PMID- 22496101 OWN - NLM STAT- MEDLINE DCOM- 20121015 LR - 20131121 IS - 1097-6817 (Electronic) IS - 0194-5998 (Linking) VI - 147 IP - 2 DP - 2012 Aug TI - The role of proton pump inhibitors in adenoid hypertrophy in children. PG - 329-34 LID - 10.1177/0194599812444528 [doi] AB - OBJECTIVES: To establish the efficacy of proton pump inhibitors (PPI) in the treatment of adenoid hypertrophy in children. DESIGN: Randomized controlled double-blinded clinical trial. POPULATION: Forty children, aged 2 to 12 years, with adenoid hypertrophy fulfilling the inclusion and exclusion criteria. METHODS: Patients were randomly allocated into 2 groups: one to be treated with oral Losec MUPS for a period of 2 months (treatment group) and the other to be given a low-dose vitamin C tablet for the same period (control group). The patients were reviewed on 2 occasions during the 2-month study period, during which endoscopy was performed to examine the adenoid glands to assess their size and the larynx to assess signs of reflux disease. Examination of tonsillar size was also performed. RESULTS: There was a significant reduction in adenoid size in the treatment group, but the control group also demonstrated a significant reduction in adenoid size. Comparison between the 2 groups in terms of adenoid grade change between the first and second visits did not reveal any significant statistical difference. CONCLUSION: The results of this study do not demonstrate any efficacy of PPIs for adenoid hypertrophy in children, and these drugs should not be used for this purpose. FAU - Iqbal, Farim Rizal Wong AU - Iqbal FR AD - Department of Otorhinolaryngology, Faculty of Medicine, National University of Malaysia, Bandar Tun Razak, Malaysia. FAU - Goh, Bee See AU - Goh BS FAU - Mazita, Ami AU - Mazita A LA - eng PT - Journal Article PT - Randomized Controlled Trial DEP - 20120411 PL - England TA - Otolaryngol Head Neck Surg JT - Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery JID - 8508176 RN - 0 (Proton Pump Inhibitors) RN - KG60484QX9 (Omeprazole) SB - IM MH - Adenoids/*pathology MH - Child MH - Child, Preschool MH - Double-Blind Method MH - Female MH - Humans MH - Hypertrophy/drug therapy MH - Male MH - Omeprazole/*therapeutic use MH - Prospective Studies MH - Proton Pump Inhibitors EDAT- 2012/04/13 06:00 MHDA- 2012/10/16 06:00 CRDT- 2012/04/13 06:00 PHST- 2012/04/13 06:00 [entrez] PHST- 2012/04/13 06:00 [pubmed] PHST- 2012/10/16 06:00 [medline] AID - 0194599812444528 [pii] AID - 10.1177/0194599812444528 [doi] PST - ppublish SO - Otolaryngol Head Neck Surg. 2012 Aug;147(2):329-34. doi: 10.1177/0194599812444528. Epub 2012 Apr 11.