More than a common acid buffering in the treatment of Non-Erosive GERD-like Clinical Spectrum: A Chios Masthia-based Formulation with (Cyto) Protecting Effect

<p>The aim of this study was to test the clinical and mucosal benefit of a natural gastro-oesophageal mucosal protector DOGDG-121 in non-erosive GERD comprising from NERD, to Functional Heartburn and Hypersensitive oesophagus while also ascertain the symptom-free duration in patients with prio...

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Hoofdauteurs: Barreto R (Auteur), Todai M (Auteur), Kumar N (Auteur), Hayakawa K (Auteur), Marotta F (Auteur), Imaoka Y (Auteur), Catanzaro R (Auteur)
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Gepubliceerd in: Archives of Clinical Gastroenterology - Peertechz Publications, 2019-02-26.
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042 |a dc 
100 1 0 |a Barreto R  |e author 
700 1 0 |a  Todai M  |e author 
700 1 0 |a  Kumar N  |e author 
700 1 0 |a  Hayakawa K  |e author 
700 1 0 |a  Marotta F  |e author 
700 1 0 |a  Imaoka Y  |e author 
700 1 0 |a Catanzaro R  |e author 
245 0 0 |a More than a common acid buffering in the treatment of Non-Erosive GERD-like Clinical Spectrum: A Chios Masthia-based Formulation with (Cyto) Protecting Effect 
260 |b Archives of Clinical Gastroenterology - Peertechz Publications,   |c 2019-02-26. 
520 |a <p>The aim of this study was to test the clinical and mucosal benefit of a natural gastro-oesophageal mucosal protector DOGDG-121 in non-erosive GERD comprising from NERD, to Functional Heartburn and Hypersensitive oesophagus while also ascertain the symptom-free duration in patients with prior symptomatic relapsing GERD. 68 consecutive adult patients, reporting mild heartburn symptoms two or more days a week or at least moderate symptoms more than once a week for at least six months duration were prospectively recruited. Inclusion criteria were: recurrent typical GERD symptoms, such as heartburn and/or acid regurgitation and a duration of symptoms>6 months. Patients were divided in two groups comparable as for age, gender, BMI and pHmetry profile. One group was given 1 sachet a day (2gr) of DOGDG-121 (chios masthia- and musa extract-based phytocompound, Reflumed, Named, Italy) quickly stirred in a small water quantity (≤30ml) and swallowed at once, while the other was administered 5ml of a buffering antacid suspension (BAS) (Dried Aluminium Hydroxide Gel 230mg,Magnesium Hydroxide 200mg Simeticone 25mg)as positive control. At entry and after 12 weeks all patients underwent an ambulatory 24-Hours intraesophageal pH monitoring. As compared to BAS, DOGDG-121 enabled a significantly lesser degree of microscopic oesophagitis, reduced gene expression of IL-8 and all Eotaxins tested (p<0.05). This was also associated to a better gastrointestinal-related quality of life assessment (p<0.05). This strongly suggested that, besides protection against acido-peptic mucosal injury per sè, DOGDG-121 appears to offer a more significant effect on inflammatory mediators interfering with peripheral nociceptors, being amenable to safe, long-term cytoprotective use.</p> 
540 |a Copyright © Barreto R et al. 
546 |a en 
655 7 |a Research Article  |2 local 
856 4 1 |u https://doi.org/10.17352/2455-2283.000060  |z Connect to this object online.