PMID- 14675268 OWN - NLM STAT- MEDLINE DCOM- 20040519 LR - 20190901 IS - 0815-9319 (Print) IS - 0815-9319 (Linking) VI - 18 IP - 12 DP - 2003 Dec TI - Symptom relief in patients with reflux esophagitis: comparative study of omeprazole, lansoprazole, and rabeprazole. PG - 1392-8 AB - BACKGROUND AND AIM: Rabeprazole has a faster onset of antisecretory activity than omeprazole and lansoprazole. The aim of the present study was to clarify whether there is any difference in the speed of symptom relief in patients with reflux esophagitis following the administration of these three proton pump inhibitors (PPI). METHODS: Eighty-five patients with erosive reflux esophagitis were randomized to receive 8 weeks of 20 mg of omeprazole (n = 30), 30 mg of lansoprazole (n = 25), or 20 mg of rabeprazole (n = 30) once a morning. Daily changes in heartburn and acid reflux symptoms in the first 7 days of administration were assessed using a six-point scale (0: none, 1: mild, 2: mild-moderate, 3: moderate, 4: moderate-severe, 5: severe). RESULTS: The mean heartburn score in patients administered rabeprazole decreased more rapidly than those given the other PPI. Complete heartburn remission also occurred more rapidly in patients administered rabeprazole (compared with omeprazole: P = 0.035, compared with lansoprazole: P = 0.038 by log-rank test). No differences were seen in the rate of endoscopic healing of reflux esophagitis at 8 weeks between the three treatment regimens. CONCLUSION: Rabeprazole may be more effective than omeprazole and lansoprazole for the rapid relief of heartburn symptoms in patients with reflux esophagitis. FAU - Adachi, Kyoichi AU - Adachi K AD - Department of Internal Medicine II, Shimane Medical University, Department of Internal Medicine, Unnan General Hospital, Shimane, Japan. kadachi@shimane-med.ac.jp FAU - Hashimoto, Tomoyuki AU - Hashimoto T FAU - Hamamoto, Naoharu AU - Hamamoto N FAU - Hirakawa, Kazuya AU - Hirakawa K FAU - Niigaki, Masatoshi AU - Niigaki M FAU - Miyake, Tatsuya AU - Miyake T FAU - Taniura, Hiroyuki AU - Taniura H FAU - Ono, Masahiro AU - Ono M FAU - Kaji, Takekazu AU - Kaji T FAU - Suetsugu, Hiroshi AU - Suetsugu H FAU - Yagi, Junko AU - Yagi J FAU - Komazawa, Yoshinori AU - Komazawa Y FAU - Mihara, Takafumi AU - Mihara T FAU - Katsube, Tomoko AU - Katsube T FAU - Fujishiro, Hirofumi AU - Fujishiro H FAU - Shizuku, Toshihiro AU - Shizuku T FAU - Hattori, Shuzo AU - Hattori S FAU - Yamamoto, Shun AU - Yamamoto S FAU - Kinoshita, Yoshikazu AU - Kinoshita Y LA - eng PT - Clinical Trial PT - Comparative Study PT - Journal Article PT - Multicenter Study PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't PL - Australia TA - J Gastroenterol Hepatol JT - Journal of gastroenterology and hepatology JID - 8607909 RN - 0 (2-Pyridinylmethylsulfinylbenzimidazoles) RN - 0 (Anti-Ulcer Agents) RN - 0 (Benzimidazoles) RN - 0 (Proton Pump Inhibitors) RN - 0K5C5T2QPG (Lansoprazole) RN - 32828355LL (Rabeprazole) RN - KG60484QX9 (Omeprazole) SB - IM MH - 2-Pyridinylmethylsulfinylbenzimidazoles MH - Adult MH - Aged MH - Aged, 80 and over MH - Anti-Ulcer Agents/*therapeutic use MH - Benzimidazoles/*therapeutic use MH - Esophagitis, Peptic/*complications MH - Female MH - Heartburn/*drug therapy/etiology MH - Humans MH - Lansoprazole MH - Male MH - Middle Aged MH - Omeprazole/*analogs & derivatives/*therapeutic use MH - Prospective Studies MH - Proton Pump Inhibitors MH - Rabeprazole MH - Treatment Outcome EDAT- 2003/12/17 05:00 MHDA- 2004/05/20 05:00 CRDT- 2003/12/17 05:00 PHST- 2003/12/17 05:00 [pubmed] PHST- 2004/05/20 05:00 [medline] PHST- 2003/12/17 05:00 [entrez] AID - 3190 [pii] AID - 10.1046/j.1440-1746.2003.03190.x [doi] PST - ppublish SO - J Gastroenterol Hepatol. 2003 Dec;18(12):1392-8. doi: 10.1046/j.1440-1746.2003.03190.x.