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Health and Diseases » Stomach ache

PPIs discontinuation after erosive esopaghitis therapy won’t cause heartburn again or even worse

Previous studies said that increased excessive acid secretion through indicator of Gastrin levels which may cause Heartburn can re-occur if the use of proton pump inhibitors (PPIs) discontinued in the patients who already have erosive esopaghitis therapy, including can cause acid-related symptoms if stopped for a while. However, from recent study conducted by researchers from the University of Pennsylvania said that the effects doesn’t like that. According to current study authors, increased gastrin levels after PPIs discontinuation will return to normal within a month and remain flat thereafter. The results of this study were reported in the American Journal of Gastroenterology on August 16, 2011, and based on reviewed data from 4 phase III trials involved 287 patients with a negative indication for Helicobacter pylori. While there is no long run of increased gastrin … Read entire article »

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Diagnosis in patients with nontraumatic abdominal pain with computed tomography (CT) scan had positive effects in the Emergency Department of Hospital

Despite the concerns about cost and radiation exposure, utility computed tomography (CT) scan used in patients with nontraumatic abdominal pain may associated with a reduction in the number of patients admitted to the hospital by nearly half. In addition, the imaging technique was associated with an increase in the level of physician confidence in their diagnosis to 92.2%, up from 70.5%. This result just reported in the recent issue of the American Journal of Roentgenology on February 2011. According to the study authors, Hani H. Abujudeh, MD, and colleagues reported that prior to the CT scan, 440 of 584 patients (75.3%) will admitted by physician. After CT, the plan was change to discharge with follow-up in 106 of 440 cases (24.1%). There was a 126% increase in the diagnosis of “no acute condition” … Read entire article »

Filed under: Stomach ache