Use of Omeprazole in A Junction to Band-Ligation for Portal Hypertensive Patients in Al-Managel Hospital 2024, Sudan
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Abstract
Portal hypertensive patients candidate for Band ligation were administered Omeprazole tab (proton pump Inhibitor) in Al-Managel Hospital to assess post-ligation ulcer healing and Heartburn, dysphagia and odynophagia Symptoms following ligation. Forty-five patients were treated with Omeprazole tab 20 mg twice daily for one week immediately after the ligation session and rechecked in the next session (3-4) weeks later. Healing of post-banding ulcers occurs naturally without significant association with using Omeprazole, as examined by Qui Square and Fisher's exact test. Omeprazole is significantly associated with decreased heartburn and odynophagia symptoms as checked by an Independent Paired T-test. Adjunctive use of Omeprazole with Band ligation for Portal Hypertensive patients is recommended to improve post-ligation symptoms of heartburn and odynophagia.
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References
Zhu J, Qi X, Yu H, Su C, Guo X. Acid suppression in patients treated with endoscopic therapy for the management of gas-troesophageal varices: a systematic review and meta-analysis. Expert Rev Gastroenterol Hepatol [Internet]. 2018;12(6):617–24. Available from: https://doi.org/10.1080/17474124.2018.1456918 DOI: https://doi.org/10.1080/17474124.2018.1456918
Garcia-Pagán JC, Bosch J. Endoscopic band ligation in the treatment of portal hypertension. Nature Clinical Practice Gastroen-terology and Hepatology. 2005. DOI: https://doi.org/10.1038/ncpgasthep0323
Gastroenterology B, Salas M, Ward A, Caro J. BMC Gastroenterology Are proton pump inhibitors the first choice for acute treatment of gastric ulcers? A meta analysis of randomized clinical trials [Internet]. 2002. Available from: http://www.biomedcentral.com/1471-230X/2/17 DOI: https://doi.org/10.1186/1471-230X-2-17
Lo GH, Perng DS, Chang CY, Tai CM, Wang HM, Lin HC. Controlled trial of ligation plus vasoconstrictor versus proton pump inhibitor in the control of acute esophageal variceal bleeding. Journal of Gastroenterology and Hepatology (Australia). 2013;28(4):684–9. DOI: https://doi.org/10.1111/jgh.12107
Hidaka H, Nakazawa T, Wang G, Kokubu S, Minamino T, Takada J, et al. Long-term administration of PPI reduces treatment failures after esophageal variceal band ligation: A randomized, controlled trial. J Gastroenterol. 2012;47(2):118–26. DOI: https://doi.org/10.1007/s00535-011-0472-0
Trikudanathan G, Israel J, Cappa J, O’Sullivan DM. Association between proton pump inhibitors and spontaneous bacterial per-itonitis in cirrhotic patients - A systematic review and meta-analysis. Int J Clin Pract. 2011;65(6):674–8. DOI: https://doi.org/10.1111/j.1742-1241.2011.02650.x
Lo EAG, Wilby KJ, Ensom MHH. Use of Proton Pump Inhibitors in the Management of Gastroesophageal Varices: A Systematic Review. Annals of Pharmacotherapy. 2015;49(2):207–19. DOI: https://doi.org/10.1177/1060028014559244
Dultz G, Piiper A, Zeuzem S, Kronenberger B, Waidmann O. Proton pump inhibitor treatment is associated with the severity of liver disease and increased mortality in patients with cirrhosis. Aliment Pharmacol Ther. 2015;41(5):459–66. DOI: https://doi.org/10.1111/apt.13061
Kang SH, Yim HJ, Kim SY, Suh SJ, Hyun JJ, Jung SW, et al. Proton pump inhibitor therapy is associated with reduction of early bleeDing risk after prophylactic endoscopic variceal band ligation a retrospective cohort study. Medicine (United States). 2016;95(8):1–9. DOI: https://doi.org/10.1097/MD.0000000000002903