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  • Title: Sucralfate and alginate/antacid in reflux esophagitis.
    Author: Laitinen S, Ståhlberg M, Kairaluoma MI, Kiviniemi H, Pääkkönen M, Lahtinen J, Poikolainen E, Aukee S.
    Journal: Scand J Gastroenterol; 1985 Mar; 20(2):229-32. PubMed ID: 2986275.
    Abstract:
    The efficacy of sucralfate and of an alginate/antacid compound was compared in a randomized, double-blind 6-week trial in patients with symptomatic, endoscopically confirmed macroscopic reflux esophagitis. Of the 68 patients who completed the study, 36 received sucralfate and 32 alginate/antacid. Significant symptomatic improvement occurred in both treatment groups: almost 70% of the patients became symptom-free or improved. Esophagitis healed completely in 53% of the patients receiving sucralfate and in 34% of the alginate/antacid patients, as measured with endoscopic criteria (p greater than 0.05). Our results indicate that sucralfate seems to be at least as effective as alginate/antacid in relieving symptoms and in healing macroscopic lesions. As a safe, locally active mucosal protecting agent, sucralfate is a promising new drug for the treatment of reflux esophagitis and deserves further trials over longer periods.
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