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10.1111/apt.12857

http://scihub22266oqcxt.onion/10.1111/apt.12857
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suck abstract from ncbi


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pmid25041141
      Aliment+Pharmacol+Ther 2014 ; 40 (5 ): 531-7
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  • Gaviscon Double Action Liquid (antacid & alginate) is more effective than antacid in controlling post-prandial oesophageal acid exposure in GERD patients: a double-blind crossover study #MMPMID25041141
  • De Ruigh A ; Roman S ; Chen J ; Pandolfino JE ; Kahrilas PJ
  • Aliment Pharmacol Ther 2014[Sep]; 40 (5 ): 531-7 PMID25041141 show ga
  • BACKGROUND: Recent studies have shown that Gaviscon Double Action Liquid (a combination alginate-antacid) administered post-prandially co-localises with the acid pocket, the 'reservoir' for post-prandial acid reflux. AIM: To compare the effectiveness of Gaviscon Double Action Liquid to an equivalent strength antacid without alginate in controlling post-prandial acid reflux in GERD patients. METHODS: Fourteen GERD patients undertook two 3.5-h high-resolution manometry/pH-impedance studies during which they ate a standardised meal. In a double-blinded randomised crossover design they then took Gaviscon or CVS brand antacid, each with ~18 mmol/L acid neutralising capacity. The primary outcome was distal oesophageal acid exposure; secondary outcomes were number of reflux events, proximal extent of reflux, nadir pH of the refluxate, mechanism of reflux and reflux symptoms scored with a validated instrument. RESULTS: Ten patients completed the study. Gaviscon studies had significantly less distal oesophageal acid exposure and greater nadir refluxate pH in the 30-150 min post-prandial period than antacid studies. There were no differences in the number of reflux events (acid or weakly acidic) or the number of proximal reflux events (15-17 cm above the LES) with either study medication. CONCLUSIONS: Gaviscon Double Action Liquid is more effective than an antacid without alginate in controlling post-prandial oesophageal acid exposure. However, the number and spatial distribution of reflux events within the oesophagus are similar. This suggests that Gaviscon main effectiveness relates to its co-localisation with and displacement/neutralisation of the post-prandial acid pocket, rather than preventing reflux.
  • |Adult [MESH]
  • |Alginates/*therapeutic use [MESH]
  • |Aluminum Hydroxide/*therapeutic use [MESH]
  • |Antacids/*therapeutic use [MESH]
  • |Calcium Carbonate/*therapeutic use [MESH]
  • |Cross-Over Studies [MESH]
  • |Double-Blind Method [MESH]
  • |Drug Combinations [MESH]
  • |Electric Impedance [MESH]
  • |Esophagus/drug effects [MESH]
  • |Female [MESH]
  • |Gastric Acid/metabolism [MESH]
  • |Gastroesophageal Reflux/*drug therapy [MESH]
  • |Humans [MESH]
  • |Hydrogen-Ion Concentration [MESH]
  • |Magnesium Hydroxide/*therapeutic use [MESH]
  • |Male [MESH]
  • |Manometry [MESH]
  • |Middle Aged [MESH]
  • |Postprandial Period [MESH]
  • |Silicic Acid/*therapeutic use [MESH]


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