PMID- 30562433 OWN - NLM STAT- MEDLINE DCOM- 20190503 LR - 20190503 IS - 0047-1852 (Print) IS - 0047-1852 (Linking) VI - 74 IP - 8 DP - 2016 Aug TI - [Medical treatments of reflux esophagitis - Proton pump inhibitors and histamine H2 receptor antagonists -]. PG - 1304-1310 AB - Inhibitors of gastric acid secretion have been used as main drugs for the treatment of reflux esophagitis. Histamine H2 receptor antagonists (H2RA) and proton pump inhibitors(PPI) are the key drugs in acid inhibitors. Acid inhibition after the administration of H2RA quickly appears and its effect is potent during the nocturnal period. However, their acid inhibitory effect becomes attenuated because of the tolerance phenomenon only after 2-week-long oral administration. On the other hand, potent acid inhibition by PPI continues for long period and it is more potent during the day-time period when gastro-esophageal refluxes frequently occur. From the different characteristics of the two drugs, PPI is used as the first line thera- peutic drug for the treatment of reflux esophagitis, while H2RA is used as a su plementary drug for the patients with nocturnal refluxes. FAU - Kinoshita, Yoshikazu AU - Kinoshita Y FAU - Ishimura, Norihisa AU - Ishimura N LA - jpn PT - Journal Article PL - Japan TA - Nihon Rinsho JT - Nihon rinsho. Japanese journal of clinical medicine JID - 0420546 RN - 0 (Histamine H2 Antagonists) RN - 0 (Proton Pump Inhibitors) SB - IM MH - *Esophagitis, Peptic/drug therapy MH - *Gastroesophageal Reflux/drug therapy MH - *Histamine H2 Antagonists/therapeutic use MH - Humans MH - *Proton Pump Inhibitors/therapeutic use EDAT- 2016/08/01 00:00 MHDA- 2016/08/01 00:01 CRDT- 2018/12/19 06:00 PHST- 2018/12/19 06:00 [entrez] PHST- 2016/08/01 00:00 [pubmed] PHST- 2016/08/01 00:01 [medline] PST - ppublish SO - Nihon Rinsho. 2016 Aug;74(8):1304-1310.