Efficacy of triple therapy plus cetraxate for the Helicobacter pylori eradication in partial gastrectomy patients

Dig Dis Sci. 2005 May;50(5):842-6. doi: 10.1007/s10620-005-2650-5.

Abstract

In the present study, we aimed to establish an additional standardized protocol with a higher H. pylori eradication rate in the remnant stomach. Fifty-five H. pylori-positive patients were randomly allocated to one of three regimens: LAC--lansoprazole, amoxicillin, and clarithromycin b.i.d. for 7 days (n = 17); LAC+CET--LAC b.i.d. plus cetraxate q.i.d. for 7 days (n = 20); and LEFT--LAC for 7 days in a horizontal body position on the left side for 30 min (n = 18). Patient compliance and side effects were checked via interviews. H. pylori eradication was successful in 75, 72, and 41% in LAC+CET, LEFT, and LAC, respectively. The eradication rate was significantly higher in LAC+CET than in LAC (P = 0.024) but not in LEFT (P = 0.058). Adverse events that occurred in each group were almost all mild ones. Cetraxate plus LAC for 1 week is a safe and effective regime for the eradication of H. pylori in patients after partial gastrectomy.

Publication types

  • Clinical Trial
  • Randomized Controlled Trial

MeSH terms

  • 2-Pyridinylmethylsulfinylbenzimidazoles
  • Adult
  • Aged
  • Anti-Infective Agents / administration & dosage*
  • Anti-Ulcer Agents / administration & dosage*
  • Drug Administration Schedule
  • Drug Therapy, Combination
  • Female
  • Gastrectomy / adverse effects
  • Gastric Stump*
  • Helicobacter Infections / drug therapy*
  • Helicobacter Infections / etiology
  • Helicobacter pylori*
  • Humans
  • Lansoprazole
  • Male
  • Middle Aged
  • Omeprazole / administration & dosage*
  • Omeprazole / analogs & derivatives*
  • Posture
  • Tranexamic Acid / administration & dosage*
  • Tranexamic Acid / analogs & derivatives*
  • Treatment Outcome

Substances

  • 2-Pyridinylmethylsulfinylbenzimidazoles
  • Anti-Infective Agents
  • Anti-Ulcer Agents
  • Lansoprazole
  • cetraxate
  • Tranexamic Acid
  • Omeprazole