奥尔梅沙坦诱导的胃炎没有下部胃肠道症状:一个病例报告
Satoshi Kosaka1, Miki Kamiyama1, Masahiro Ochi1
1Department of Gastroenterology Meijibashi Hospital Osaka Japan.
奥尔梅沙坦可以引起药物诱导的胃炎,导致食欲丧失和出血等症状. 停止服用药物导致症状改善和内镜治疗,证实了olmesartan诱导的胃炎.
科学领域:
- 胃肠病学 胃肠病学
- 药理学 药理学是指药理学的学科.
背景情况:
- 药物诱导的胃肠道疾病越来越被认可.
- 众所周知,抗胰岛素II受体抑制剂 (ARBs) 会引起肠病变,但ARB诱导的胃炎较少见.
研究的目的:
- 报告一种罕见的奥尔梅沙坦诱导胃炎病例.
- 要突出内镜发现和这种情况的临床过程.
主要方法:
- 一个74岁的老人胃炎症状的案例研究.
- 诊断程序包括食管胃二透镜 (EGD) 和胃活检.
- 治疗需要停止使用奥尔梅沙坦.
主要成果:
- 该患者出现了侵蚀性胃炎和结节性粘膜,阴性H. pylori.
- 奥尔梅沙坦戒药后症状有所改善,胃炎通过内镜得到缓解.
- 在无意中重新服用奥尔梅沙坦后胃炎复发,证实了诊断.
结论:
- 奥尔梅沙坦可以诱导胃炎,呈现上部胃肠道症状.
- 典型的内镜检查结果可能表明药物诱导的胃炎.
- 停止使用olmesartan对于管理这种情况至关重要.
更多相关视频
08:505/6th Nephrectomy in Combination with High Salt Diet and Nitric Oxide Synthase Inhibition to Induce Chronic Kidney Disease in the Lewis Rat
Published on: July 3, 2013
03:48Author Spotlight: Exploring the Mysteries of Sichuan's Herbal Medicine in Chinese Medicine Research
Published on: March 1, 2024
相关概念视频
Gastritis III: Clinical Manifestations and Management
Clinical manifestations of acute gastritis
The patient with acute gastritis may have a rapid onset of symptoms, such as epigastric pain or discomfort, dyspepsia, anorexia, hiccups, or nausea and vomiting, which can last from a few hours to a few days. Erosive or hemorrhagic gastritis may cause bleeding, which may manifest as blood in vomit or as...
Barrett Esophagus-II: Clinical Manifestations and Management
To diagnose Barrett's esophagus, healthcare providers often recommend an endoscopy for those showing symptoms of acid reflux. The procedure...
Peptic Ulcer Disease IV: Management
The therapeutic approach involves ensuring adequate rest, implementing drug therapy, promoting smoking cessation, making dietary modifications, and emphasizing long-term follow-up care.
Pharmacological management
The prevailing therapy for peptic ulcers involves a combination of managing the patient's current...
Gastroesophageal Reflux Disease II: Clinical Features and Management
Clinical Manifestations
GERD presents itself in a multitude of ways, with symptoms varying from person to person. The hallmark symptoms are...
Gastritis-I: Introduction and Types
Acute gastritis presents as a sudden inflammation triggered by various stressors to the stomach lining, such as exposure to corrosive agents, local irritants like aspirin and other NSAIDs, alcohol consumption, radiation therapy, physical trauma, severe burns, sepsis,...
Peptic Ulcer Disease III: Clinical Manifestations and Diagnostic Studies
Few clinical manifestations differentiate gastric ulcers from duodenal ulcers. Distinctions in the location, timing, and pain relief are crucial for healthcare providers in differentiating between gastric and duodenal ulcers during clinical assessments.
