KMID : 1188320160100060910
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Gut and Liver 2016 Volume.10 No. 6 p.910 ~ p.916
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The Benefits of Combination Therapy with Esomeprazole and Rebamipide in Symptom Improvement in Reflux Esophagitis: An International Multicenter Study
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Hong Su-Jin
Park Soo-Heon Moon Jeong-Seop Shin Woon-Geon Kim Jae-Gyu Lee Yong-Chan Lee Dong-Ho Jang Jae-Young Kim Jae-J. Lee Hang-Lak Lee Sang-Woo Hwangbo Young Xu Jian Ming Wang Bang Mao Xue Zhan Xiong Liu Fei Yuan Yao Zong Leelakusolvong Somchai Dy Frederick
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Abstract
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Background/Aims: To investigate the effects of esomeprazole and rebamipide combination therapy on symptomatic improvement in patients with reflux esophagitis.
Methods: A total of 501 patients with reflux esophagitis were randomized into one of the following two treatment regimens: 40 mg esomeprazole plus 300 mg rebamipide daily (combination therapy group) or 40 mg esomeprazole daily (monotherapy group). We used a symptom questionnaire that evaluated heartburn, acid regurgitation, and four upper gastrointestinal symptoms. The primary efficacy end point was the mean decrease in the total symptom score.
Results: The mean decreases in the total symptom score at 4 weeks were estimated to be ?18.1¡¾13.8 in the combination therapy group and ?15.1¡¾11.9 in the monotherapy group (p=0.011). Changes in reflux symptoms from baseline after 4 weeks of treatment were ?8.4¡¾6.6 in the combination therapy group and ?6.8¡¾5.9 in the monotherapy group (p=0.009).
Conclusions: Over a 4-week treatment course, esomeprazole and rebamipide combination therapy was more effective in decreasing the symptoms of reflux esophagitis than esomeprazole monotherapy.
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KEYWORD
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Peptic esophagitis, Symptoms, Heartburn, Rebamipide, Esomeprazole
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