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Dig Dis Sci ; 50(5): 842-6, 2005 May.
Article in English | MEDLINE | ID: mdl-15906755

ABSTRACT

In the present study, we aimed to establish an additional standardized protocol with a higher H. pylori eradication rate in the remnant stomach. Fifty-five H. pylori-positive patients were randomly allocated to one of three regimens: LAC--lansoprazole, amoxicillin, and clarithromycin b.i.d. for 7 days (n = 17); LAC+CET--LAC b.i.d. plus cetraxate q.i.d. for 7 days (n = 20); and LEFT--LAC for 7 days in a horizontal body position on the left side for 30 min (n = 18). Patient compliance and side effects were checked via interviews. H. pylori eradication was successful in 75, 72, and 41% in LAC+CET, LEFT, and LAC, respectively. The eradication rate was significantly higher in LAC+CET than in LAC (P = 0.024) but not in LEFT (P = 0.058). Adverse events that occurred in each group were almost all mild ones. Cetraxate plus LAC for 1 week is a safe and effective regime for the eradication of H. pylori in patients after partial gastrectomy.


Subject(s)
Anti-Infective Agents/administration & dosage , Anti-Ulcer Agents/administration & dosage , Gastric Stump , Helicobacter Infections/drug therapy , Helicobacter pylori , Omeprazole/analogs & derivatives , Omeprazole/administration & dosage , Tranexamic Acid/analogs & derivatives , Tranexamic Acid/administration & dosage , 2-Pyridinylmethylsulfinylbenzimidazoles , Adult , Aged , Drug Administration Schedule , Drug Therapy, Combination , Female , Gastrectomy/adverse effects , Helicobacter Infections/etiology , Humans , Lansoprazole , Male , Middle Aged , Posture , Treatment Outcome
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