Duodenal ulcer healing by separate reduction of postprandial and nocturnal acid secretions have different pathophysiology.

Author: FokK H, HuiW M, LaiC L, LamS K, NgM

Paper Details 
Original Abstract of the Article :
The endoscopic healing rates and factors related to healing of two cimetidine regimens designed to reduce respectively postprandial and nocturnal acid secretions were studied in a randomised trial of cimetidine 200 mg tds with meals, vs 600 mg at bedtime, vs 200 mg tds with meals plus 400 mg at bedt...See full text at original site
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引用元:
https://doi.org/10.1136/gut.26.10.1038

データ提供:米国国立医学図書館(NLM)

Duodenal Ulcer Healing: Targeting Acid Secretion at Different Times

Duodenal ulcers, a common ailment, are often linked to excessive stomach acid production. This study delves into the effectiveness of targeting acid secretion at different times of the day. Researchers investigated the healing rates of two cimetidine regimens: one focused on reducing postprandial (after meals) acid secretion, and the other on reducing nocturnal (nighttime) acid secretion. The study employed a randomized trial involving 246 patients with duodenal ulcers, comparing the effects of these different cimetidine regimens.

Timely Intervention: Different Regimens, Different Healing Rates

The study's findings reveal a significant difference in healing rates between the two cimetidine regimens. The regimen targeting both postprandial and nocturnal acid secretion showed significantly higher healing rates at both four and eight weeks compared to regimens focusing solely on postprandial or nocturnal acid reduction. This discovery suggests that targeting acid secretion at both times of day may be crucial for optimizing duodenal ulcer healing.

A Journey Through the Digestive System

This study provides a valuable glimpse into the complex workings of the digestive system. Understanding the impact of acid secretion at different times of day opens new avenues for treating duodenal ulcers. Think of the digestive system as a vast desert with different oases, each representing a specific phase of digestion. By strategically targeting acid secretion at different times, we can effectively quench the "fire" of ulcers and promote healing.

Dr. Camel's Conclusion

This research suggests that targeting acid secretion at both postprandial and nocturnal periods can significantly improve duodenal ulcer healing. It's a reminder that the key to effective treatment often lies in understanding the complexities of the body's systems and tailoring interventions accordingly. Like a skilled desert traveler, we must understand the nuances of the digestive system and adapt our approach to optimize outcomes.

Date :
  1. Date Completed 1985-12-04
  2. Date Revised 2019-05-01
Further Info :

Pubmed ID

4054701

DOI: Digital Object Identifier

10.1136/gut.26.10.1038

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English

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