Opyt dlitel'noy terapii patsientov s pishchevodom Barretta


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A 5-year prospective randomized trial on the efficacy of treatment of Barrett's esophagus in elderly patients was carried out. 31 patients (mean age 66,8 years) and 30 patients (mean age 66,2 years) were assigned to group A and B, respectively. Patients of group A were treated with omeprazole (20 mg twice a day) and Urosan (10mg/kg/day), while patients of group B received omeprazole (20 mg twice a day) for 5 years. At the end of the follow-up period metaplasia of the lower third of esophagus was not found in 32,3% patients of group A and 6,7% of patients of group B (р=0,03). After 5 years of treatment, esophagitis was diagnosed in 12,9% patients of group A and 53,3% patients of group B (р=0,002). In conclusion, combination of omeprazole and ursodeoxycholic acid (Urosan) as a means of treatment for Barrett's esophagus in elderly patients was superior to omeprazole monotherapy.

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Bibliografia

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