scholarly journals Evaluation of symptomatic reflux esophagitis in proton pump inhibitor users

2019 ◽  
Author(s):  
Daisuke Asaoka ◽  
Tsutomu Takeda ◽  
Hitoshi Sasaki ◽  
Yuji Shimada ◽  
Kenshi Matsumoto ◽  
...  
2019 ◽  
Vol 1 (1) ◽  
pp. 220-230
Author(s):  
Atsushi Hashimoto ◽  
Takashi Sugawa ◽  
Narika Iwakura ◽  
Risa Uemura ◽  
Akinari Sawada ◽  
...  

Approximately half of patients with eosinophilic esophagitis (EoE) respond clinically and histologically to proton pump inhibitor (PPI) therapy. Although recent guidelines suggest that PPI-responders and non-responders were included in EoE, it is important to investigate the predictive factors of PPI- responsiveness. This study aimed to determine the rate of PPI- responders and compare the characteristics of PPI-responders and non-responders. Fifty-nine patients with esophageal eosinophilia received PPI therapy for eight weeks, and its efficacy was assessed. PPI- responsiveness was diagnosed based on the relief in symptoms and reduction of intraepithelial eosinophilic infiltration to <15 per high-power field (hpf) after PPI therapy. Multivariate analysis was performed to identify factors associated with PPI-responders. Of the 59 patients, 41 (69.5%) were diagnosed with PPI-responders. The rate of gastrointestinal (GI) screening in the indications for endoscopy was significantly higher in patients with PPI- responders than in those with non-responders. On multivariate analysis, GI screening and presence of reflux esophagitis was associated with an increased odds ratio (OR) of PPI-responders, but presence of rings with a decreased OR of PPI-responders. Presence of reflux esophagitis and absence of rings on endoscopy especially during GI screening might be significant predictive factors for PPI response in patients with EoE.


2009 ◽  
Vol 136 (5) ◽  
pp. A-447
Author(s):  
Hiroshi Shida ◽  
Yuzo Sakai ◽  
Hiroyuki Hamada ◽  
Tetsuo Takayama

1991 ◽  
Vol 55 (4) ◽  
pp. 437-451 ◽  
Author(s):  
Nobuhiro Inatomi ◽  
Hideaki Nagaya ◽  
Kenji Takami ◽  
Akio Shino ◽  
Hiroshi Satoh

Digestion ◽  
2010 ◽  
Vol 82 (3) ◽  
pp. 156-161 ◽  
Author(s):  
Katsuhiko Iwakiri ◽  
Hirohito Sano ◽  
Yuriko Tanaka ◽  
Noriyuki Kawami ◽  
Mariko Umezawa ◽  
...  

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