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Review article: promotility drugs in the treatment of gastro-oesophageal reflux disease.
Aliment Pharmacol Ther 1993; 7(1):5-20AP

Abstract

Prokinetic agents are drugs that increase contractile force and accelerate intraluminal transit. They are often used in treating disorders of gastrointestinal motility including gastro-oesophageal reflux disease (GERD). The most widely studied agents include bethanechol, metoclopramide, domperidone and cisapride. These drugs act either by enhancing the effect of acetylcholine or by blocking the effect of an inhibitory neurotransmitter such as dopamine. With the exception of cisapride, the clinical efficacy of the various prokinetic agents in treating GERD has not been confirmed consistently. These agents have variable effects on oesophageal and gastric motor function and are fraught with side-effects. They are effective in relieving mild reflux symptoms but do not predictably heal oesophagitis. On the other hand, cisapride is thus far the most effective prokinetic agent studied for the treatment of GERD. It relieves reflux symptoms and promotes healing of grade I-II oesophagitis, with few side-effects or tachyphylaxis. Its most important role may be in the maintenance treatment of GERD either as a single agent or in combination therapy with an H2-antagonist after oesophagitis healing.

Authors+Show Affiliations

Division of Gastroenterology, University of Alabama, Birmingham 35294.No affiliation info available

Pub Type(s)

Comparative Study
Journal Article
Review

Language

eng

PubMed ID

8094981

Citation

Ramirez, B, and J E. Richter. "Review Article: Promotility Drugs in the Treatment of Gastro-oesophageal Reflux Disease." Alimentary Pharmacology & Therapeutics, vol. 7, no. 1, 1993, pp. 5-20.
Ramirez B, Richter JE. Review article: promotility drugs in the treatment of gastro-oesophageal reflux disease. Aliment Pharmacol Ther. 1993;7(1):5-20.
Ramirez, B., & Richter, J. E. (1993). Review article: promotility drugs in the treatment of gastro-oesophageal reflux disease. Alimentary Pharmacology & Therapeutics, 7(1), pp. 5-20.
Ramirez B, Richter JE. Review Article: Promotility Drugs in the Treatment of Gastro-oesophageal Reflux Disease. Aliment Pharmacol Ther. 1993;7(1):5-20. PubMed PMID: 8094981.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Review article: promotility drugs in the treatment of gastro-oesophageal reflux disease. AU - Ramirez,B, AU - Richter,J E, PY - 1993/2/1/pubmed PY - 1993/2/1/medline PY - 1993/2/1/entrez SP - 5 EP - 20 JF - Alimentary pharmacology & therapeutics JO - Aliment. Pharmacol. Ther. VL - 7 IS - 1 N2 - Prokinetic agents are drugs that increase contractile force and accelerate intraluminal transit. They are often used in treating disorders of gastrointestinal motility including gastro-oesophageal reflux disease (GERD). The most widely studied agents include bethanechol, metoclopramide, domperidone and cisapride. These drugs act either by enhancing the effect of acetylcholine or by blocking the effect of an inhibitory neurotransmitter such as dopamine. With the exception of cisapride, the clinical efficacy of the various prokinetic agents in treating GERD has not been confirmed consistently. These agents have variable effects on oesophageal and gastric motor function and are fraught with side-effects. They are effective in relieving mild reflux symptoms but do not predictably heal oesophagitis. On the other hand, cisapride is thus far the most effective prokinetic agent studied for the treatment of GERD. It relieves reflux symptoms and promotes healing of grade I-II oesophagitis, with few side-effects or tachyphylaxis. Its most important role may be in the maintenance treatment of GERD either as a single agent or in combination therapy with an H2-antagonist after oesophagitis healing. SN - 0269-2813 UR - https://www.unboundmedicine.com/medline/citation/8094981/Review_article:_promotility_drugs_in_the_treatment_of_gastro_oesophageal_reflux_disease_ L2 - https://onlinelibrary.wiley.com/resolve/openurl?genre=article&sid=nlm:pubmed&issn=0269-2813&date=1993&volume=7&issue=1&spage=5 DB - PRIME DP - Unbound Medicine ER -