Acetylsalicylic acid-induced biochemical changes in gastric juice: a failure of adaptation?
Article
in English
| IMSEAR
| ID: sea-63841
ABSTRACT
BACKGROUND:
Acetylsalicyclic acid (ASA) causes gastric mucosal damage which diminishes with continued use due to adaptation.METHODS:
To determine the net effect of these processes on the gastric juice, we estimated acid, osmolality, bicarbonate concentration in nonparietal gastric juice, calcium, potassium and sodium in 18 patients (9 men; mean age 32 years, range 20-46) with irritable bowel syndrome, before and after 600 mg of ASA taken post-cibum thrice daily for 4 weeks. Osmolality was determined by an osmometer, acidity by titration, and Na+, K+ and Ca++ using a sodium-potassium-calcium analyzer; bicarbonate was derived from the two-component model of Feldman.RESULTS:
Gastric juice K+ and Na+ increased significantly from mean (SE) 14.6 (0.5) and 197.5 (16.3) to 16.7 (0.4) and 256.8 (18.1) mEq/L, respectively. The other parameters remained unchanged.CONCLUSION:
After four weeks of ASA ingestion there is a dichotomy of gastric mucosal injury and adaptation, with preservation of acid secretion but continued loss of Na+ and K+.
Full text:
Available
Index:
IMSEAR (South-East Asia)
Main subject:
Osmolar Concentration
/
Potassium
/
Sodium
/
Female
/
Humans
/
Male
/
Adaptation, Physiological
/
Aspirin
/
Calcium
/
Adult
Type of study:
Prognostic study
Language:
English
Year:
1998
Type:
Article
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