Pantoprazole use in the treatment of symptomatic (stress) gastro-duodenal ulcerations


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Stress ulcers (SU) - symptomatic gastroduodenal erosions with stomach predominance. They arise due to extensive surgical interventions on the abdominal cavity organs and aorta, and myocardial infarction. The main pathogenetic mechanisms of SU are: ischemia of gastric and duodenum mucosa, hypovolemia, hypotension and apoplasmia; increase of ACTH, corticosteroids, catecholamines, and histamine production, which has an adverse effect on the mucous membrane, and enhancing the acid-peptic factor; gastroduodenal motility disturbanses (gastroparesis and enteroparesis, duodenogastric reflux). In modern therapy of SU, proton pump inhibitors with minimal potential for drug interactions having a dosage form for parenteral and oral administration are often used. SU management with pantoprazole, its efficacy for standard doses administration in comparison with other proton pump inhibitors are presented.

Bibliografia

  1. Гастроэнтерология и гепатология: диагностика и лечение / Под ред. А.В. Калинина, А.И. Хазанова. М., 2006. 602 с.
  2. Di Fiore F, Lecleire S, Merle V, et al. Changes in characteristics and outcome of acute upper gastrointesninal haemorrhage: a comparision of epidemiology and practices between 1996 and 2000 in a multicentre French study. Eur J Gastroenterol Hepatol 2005;17:641-47.
  3. Никода В.В., Хартукова Н.Е. Применение ингибиторов протонной помпы в интенсивной терапии и реанимации // Фарматека. 2008. № 13. С. 10-16.
  4. Исаков В.А. Ингибиторы протонного насоса: их свойства и применение в гастроэнтерологии. М., 2001. 304 с.
  5. Лопина О.Д. Механизм действия ингибиторов протонного насоса // Российский журнал гастроэнтерологии, гепатологии и колопроктологии. 2002. № 2. Т. 12. С. 38-44.
  6. Heinze H, Preinfalk J, Athmann C, et al. Clinical efficacy and safety of pantoprasole in severe acid-peptic disease during up to 10 years maintenanse treatment. Gut 2003;52(Suppl. VI):A63.
  7. Brunner G, Harke U. Long-term therapy with pantoprazole in patients with peptic ulceration resistant to extended high-dose ranitidine treatment. Aliment Pharmacol Ther 1994;8(Suppl. 1):59-64.
  8. Huber R, Hartmann M, Bliesath H, et al. Pharmacokinetics of pantoprazole in man. Int J Clin Pharmacol Ther 1996;34(5):185-94.
  9. Genta R, Magner D, D'Amico D. Safety of long-term treatment with a new PPI, esomeprazole in GERD patients. Gastroenterology 2000;118:A16.
  10. Исаков В.А. Безопасность ингибиторов протонного насоса при длительном применении // Клиническая фармакология и терапия. 2004. Т. 13. № 1. С. 26-32.
  11. Blume H, Donath F, Warnke A, et al. Pharmacokinetic Drug Interaction Profiles of Proton Pump Inhibitors. Drug Safety 2006;29(9):769-84.
  12. Huber R, Hartmann M, Bliesath H, et al. Pharmacokinetics of pantoprazole in man. Int J Clin Pharmacol Ther 1996;34(5):185-94.

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