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Related Experiment Video

Updated: Jan 19, 2026

A Novel Approach for the Administration of Medications and Fluids in Emergency Scenarios and Settings
06:59

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Gastroprotective effect of ranitidine bismuth citrate is associated with increased mucus bismuth concentration in

S Tanaka1, P H Guth, G Paulsen

  • 1Medical Service, West Los Angeles VA Medical Center, CA 90073, USA.

Gut
|August 1, 1996
PubMed
Summary

Ranitidine bismuth citrate (GG311) protects the gastric mucosa from NSAID-induced injury by increasing bismuth concentration in gastric mucus. This mechanism may reduce proton permeability, safeguarding the stomach lining.

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Area of Science:

  • Gastroenterology
  • Pharmacology

Background:

  • Non-steroidal anti-inflammatory drugs (NSAIDs) can cause gastric mucosal injury.
  • Antisecretory and bismuth compounds offer protection against NSAID-induced gastric damage.

Purpose of the Study:

  • To elucidate the gastroprotective mechanism of ranitidine bismuth citrate (GG311) in a rat model.
  • Investigate how GG311 mitigates indomethacin-induced gastric injury.

Main Methods:

  • Utilized an indomethacin-induced rat gastric injury model.
  • Employed in vivo microscopy to simultaneously measure acid output, surface cell intracellular pH (pHi), mucus gel thickness, and mucosal blood flow.

Main Results:

  • GG311 demonstrated dose-dependent protection against indomethacin-induced gastric injury.
  • Indomethacin reduced mucus thickness and impaired pHi, while GG311 improved these parameters in its presence.
  • Gastric mucus bismuth concentrations were significantly elevated following GG311 administration after indomethacin pretreatment.

Conclusions:

  • The gastroprotective effect of GG311 is linked to sustained high bismuth concentrations within the gastric mucus.
  • This elevated bismuth may impede proton permeation, thereby preventing NSAID-induced gastric damage.