1987
DOI: 10.7326/0003-4819-106-3-368
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Indomethacin Inhibits Duodenal Mucosal Bicarbonate Secretion and Endogenous Prostaglandin E2 Output in Human Subjects

Abstract: Nonsteroidal anti-inflammatory drugs are a frequent cause of gastric and duodenal mucosal injury. We examined the effect of indomethacin on duodenal mucosal bicarbonate secretion and prostaglandin output in healthy subjects. Subjects received either 50 mg of indomethacin or placebo orally 13 hours and 1 hour before study. A 4-cm segment of proximal (the duodenal bulb) or distal (10 to 14 cm beyond the pylorus) duodenum was isolated and perfused with 154 mM NaCl containing a nonabsorbable marker. In the proxima… Show more

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Cited by 70 publications
(24 citation statements)
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“…These are macro-morphologically different from the stripped lesions caused by absolute ethanol or HCl/ethanol. Indomethacin, on its part, is a non-steroidal anti-inflammatory drug which reduces prostaglandin and bicarbonate secretion, as well as gastric mucosal blood flow in animals (Whittle, 1977;Flemstrom et al, 1982;Miller, 1982;Selling et al, 1987), and the role of prostaglandins in gastric mucosal protection is well known (Konturek et al, 1981(Konturek et al, , 1982Robert, 1981). When cytoprotection is significantly reduced by pre-treatment with indomethacin, the cytoprotection is interpreted to be mediated by endogenous prostaglandins.…”
Section: Discussionmentioning
confidence: 99%
“…These are macro-morphologically different from the stripped lesions caused by absolute ethanol or HCl/ethanol. Indomethacin, on its part, is a non-steroidal anti-inflammatory drug which reduces prostaglandin and bicarbonate secretion, as well as gastric mucosal blood flow in animals (Whittle, 1977;Flemstrom et al, 1982;Miller, 1982;Selling et al, 1987), and the role of prostaglandins in gastric mucosal protection is well known (Konturek et al, 1981(Konturek et al, , 1982Robert, 1981). When cytoprotection is significantly reduced by pre-treatment with indomethacin, the cytoprotection is interpreted to be mediated by endogenous prostaglandins.…”
Section: Discussionmentioning
confidence: 99%
“…However, this cytoprotection was significantly reduced when the experimental animals were pre-treated with indomethacin, a prostaglandin inhibitor. Indomethacin suppresses gastroduodenal bicarbonate secretion, disrupts the mucosal barrier, reduced endogenous prostaglandin biosynthesis as well as reduces gastric mucosal blood flow (10,11,12). Conversely the role of prostaglandins in gastric mucosal protection has been extensively studied (11,13,14,15).…”
Section: Discussionmentioning
confidence: 99%
“…NSAIDs disrupt the normal gastric mucosal barrier of bicarbonate and hydrophobic mucus via disturbance of PGs synthesis by inhibition of constitutive COX isoenzyme, COX-1 (Hawkins and Hanks, 2000; Hayllar and Bjarnason, 1995;Selling et al, 1987;Vane, 1971).…”
Section: Discussionmentioning
confidence: 99%