:
Type:  Clinical Trial; Comparative Study; Journal Article; Randomized Controlled Trial    
Journal Detail:
Title:  Fundamental & clinical pharmacology     Volume:  9     ISSN:  0767-3981     ISO Abbreviation:  Fundam Clin Pharmacol     Publication Date:  1995  
Date Detail:
Created Date:  1995-11-21     Completed Date:  1995-11-21     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8710411     Medline TA:  Fundam Clin Pharmacol     Country:  FRANCE    
Other Details:
Languages:  eng     Pagination:  280-3     Citation Subset:  IM    
Affiliation:
Gastrointestinal Unit, Istituto Scientifico S. Raffaele, Milano, Italy.
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MeSH Terms
Descriptor/Qualifier:
Antacids / administration & dosage,  therapeutic use*
Anti-Ulcer Agents / therapeutic use*
Bismuth / administration & dosage,  therapeutic use*
Colloids / administration & dosage,  therapeutic use
Double-Blind Method
Duodenal Ulcer / microbiology,  prevention & control*
Endoscopy, Gastrointestinal
Famotidine / therapeutic use*
Helicobacter pylori
Humans
Recurrence
Chemical
Reg. No./Substance:
0/Antacids; 0/Anti-Ulcer Agents; 0/Colloids; 7440-69-9/Bismuth; 76824-35-6/Famotidine

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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