Stres ülseri ve proflaksisi

Strese bağlı olarak midede ortaya çıkan mukozal lezyonların patogenezi yeterince açık olmamakla birlikte bu lezyonların önlenmesi konusunda önemli gelişmeler sağlanmıştır. Bu çalışmada, strese bağlı ortaya çıkan mide lezyonlarmın önlenmesinde şu an elimizde mevcut olan ilaçlardan simetidin, ranitidin, famotidin, diazepam ve omeprazol'un etkinliği kontrollü olarak, deneysel bir sıçan modelinde karşılaştırılmıştır. Tüm ilaçlar mide lezyonlarnın önlenmesinde kontrol grubuna kıyasla anlamlı olarak etkin bulunmuştur. Ancak, strese bağlı gastrik mukozal lezyonların önlenmesinde, omeprol'ün etkinliğinin diğer ilaçlara oranla belirgin şekilde fazla olduğu tespit edilmiştir.

Stress ulcer and its prophylaxis

Pathogenesis of stress ulcers is not clear. However, many pharmaceutical agents had become available for prophylxis of stress ulcers, recently. We compared the efficacy of cimetidine, ranitidine, famotidine, diazepam, and omeprazole in stress ulcer prophylaxis, in an experimental model, in rats. In comparison to control group, all drugs found to be effective in stress ulcer prophylaxis. However, the efficacy of Omeprazole was significantly greater than all the other drugs.

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  • 1. Hernandez DE. Neuroendocrine mechanisms of stress ulceration: focus on thyrotropin-releasing hormone (TRH). Life Sci 1986; 39:279-296.
  • 2. Lenz HJ, Drüge G. Neurohumoral pathvvays mediating stress induced inhibition of gastric acid secretion in rats. Gastroenterology 1990; 98: 1490-1492.
  • 3. Basso N, Bagarani M, Pekary AE, et al. Role of thyrotropin-releasing hormone in stress ulcer formation in the rat. Dig Dıs Sci 1988: 33: 819-823.
  • 4. Ray AR, Henke PG, Sullivan RM. The central amygdala and immobilization stress-induced gastric pathology in rats: neurotensın and dopamine. Brain Res 1987; 409: 398-402.
  • 5. Lenz HJ, Raedler A, Greten H, et al. Stress induced gastrointestinal secretory and motor responses in rats are mediated by endogenous corticotropin-releasing factor. Gastroenterology 1988; 95: 1510-1517.
  • 6. Nishivvaki H, Takeda F, Kıtagavva H, Koheı H. Roles of gastric acid secretion and motility in gastric mucosai lesion formatıon induced by vvater-immersion stress in rats. Scand J Gastroenteroi 1989; 24 (suppl) 11-14.
  • 7. Kıtagavva H, Ffujivvara M, Osumi Y. Effects of vvater-ımmer sion stress on gastric secretion and mucosai blood flow in rats. Gastroenterology 1979; 77: 298-302.
  • 8. Garrick T, Buack S, Bass P. Gastric motility is a majör factor in cold restraint-induced lesion formation in rats Am J Physiol 1986; 250 (Gastrointest. Liver Physiol. 13): 191 199.
  • 9. Stephens RLJr, Yang H, Rıvıer J, Tache Y. Intracistemal injection of CRF antagonist blocks surgical stress-induced inhibition of gastric secretion in the rat. Peptides 1988; 9: 1067-1070.
  • 10. Bouchıer İAD. Allan RN, Hodgson HJF, Keighley MRB. Chronic peptic ulcer. in: Textbook of Gastroenterology. 1984; 128-134.
  • 11. Ohno T, Uramoto H, Masuda Y, et al. Influence of aging on stress ulcer formation in rats. Scand J Gastroenteroi 1989: 24(suppl 162); 95-99.
  • 12. Djahanguırı B, Hemmatı S, Behecftı F. Technique novel pour produire des ulc,Ares d'estomac chez le rat blanc. Ardı Mal Appar Dig 1967; 56: 985-986.
  • 13. Buchel L, Gallaıre D. Influence de la temp.Ârature ambiante sur la production d'ulceres de contrainte chez le rat. C R Soc Biol 1966; 160: 1817-1820.
  • 14. Scarpignato C, Tramacere R, Zappia L. Antisecretory and antiulcer effect of the H2-receptor antagonist famotidine in the rat: comparison with ranitidine. Br J Pharmac 1987; 92; 153-159.
  • 15. Kunchady J, Kulkami SK. Involvement of central type benzodiazepine and GABAa receptor in the protective effect of benzodiazepines in stress-induced gastric ulcers in rats. Arch Int Pharmacodyn 1990; 285; 129-136.
  • 16. Oosferhuis B, Jonkman JH. Omeprazole: pharmacology, pharmacokinetics and interactions. Digestion 1989; 44:9-17.
  • 17. Mersereau WA, Hınchey J. Relationship between the gastric myoelectric and mechanical activity in the genesis of ulcers in indomethacin-insulin-treated rats. Dig Dis Sci 1988; 33: 200-208.
  • 18. Ulugöl A.Dökmeci İ. Stresle oluşan gastrik lezyonlar üzerine pirenzepin, famotidin, magaldrat ve diazepam'ın etkileri. TÜTF Dergisi 5-6-7 birleşik sayı 1988-1990; 229-233.
  • 19. Czaja AJ, Molthany JC, Pruıtt BA.Jr. Acute gastroduodenal disease after thermal and endoscopic evaluation of incidence of natural history. N Eng J Med 1974; 291: 925-929.
  • 20. Jeffrey P, Lefton HB, Braden GL. Cytoprotection and stress ulceration. Med.Clin.North Am. 1991; 75:853-63.
  • 21. Tryba M. Risk of acute stress bleeding and nosocomial pneumonia in ventilated Intensive Çare Unit patients: sucralfate versus antacids. Am J Med 1987; 83(suppl 3B): 117 124.
  • 22. Bank S, Rehman M, Wıse L. The incidence, distribution and evolution of stress-ulcers in surgical intensive çare patients. Am J Gastroenterol 1980; 74: 76-80.
  • 23. Brasalıer RS, Grendell JH, Çello JP, Meyer AA. Sucralfate suspension versus titrated antacid for the prevention of acute stressreiated gastrointestinal hemorrhage in critically ili patients. Am J Med 1987; 83: 110-116.
  • 24. Nakane T, Kanıe N, Audhya T,Hollander CS. The effects of centrally administered neuropeptides on the development of gastric lestons in the rat. Life Sci 1985; 36: 1197-1203.
  • 25. De Boer SF, Van Der Gıgten J, Slangen JL. Brain benzodiazepine receptor-mediated effects on plasma catecholamine and corticosterone concentrations in rats. Brain Res Bull 1990; 24: 843-847.
  • 26. Weızman A, Weızman R, Kook KA, et al. Adrenalectomyprevents the stress-induced decrease in in-vivo [H3]Ro 15-1788 binding to GABAa benzodiazepine receptors in the mouse. Brain Ress 1990; 519: 347-350.
  • 27. Mc Guıgan JE. Peptic ulcer and gastritis. İn: principles of internal medicine. Harrıson TR (Eds.) 1991; 1229 1251.
  • 28. Park PO, Alumets J, Arvıdsson S, et al. The influence of a histamine2-receptor antagonist on the healing of an experimentally induced gastric mucosal lesion. APMIS 1990; 98: 305-312.
  • 29. Suojaranta Ylınen R, Hendolm H, Alhava E, Kontra K. The effect of prophylactic use of famotidine, ranitidine, and sodium citrate in upper abdominal surgery. Ag Act 1990; 30: 297-299.
  • 30. Czaja AJ, Molthany JC, Pruıtt BA.Jr. Acute gastroduodenal disease after thermal and endoscopic evaluation of incidence of natural history. N Eng J Med 1974; 291: 925-929.
  • 31. Bhargava KP, Gupta GP, Gupta MB. Central GABA-ergic mechanism in stress-induced gastric ulceration. Br J Pharmac 1985; 84:619-623.
  • 32. File SE, Mabbut PS, Pearce JB. How do benzodiazepines reduce formation of gastric stress ulcers? Proceedings of the BPS 1980: 228-229.
  • 33. Weızman R, Weızman A, Kook KA, et al. Repeated swim stress alters brain benzodiazepine receptors measured in vivo. J Pharmac Exp Ther 1989; 249: 701-707.
  • 34. Kayaalp O. Tıbbi farmakoloji, Feryal matbaası, 1990; 1813 1844.
  • 35. Parkıns CJ. Omeprazole. The Medical Letter on drugs and therapeutics 1990; 32: 19-21.
  • 36. Marks İN. Wınter TA, Lucke W, et al. Omeprazole and ranitidine in duodenal ulcer heaiing. South Af Med J 1988; 74: 54-56.
  • 37. Brunner G, Chang J. Intravenous therapy with high doses of ranitidine and omeprazole in critically ili patients with bleeding peptic ulcerations of the upper intestinal tract: an öpen randomized controlled trial. Digestion 1990; 45: 217-225.
  • 38. Daneshmend TK, Steın AG, Bhaskar NK, Hawkey CJ. Abolition by omeprazoie of aspirin induced gastric mucosal injury in man. Gut 1990; 31: 514-517. "'30 Ege Tıp Dergisi
Ege Tıp Dergisi-Cover
  • ISSN: 1016-9113
  • Yayın Aralığı: Yılda 4 Sayı
  • Başlangıç: 1962
  • Yayıncı: Ersin HACIOĞLU
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