1. The mechanism of action of gefarnate in the light of the latest data on digestive physiopathlogy
- Author
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M. Giorgi-conciato, L. Barbara, G. Busca, Luchetta L, and Corinaldesi R
- Subjects
Adult ,Male ,medicine.medical_specialty ,Gefarnate ,Pathology ,Adolescent ,Biopsy ,Peptic ,Radioimmunoassay ,Administration, Oral ,Gastroenterology ,Internal medicine ,Gastrins ,Gastric mucosa ,Humans ,Medicine ,Stomach Ulcer ,Aged ,chemistry.chemical_classification ,Gastric Juice ,Histocytochemistry ,Terpenes ,business.industry ,Anti-ulcer Agent ,Stomach ,Endoscopy ,Hexosamines ,General Medicine ,Middle Aged ,Pathophysiology ,medicine.anatomical_structure ,chemistry ,Gastric Mucosa ,Fatty Acids, Unsaturated ,Female ,Gastritis ,medicine.symptom ,business - Abstract
SummaryA study to investigate the mechanism of action of gefarnate (treatment: 600 mg. daily by mouth for 30 days) was carried out in 25 patients with gastric ulcer.The following parameters were evaluated before and after treatment: a) the macroscopic (endoscopy), microscopic (optic microscopy and histochemistry) and ultra-structural appearance (electron microscopy) of the gastric mucosa; b) mucous secretion (hexosamines); c) hydrochloric acid and peptic secretion; and d) serum levels ofgastrin (radioimmunoassay).Endoscopic examination after treatment showed that the ulcer was completely healed in 32% of cases with re-epithelising in the remaining patients: satellite gastritis was considerably improved in all patients. The normalisation of the histological, histochemical and ultrastructural picture of the mucoid cells was the main morphological change induced by the treatment. This was associated on a functional level with a statistically significant increased production of hexosamines. The hydrochloric a...
- Published
- 1974