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食管高级别上皮内瘤变、食管癌前病变和质子泵抑制剂过度使用。

, esophageal precancerous lesions, and proton pump inhibitor overuse.

机构信息

Department of Clinical Pharmacy, Key Laboratory of Basic Pharmacology of Guizhou Province and School of Pharmacy, Zunyi Medical University, Zunyi 563006, Guizhou Province, China.

Key Laboratory of Basic Pharmacology of Ministry of Education and Joint International Research Laboratory of Ethnomedicine of Ministry of Education, Zunyi Medical University, Zunyi 563006, Guizhou Province, China.

出版信息

World J Gastroenterol. 2024 Nov 14;30(42):4591-4596. doi: 10.3748/wjg.v30.i42.4591.

Abstract

This article reviews the cohort study published in the , which reported low rates of () infection among esophageal cancer (EC) patients, coupled with proton pump inhibitor (PPI) overuse. These findings suggest a potential protective role of against EC and indicate a possible association between PPI use and increased cancer risk. In light of these findings, our article examines the complex relationship between and esophageal precancerous lesions, exploring the potential underlying mechanisms. We also address growing concerns regarding PPI overuse, including its potential effects on cancer therapy efficacy and the risk of drug interactions. Ultimately, this article highlights the urgent need for further research to evaluate the safety and efficacy of PPIs in cancer patients and to better understand their broader implications.

摘要

本文综述了发表在《》杂志上的一项队列研究,该研究报告称,食管癌(EC)患者的 () 感染率较低,同时质子泵抑制剂(PPI)的过度使用。这些发现表明可能对 EC 具有保护作用,并提示 PPI 使用与癌症风险增加之间可能存在关联。有鉴于此,我们的文章探讨了与食管癌前病变之间的复杂关系,研究了潜在的潜在机制。我们还讨论了对 PPI 过度使用的日益关注,包括其对癌症治疗效果的潜在影响以及药物相互作用的风险。最终,本文强调了迫切需要进一步研究来评估癌症患者中使用 PPIs 的安全性和有效性,并更好地了解它们的更广泛影响。

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本文引用的文献

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Prevalence of infection among patients with esophageal carcinoma.食管癌患者的感染发生率。
World J Gastroenterol. 2024 Aug 7;30(29):3479-3487. doi: 10.3748/wjg.v30.i29.3479.
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[Esophageal Cancer].[食管癌]
Wien Med Wochenschr. 2023 Jun;173(9-10):209-215. doi: 10.1007/s10354-022-00972-9. Epub 2022 Nov 1.

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