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[Approaches to prediction of gastropathy development risk due to non-steroidal antiinflammatory drugs]
Aim:
Examination of gastric secretion in rheumatoid arthritis (RA) patients and its response to sodium diclophenak and indomethacine.
Materials And Methods:
46 RA patients entered the study. All of them have been long on nonsteroid antiinflammatory drugs (NAID). Two groups of patients were analysed: group 1--free of NAID gastropathy, group 2--with NAID gastropathy. pH was followed by Gastroscan system.
Results:
The analysis of 24-h pH-grams in both groups when NAID were not taken showed that in NAID gastropathy acid-forming gastric function is not affected while the alkalizing function markedly declines. Indomethacine is more aggressive to upper gastrointestinal tract mucosa than sodium diclophenak.
Conclusion:
Dynamic intragastric pH-metry can prognosticate the risk of NAID gastropathy.
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