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Upper gastrointestinal mucosal injury and symptoms in elderly low-dose aspirin users.

Shimada Y, Nagahara A, Hojo M, Asaoka D, Sasaki H, Ueyama H, Matsumoto K, Watanabe S - Gastroenterol Res Pract (2015)

Bottom Line: Results.LDA users diagnosed with EI had significantly lower PCS, LDA users diagnosed with GI had significantly lower DS, and LDA users diagnosed with DI had significantly lower RS and significantly lower MCS.Conclusion.

View Article: PubMed Central - PubMed

Affiliation: Department of Gastroenterology, Juntendo University School of Medicine, 2-1-1 Hongo Bunkyo-ku, Tokyo 113-8421, Japan.

ABSTRACT
Background. We investigated the prevalence, symptoms, and QOL impact of esophageal (EI), gastric (GI), and duodenal mucosal injury (DI) individually between low-dose aspirin (LDA) users and nonusers to reveal the clinical features of LDA-related mucosal injury. Methods. Data were extracted from the records of subjects who underwent upper gastrointestinal endoscopy at our department between April 2008 and December 2013. Responses from 3162 elderly patients on Frequency Scale for Symptoms of GERD (FSSG) and SF-8 QOL questionnaires (SF-8) were analyzed. FSSG items were classified into total score (TS), reflux score (RS), and dyspepsia score (DS). The SF-8 questionnaire consisted of the physical component summary (PCS) and mental component summary (MCS). Results. Prevalence among LDA users and nonusers, respectively, was 9.6% and 10.0% (P = 0.83) for EI, 35.9% and 27.5% (P = 0.0027) for GI, 3.3% and 3.4% (P = 0.84) for DI, and 8.2% and 5.2% (P = 0.036) for mucosal injury in 2 or more organs. LDA users diagnosed with EI had significantly lower PCS, LDA users diagnosed with GI had significantly lower DS, and LDA users diagnosed with DI had significantly lower RS and significantly lower MCS. Conclusion. These results provide important clinical information indicating that symptom-based management is not appropriate in LDA users regarding upper gastrointestinal mucosal injury.

No MeSH data available.


Related in: MedlinePlus

FSSG score of subjects with mucosal injury among LDA users and nonusers. Among LDA users and nonusers, respectively, the scores forTS, RS, and DS were 5.8 ± 6.6 and 6.4 ± 6.3 (P = 0.29), 3.3 ± 4.3 and 3.7 ± 3.9 (P = 0.17), and 2.5 ± 3.1 and 2.7 ± 2.9 (P = 0.46) for EI; 5.0 ± 5.8 and 6.0 ± 6.3 (P = 0.05), 2.6 ± 3.2 and 3.1 ± 3.7 (P = 0.09), and 2.4 ± 3.1 and 2.9 ± 3.1 (P = 0.04) for GI; 2.6 ± 2.1 and 4.8 ± 4.5 (P = 0.16), 0.7 ± 1.1 and 2.6 ± 2.8 (P = 0.01), and 1.9 ± 1.8 and 2.2 ± 2.3 (P = 0.77) for DI; and 5.5 ± 6.3 and 5.6 ± 5.5 (P = 0.60), 2.9 ± 3.9 and 3.2 ± 3.4 (P = 0.22), and 2.6 ± 3.1 and 2.4 ± 2.6 (P = 0.97) for mucosal injury in 2 or more organs. RS = reflux score, DS = dysmotility score, and TS = total score.
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fig4: FSSG score of subjects with mucosal injury among LDA users and nonusers. Among LDA users and nonusers, respectively, the scores forTS, RS, and DS were 5.8 ± 6.6 and 6.4 ± 6.3 (P = 0.29), 3.3 ± 4.3 and 3.7 ± 3.9 (P = 0.17), and 2.5 ± 3.1 and 2.7 ± 2.9 (P = 0.46) for EI; 5.0 ± 5.8 and 6.0 ± 6.3 (P = 0.05), 2.6 ± 3.2 and 3.1 ± 3.7 (P = 0.09), and 2.4 ± 3.1 and 2.9 ± 3.1 (P = 0.04) for GI; 2.6 ± 2.1 and 4.8 ± 4.5 (P = 0.16), 0.7 ± 1.1 and 2.6 ± 2.8 (P = 0.01), and 1.9 ± 1.8 and 2.2 ± 2.3 (P = 0.77) for DI; and 5.5 ± 6.3 and 5.6 ± 5.5 (P = 0.60), 2.9 ± 3.9 and 3.2 ± 3.4 (P = 0.22), and 2.6 ± 3.1 and 2.4 ± 2.6 (P = 0.97) for mucosal injury in 2 or more organs. RS = reflux score, DS = dysmotility score, and TS = total score.

Mentions: Regarding symptoms and QOL, FSSG score of subjects with mucosal injury among LDA users and nonusers is shown in Figure 4, and SF-8 score for mucosal injury in LDA users and nonusers is shown in Figure 5. LDA users diagnosed with GI had significantly lower DS, and LDA users diagnosed with DI had significantly lower RS (Figure 4). LDA users diagnosed with EI had significantly lower PCS, and LDA users diagnosed with DI had significantly lower MCS.


Upper gastrointestinal mucosal injury and symptoms in elderly low-dose aspirin users.

Shimada Y, Nagahara A, Hojo M, Asaoka D, Sasaki H, Ueyama H, Matsumoto K, Watanabe S - Gastroenterol Res Pract (2015)

FSSG score of subjects with mucosal injury among LDA users and nonusers. Among LDA users and nonusers, respectively, the scores forTS, RS, and DS were 5.8 ± 6.6 and 6.4 ± 6.3 (P = 0.29), 3.3 ± 4.3 and 3.7 ± 3.9 (P = 0.17), and 2.5 ± 3.1 and 2.7 ± 2.9 (P = 0.46) for EI; 5.0 ± 5.8 and 6.0 ± 6.3 (P = 0.05), 2.6 ± 3.2 and 3.1 ± 3.7 (P = 0.09), and 2.4 ± 3.1 and 2.9 ± 3.1 (P = 0.04) for GI; 2.6 ± 2.1 and 4.8 ± 4.5 (P = 0.16), 0.7 ± 1.1 and 2.6 ± 2.8 (P = 0.01), and 1.9 ± 1.8 and 2.2 ± 2.3 (P = 0.77) for DI; and 5.5 ± 6.3 and 5.6 ± 5.5 (P = 0.60), 2.9 ± 3.9 and 3.2 ± 3.4 (P = 0.22), and 2.6 ± 3.1 and 2.4 ± 2.6 (P = 0.97) for mucosal injury in 2 or more organs. RS = reflux score, DS = dysmotility score, and TS = total score.
© Copyright Policy - open-access
Related In: Results  -  Collection

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fig4: FSSG score of subjects with mucosal injury among LDA users and nonusers. Among LDA users and nonusers, respectively, the scores forTS, RS, and DS were 5.8 ± 6.6 and 6.4 ± 6.3 (P = 0.29), 3.3 ± 4.3 and 3.7 ± 3.9 (P = 0.17), and 2.5 ± 3.1 and 2.7 ± 2.9 (P = 0.46) for EI; 5.0 ± 5.8 and 6.0 ± 6.3 (P = 0.05), 2.6 ± 3.2 and 3.1 ± 3.7 (P = 0.09), and 2.4 ± 3.1 and 2.9 ± 3.1 (P = 0.04) for GI; 2.6 ± 2.1 and 4.8 ± 4.5 (P = 0.16), 0.7 ± 1.1 and 2.6 ± 2.8 (P = 0.01), and 1.9 ± 1.8 and 2.2 ± 2.3 (P = 0.77) for DI; and 5.5 ± 6.3 and 5.6 ± 5.5 (P = 0.60), 2.9 ± 3.9 and 3.2 ± 3.4 (P = 0.22), and 2.6 ± 3.1 and 2.4 ± 2.6 (P = 0.97) for mucosal injury in 2 or more organs. RS = reflux score, DS = dysmotility score, and TS = total score.
Mentions: Regarding symptoms and QOL, FSSG score of subjects with mucosal injury among LDA users and nonusers is shown in Figure 4, and SF-8 score for mucosal injury in LDA users and nonusers is shown in Figure 5. LDA users diagnosed with GI had significantly lower DS, and LDA users diagnosed with DI had significantly lower RS (Figure 4). LDA users diagnosed with EI had significantly lower PCS, and LDA users diagnosed with DI had significantly lower MCS.

Bottom Line: Results.LDA users diagnosed with EI had significantly lower PCS, LDA users diagnosed with GI had significantly lower DS, and LDA users diagnosed with DI had significantly lower RS and significantly lower MCS.Conclusion.

View Article: PubMed Central - PubMed

Affiliation: Department of Gastroenterology, Juntendo University School of Medicine, 2-1-1 Hongo Bunkyo-ku, Tokyo 113-8421, Japan.

ABSTRACT
Background. We investigated the prevalence, symptoms, and QOL impact of esophageal (EI), gastric (GI), and duodenal mucosal injury (DI) individually between low-dose aspirin (LDA) users and nonusers to reveal the clinical features of LDA-related mucosal injury. Methods. Data were extracted from the records of subjects who underwent upper gastrointestinal endoscopy at our department between April 2008 and December 2013. Responses from 3162 elderly patients on Frequency Scale for Symptoms of GERD (FSSG) and SF-8 QOL questionnaires (SF-8) were analyzed. FSSG items were classified into total score (TS), reflux score (RS), and dyspepsia score (DS). The SF-8 questionnaire consisted of the physical component summary (PCS) and mental component summary (MCS). Results. Prevalence among LDA users and nonusers, respectively, was 9.6% and 10.0% (P = 0.83) for EI, 35.9% and 27.5% (P = 0.0027) for GI, 3.3% and 3.4% (P = 0.84) for DI, and 8.2% and 5.2% (P = 0.036) for mucosal injury in 2 or more organs. LDA users diagnosed with EI had significantly lower PCS, LDA users diagnosed with GI had significantly lower DS, and LDA users diagnosed with DI had significantly lower RS and significantly lower MCS. Conclusion. These results provide important clinical information indicating that symptom-based management is not appropriate in LDA users regarding upper gastrointestinal mucosal injury.

No MeSH data available.


Related in: MedlinePlus