Item type |
学術雑誌論文 / Journal Article(1) |
公開日 |
2020-04-01 |
タイトル |
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タイトル |
Comparison of Efficacy and Safety between Mosapride and Acotiamide for Japanese patients with Functional Dyspepsia |
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言語 |
en |
言語 |
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言語 |
eng |
資源タイプ |
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資源タイプ識別子 |
http://purl.org/coar/resource_type/c_6501 |
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資源タイプ |
journal article |
著者 |
KATSUMATA, Ryo
HANDA, Yukiko
GOUDA, Kyousuke
FUKUSHIMA, Shinya
ISHII, Manabu
MURAO, Takahisa
MATSUMOTO, Hiroshi
SHIOTANI, Akiko
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著者所属(英) |
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言語 |
en |
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値 |
Division of Gastroenterology, Kawasaki Medical School |
著者所属(英) |
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言語 |
en |
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値 |
Division of Gastroenterology, Kawasaki Medical School |
著者所属(英) |
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言語 |
en |
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値 |
Division of Gastroenterology, Kawasaki Medical School |
著者所属(英) |
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言語 |
en |
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値 |
Division of Gastroenterology, Kawasaki Medical School |
著者所属(英) |
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言語 |
en |
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値 |
Department of Gastroenterology, Kawasaki Medical School |
著者所属(英) |
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言語 |
en |
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値 |
Department of Gastroenterology, Kawasaki Medical School |
著者所属(英) |
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言語 |
en |
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値 |
Department of Gastroenterology, Kawasaki Medical School |
著者所属(英) |
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言語 |
en |
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値 |
Department of Gastroenterology, Kawasaki Medical School |
キーワード |
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言語 |
en |
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主題Scheme |
Other |
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主題 |
Functional Dyspepsia |
キーワード |
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言語 |
en |
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主題Scheme |
Other |
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主題 |
Mosapride |
キーワード |
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言語 |
en |
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主題Scheme |
Other |
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主題 |
Acotiami |
抄録(英) |
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言語 |
en |
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値 |
Background: 5-HT4 agonists (mosapride) and acetylcholine esterase inhibitor (acotiamide) are prokinetics used to treat functional dyspepsia (FD). However, to date, there has been no direct comparative study between them. The aim of this study was to compare the drugs’ efficacy and safety and to determine their predictive biomarkers. Methods: The present study was a prospective, randomized, open-labeled, and crossover trial in Japanese FD patients. FD was diagnosed using Rome IV. We performed upper gastrointestinal (GI) endoscopy, GI symptom rating scale, and 8-item Short-Form Health Survey to evaluate the presence of GI disorders, GI symptoms, and quality of life (QOL), respectively. Responders were defined when reporting at least a 40% improvement of the GSRS scores from their baseline. Results: In total, 60 Japanese FD patients were randomly assigned to the acotiamide preceding group (n = 30) or mosapride preceding group (n = 30), and 51 patients were finally analyzed. Following treatment with both mosapride and acotiamide, GI symptoms and QOL scores improved significantly. The responder rates of mosapride and acotiamide were 37% and 33%, respectively. No severe adverse clinical event developed. The prevalence of H. pylori eradication history was significantly lower in the mosapride responder group than in the nonresponder group (45.9% vs. 14.2%, p = 0.03). Discussion: Mosapride and acotiamide had similar effects on GI symptoms in FD patients in the absence of severe adverse events. H. pylori infection might impact in the pathogenesis of functional dyspepsia. Further investigation is needed to clarify the difference between mosapride and acotiamide. |
書誌情報 |
en : Kawasaki medical journal
巻 45,
p. 15-25,
発行日 2019
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出版者 |
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出版者 |
Kawasaki Medical Society |
ISSN |
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収録物識別子タイプ |
PISSN |
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収録物識別子 |
03850234 |
ISSN |
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収録物識別子タイプ |
EISSN |
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収録物識別子 |
24343404 |
書誌レコードID |
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収録物識別子タイプ |
NCID |
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収録物識別子 |
AA12685295 |
書誌レコードID |
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収録物識別子タイプ |
NCID |
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収録物識別子 |
AA12029005 |
DOI |
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関連タイプ |
isIdenticalTo |
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識別子タイプ |
DOI |
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関連識別子 |
https://doi.org/10.11482/KMJ-E201945015 |
記事種別(英) |
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内容記述 |
Regular Article |
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言語 |
en |
医中誌ID |
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関連タイプ |
isIdenticalTo |
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識別子タイプ |
ICHUSHI |
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関連識別子 |
2020354374 |
関連サイト |
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識別子タイプ |
URI |
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関連識別子 |
http://igakkai.kms-igakkai.com/wp/wp-content/uploads/2019en/KMJ-E201945015.pdf |
著者版フラグ |
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出版タイプ |
VoR |
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出版タイプResource |
http://purl.org/coar/version/c_970fb48d4fbd8a85 |