Complicaciones gástricas de tratamientos farmacológicos
- I. Gil-Aldea 1
- J.R. Azanza Perea 2
- 1 Navarrabiomed. Fundación Miguel Servet. Servicio Navarro de Salud-Osasunbidea. Pamplona.
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2
Clínica Universitaria de Navarra
info
ISSN: 0304-5412
Año de publicación: 2016
Título del ejemplar: Enfermedades del aparato digestivo (III): Patología gastroduodenal (II)
Serie: 12
Número: 3
Páginas: 137-142
Tipo: Artículo
Otras publicaciones en: Medicine: Programa de Formación Médica Continuada Acreditado
Resumen
Introduction Gastric drug complications are one of the more adverse effects prominent and most clinically relevant, NSAIDs being the main causes. Pathogenesis The damage level gastric mucosa can be presented in different ways, being the fundamental mechanism inhibition of prostaglandin synthesis. Risk factor's There are several risk factors, dependent and independent, which allow to stratify patients according to their risk and, accordingly, take preventive measures. Prevention and treatment Among these measures, coadministration with NSAIDs proton-pump inhibitor or administration of COX-2 inhibitor have proven to be effective measures in randomized studies. However, you should evaluate other preventive and therapeutic administration of NSAIDs alternatives, mainly due to the risk. This associated cardiovascular drug group and, in particular, selective inhibitors COX-2.
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