Tonghua Liyan granules in the treatment of Laryngopharyngeal reflux disease with stagnation of phlegm and qi syndrome: a randomized, double-blind, placebo-controlled study
Conclusion: Compared with PPIs alone, THLY granules combined with PPIs are more effective in the treatment of LPRD patients with SPQS in terms of symptoms and signs. This combination treatment, because of its higher clinical efficacy and lack of obvious adverse reactions, is worthy of clinical promotion and further in-depth study.Clinical Trial Registration:www.chictr.org.cn, identifier ChiCTR2100046614 (Source: Frontiers in Pharmacology)
Source: Frontiers in Pharmacology - February 13, 2024 Category: Drugs & Pharmacology Source Type: research

Association between Vonoprazan and the risk of gastric cancer after Helicobacter pylori eradication
Potassium-competitive acid blockers (PCABs) have been increasingly used to treat upper gastrointestinal disorders, replacing proton pump inhibitors (PPIs). While PPIs are associated with an increased risk of gastric cancer (GC) after Helicobacter pylori (Hp) eradication, it is uncertain whether PCABs carry the same risk. (Source: Clinical Gastroenterology and Hepatology)
Source: Clinical Gastroenterology and Hepatology - February 12, 2024 Category: Gastroenterology Authors: Junya Arai, Atsushi Miyawaki, Tomonori Aoki, Ryota Niikura, Yoku Hayakawa, Hiroaki Fujiwara, Sozaburo Ihara, Mitsuhiro Fujishiro, Masato Kasuga Source Type: research

Pharmacokinetic interactions between tacrolimus and Wuzhi capsule in liver transplant recipients: Genetic polymorphisms affect the drug interaction
This study aims to evaluate the association between TAC dose-adjusted trough concentration (C/D) and specific genetic polymorphisms of CYP3A4/5, drug transporters and pregnane x receptor (PXR), and plasma levels of major WZC components, deoxyschisandrin and γ-schisandrin, in liver transplant patients receiving both TAC and WZC. Liquid chromatography-tandem-mass spectrometry was used to detect the plasma levels of deoxyschisandrin and γ-schisandrin, and nine polymorphisms related to metabolic enzymes, transporters and PXR were genotyped by sequencing. A linear mixed model was utilized to assess the impact of the interacti...
Source: Chemico-Biological Interactions - February 10, 2024 Category: Molecular Biology Authors: Siqi Huang Wei Song Shuangmiao Jiang Yuanchen Li Min Wang Na Yang Huaijun Zhu Source Type: research

Proton Pump Inhibitors and Cyclin-Dependent Kinase 4/6 Inhibitors in Patients With Breast Cancer
CONCLUSION: The effectiveness of cyclin-dependent kinase 4/6 inhibitors is unlikely to be affected by concomitant PPI use. Future prospective pharmacokinetic studies are warranted.PMID:38340010 | DOI:10.1093/oncolo/oyae015 (Source: The Oncologist)
Source: The Oncologist - February 10, 2024 Category: Cancer & Oncology Authors: Kaori Takahashi Ryuji Uozumi Toru Mukohara Tetsu Hayashida Midori Iwabe Hirotoshi Iihara Kanako Kusuhara-Mamishin Yuko Kitagawa Masami Tsuchiya Mika Kitahora Aiko Nagayama Shinkichi Kosaka Yoshimi Asano-Niwa Tomoko Seki Koji Ohnuki Akio Suzuki Fumiko Ono Source Type: research

The combined use of anti-peptic agents is associated with an increased risk of osteoporotic fracture: a nationwide case-control study
CONCLUSIONS: This study found that the combined use of "PPI and H2RA" was associated with a higher risk of osteoporotic fractures. In cases where deemed necessary, the physicians may initially consider prescribing the combination use of MPA.PMID:38321358 | DOI:10.3904/kjim.2023.326 (Source: The Korean Journal of Internal Medicine)
Source: The Korean Journal of Internal Medicine - February 6, 2024 Category: Internal Medicine Authors: Dong Jun Oh Ji Hyung Nam Hyun Seok Lee Yeo Rae Moon Yun Jeong Lim Source Type: research

Quality of Life in Patients Undergoing Revisional Bariatric Surgery: From Sleeve Gastrectomy to Roux-en-Y Gastric Bypass
AbstractSleeve gastrectomy (SG) is the most performed bariatric surgery worldwide. However, this surgery may be associated with long-term weight regain and severe gastroesophageal reflux disease (GERD), sometimes necessitating conversion to Roux-en-Y gastric bypass (RYGB) to improve quality of life (QoL). We conducted a systematic review on QoL measures following the conversion of SG to RYGB. We searched various databases for studies conducted between January 2005 and September 2023. Four studies, involving 196 participants in total, met the inclusion criteria. Different assessment methods were used to evaluate QoL followi...
Source: Obesity Surgery - February 3, 2024 Category: Surgery Source Type: research

Analysis and evaluation of outpatient proton pump inhibitor utilization and irrational drug use in our hospital from 2021 to 2023
Panminerva Med. 2024 Feb 2. doi: 10.23736/S0031-0808.24.05109-7. Online ahead of print.NO ABSTRACTPMID:38305011 | DOI:10.23736/S0031-0808.24.05109-7 (Source: Panminerva Medica)
Source: Panminerva Medica - February 2, 2024 Category: General Medicine Authors: Huihong Liu Changgui Guo Changshu Tong Guo Chen Yonghua Tao Fang Ren Source Type: research

Predictors of Increased Eosinophilic Esophagitis (EoE) Disease Activity After Proton Pump Inhibitor Therapy
The objective of this study was to identify the prevalence of PPI-induced EoE exacerbation (PPI-EoEE) and factors associated with this response. (Source: Journal of Allergy and Clinical Immunology)
Source: Journal of Allergy and Clinical Immunology - February 1, 2024 Category: Allergy & Immunology Authors: Bennett Wisner, Derek Meyers, Aaron Smith, Catherine Lyons, Barrett Barnes, Bryan Sauer, Emily McGowan Source Type: research

Treatment Strategies For Eosinophilic Esophagitis. Our Experience.
The objective is to establish the percentage with complete remission in the different treatment modalities in our group of patients. (Source: Journal of Allergy and Clinical Immunology)
Source: Journal of Allergy and Clinical Immunology - February 1, 2024 Category: Allergy & Immunology Authors: Alejandra Jover-Walsh, Gema Salas-Parra, Gabriela Zambrano Ibarra, Elena Rodriguez Mazariego Source Type: research

Effects of Proton Pump Inhibitors on Esophageal Remodeling and Fibrosis in Eosinophilic Esophagitis
Eosinophilic esophagitis (EoE) is an immune-mediated, progressive fibrostenotic disease. Although proton pump inhibitors (PPIs) are a first-line EoE treatment due to their anti-inflammatory effects, their effects on remodeling/fibrosis – which are likely driven in part by transforming growth factor β (TGF-β) are not fully understood. (Source: Journal of Allergy and Clinical Immunology)
Source: Journal of Allergy and Clinical Immunology - February 1, 2024 Category: Allergy & Immunology Authors: Colby Sharlin, Yuki Maekawa, Hiroki Sato, Kazuhiro Matsuyama, Seung Kim, Kasumi Osonoi, Naoya Sakai, Garrett Osswald, Mark Rochman, Ting Wen, Evan Dellon, Marc Rothenberg, Tetsuo Shoda Source Type: research

Differential effects of proton pump inhibitors on the aryl hydrocarbon receptor in esophageal epithelial cells
Proton pump inhibitor (PPI) therapy is an emerging treatment for eosinophilic esophagitis (EoE), a chronic allergic disease characterized by food —mediated type 2 immunity and esophageal inflammation. The mechanism by which PPIs produce their therapeutic effects in EoE is not fully understood. We hypothesized that 1) PPIs induce EoE disease remission by activating the intracellular aryl hydrocarbon receptor (AHR) which promotes the expressi on of the anti-inflammatory protease inhibitor SPINK7 and 2) different PPIs exhibit varying AHR potencies, correlating with their therapeutic efficacies. (Source: Journal of Allergy a...
Source: Journal of Allergy and Clinical Immunology - February 1, 2024 Category: Allergy & Immunology Authors: Morgan Klein, Alexander Dwyer, Sierra Beach, Tomislav Ticak, Marc Rothenberg, Tetsuo Shoda, Pablo Abonia, Nurit Azouz Source Type: research

Effects of long-term proton pump inhibitor use on sexual hormones and sexual and reproductive health in female patients
ConclusionThese findings suggest that long-term PPI use may cause endocrine hormone disturbances leading to sexual difficulties in women. (Source: Endocrine)
Source: Endocrine - February 1, 2024 Category: Endocrinology Source Type: research

Proton pump inhibitors and risk of bloodstream infection without an identifiable source: a hospital-based case-control study
In conclusion, PPI use is associated with higher risk of BSI without an identifiable source and therefore, PPI use may increase the risk of septic morbidity secondary to bacterial translocation.PMID:38296545 | DOI:10.7883/yoken.JJID.2023.253 (Source: Japanese Journal of Infectious Diseases)
Source: Japanese Journal of Infectious Diseases - January 31, 2024 Category: Infectious Diseases Authors: Shintaro Hayashi Tomohito Moriyama Yuichiro Ito Yuta Harada Hiroki Dodo Kana Kumahara Tatsuji Yogi Noritsugu Ohashi Reiji Higashi Akihiro Mori Source Type: research

Proton pump inhibitors and risk of bloodstream infection without an identifiable source: a hospital-based case-control study
In conclusion, PPI use is associated with higher risk of BSI without an identifiable source and therefore, PPI use may increase the risk of septic morbidity secondary to bacterial translocation.PMID:38296545 | DOI:10.7883/yoken.JJID.2023.253 (Source: Japanese Journal of Infectious Diseases)
Source: Japanese Journal of Infectious Diseases - January 31, 2024 Category: Infectious Diseases Authors: Shintaro Hayashi Tomohito Moriyama Yuichiro Ito Yuta Harada Hiroki Dodo Kana Kumahara Tatsuji Yogi Noritsugu Ohashi Reiji Higashi Akihiro Mori Source Type: research