Skip to main content

Rebound acid hypersecretion after acid-suppressive therapy

  • Chapter
Helicobacter pylori
  • 220 Accesses

Abstract

Early studies suggested that there were no physiological sequelae to H2-receptor antagonist-induced acid suppression after treatment was discontinued1,2. However, these early studies focused primarily on pentagastrin-stimulated maximal acid secretion. Since that time a number of studies have shown that there is significant rebound hypersecretion of gastric acid after H2-receptor antagonist treatment, both basally3–6 and in response to meal7 and gastrin-releasing peptide (GRP) stimulation6.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 169.00
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 219.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 219.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Forrest JAH, Fettes MR, McLoughlin GP, Heading RC. Effect of long-term cimetidine on gastric acid secretion, serum gastrin and gastric emptying. Gut. 1979;20:404–407.

    Article  PubMed  CAS  Google Scholar 

  2. Mohammed R, Holden RJ, Hearns JB, McKibben BM, Buchanan KD, Crean GP. Effects of eight weeks’ continuous treatment with oral ranitidine and cimetidine on gastric acid secretion, pepsin secretion and fasting serum gastrin. Gut. 1983;24:61–66.

    Article  PubMed  CAS  Google Scholar 

  3. Fullarton GM, McLauchlan G, MacDonald A, Crean GP, McColl KEL. Rebound nocturnal hypersecretion after four weeks treatment with an H2 receptor antagonist. Gut. 1989;30:449–454.

    Article  PubMed  CAS  Google Scholar 

  4. Fullarton GM, MacDonald AMI, McColl KEL. Rebound hypersecretion after H2-antagonist withdrawal — a comparative study with nizatidine, ranitidine and famotidine. Aliment Pharmacol Ther. 1991;5:391–398.

    Article  PubMed  CAS  Google Scholar 

  5. Nwokolo CU, Smith JTL, Sawyerr AM, Pounder RE. Rebound intragastric hyperacidity after abrupt withdrawal of histamine H2 receptor blockade. Gut. 1991;32:1455–1460.

    Article  PubMed  CAS  Google Scholar 

  6. El Omar EM, Banerjee S, Wirz A, Penman I, Ardill JES, McColl KEL. Marked rebound acid hypersecretion after treatment with ranitidine. Am J Gastroenterol. 1996;91:355–359.

    PubMed  CAS  Google Scholar 

  7. Frislid K, Aadland E, Berstad A. Augmented postprandial gastric acid secretion due to exposure to ranitidine in healthy subjects. Scand J Gastroenterol. 1986;21:119–122.

    Article  PubMed  CAS  Google Scholar 

  8. Smith AD, Gillen D, Cochran KM, El Omar EM, McColl KEL. Dyspepsia on withdrawal of ranitidine in previously asymptomatic volunteers. Am J Gastroenterol. 1999;94:1209–1213.

    PubMed  CAS  Google Scholar 

  9. Garner A, Fadlallah H, Parsons ME. 1976 and all that! — 20 years of antisecretory therapy. Gut. 1996;39:784–786.

    Article  PubMed  CAS  Google Scholar 

  10. Howden CW, Forrest JAH, Reid JL. Effect of single and repeated doses of omeprazole on gastric acid and pepsin secretion in man. Gut. 1984;25:707–710.

    Article  PubMed  CAS  Google Scholar 

  11. Walt RP, Gomes M de FA, Wood EC, Logan LH, Pounder RE. Effect of daily oral omeprazole on 24 hour intragastric acidity. Br Med J. 1983;287:14–21.

    Article  Google Scholar 

  12. Co-operative Study. Omeprazoleinduodenalulceration:acidinhibition, symptomrelief, endoscopichealingandrecurrence. Br Med J. 1984;289:525–528.

    Article  Google Scholar 

  13. Howden CW, Hunt RH. The relationship between suppression of acidity and gastric ulcer healing rates. Aliment Pharmacol Ther. 1990;4:25–33.

    Article  PubMed  CAS  Google Scholar 

  14. Koop H, Arnold MD. Long-term maintenance treatment of reflux esophagitis with omeprazole. Prospective study in patients with H2 blocker resistant esophagitis. Dig Dis Sci. 1991;36:552–557.

    Article  PubMed  CAS  Google Scholar 

  15. Carlsson E, Larsson H, Mattson H, Ryberg B, Sundeil G. Pharmacology and toxicology of omeprazole — with special reference to the effects on gastric mucosa. Scand J Gastroenterol. 1986;21 (Suppl. 118):31–38.

    Article  Google Scholar 

  16. Larsson H, Carlsson E, Ryberg B, Fryklund J, Wallmark B. Rat parietal cell function after prolonged inhibition of gastric acid secretion. Am J Physiol. 1988;254:G33–9.

    PubMed  CAS  Google Scholar 

  17. Prewett EJ, Hudson M, Nwokolo CU, Sawyerr AM, Pounder RE. Nocturnal intragastric acidity during and after a period of dosing with either ranitidine or omeprazole. Gastroenterology. 1991;100:873–877.

    PubMed  CAS  Google Scholar 

  18. Bell N, Rohss K, Cederberg C, Hunt R. Does tachyphylaxis and/or rebound acid secretion occur during/after treatment with omeprazole or ranitidine? Gastroenterology. 1993; 104: A41.

    Google Scholar 

  19. Waldum HL, Arnestad JS, Brenna E, Eide I, Syversen U, Sandvik AK. Marked increase in gastric secretory capacity after omeprazole treatment. Gut. 1996;29:649–653.

    Article  Google Scholar 

  20. Gillen D, Wirz AA, Ardill JES, McColl KEL. Rebound hypersecretion after omeprazole and its relation to on-treatment acid suppression and Helicobacter pylori status. Gastroenterology. 1999;116:239–247.

    Article  PubMed  CAS  Google Scholar 

  21. Gillen D, El-Omar EM, Wirz AA, Ardill JES, McColl KEL. The acid response to gastrin distinguishes duodenal ulcer patients from H. pylori-infected healthy subjects. Gastroenterology. 1998;114:50–57.

    Article  PubMed  CAS  Google Scholar 

  22. Sandvik AK, Waldum HL, Kleveland PM, Schulze-Sognen B. Gastrin produces an immediate and dose-dependent histamine release preceding acid secretion in the totally isolated, vascularly perfused rat stomach. Scand J Gastroenterol. 1987;22:803–808.

    Article  PubMed  CAS  Google Scholar 

  23. Brenna E, Waldum HL. Studies of isolated parietal and enterochromaffin-like cells. Scand J Gastroenterol. 1991;26:1296–1306.

    Google Scholar 

  24. Prinz C, Kajimura M, Scott DR, Mercier F, Heiander HF, Sachs G. Histamine secretion from rat enterochromaffin-like cells. Gastroenterology. 1993;105:459–461.

    Google Scholar 

  25. Black JW, Duncan WAM, Durant CJ, Ganellin CR, Parsons MC. Definition and antagonism of histamine H2 receptors. Nature. 1972;236:385–390.

    Article  PubMed  CAS  Google Scholar 

  26. Creutzfeldt W, Stockmann F, Conlon JM, Folsch UR, Bonatz G, Wulfrath M. Effect of short and long-term feeding of omeprazole on rat gastric endocrine cells. Digestion. 1986;35 (Suppl. 1):84–97.

    Article  PubMed  CAS  Google Scholar 

  27. Klinkenberg-Knol EC, Festen HPM, Jansen JBMJ et al. Long-term treatment with omeprazole for refractory reflux esophagitis: efficacy and safety. An Intern Med. 1994;121:161–167.

    Article  CAS  Google Scholar 

  28. Drimon D, Wright C, Tougas G, Riddell R. Omeprazole produces parietal cell hypertrophy and hyperplasia in humans. Gastroenterology. 1995;108:A85.

    Google Scholar 

  29. Larsson H, Carlsson E, Mattsson H et al. Plasma gastrin and gastric enterochromaffin-like cell activation and proliferation. Studies with omeprazole and ranitidine in intact and antrectomised rats. Gastroenterology. 1986;90:391–399.

    PubMed  CAS  Google Scholar 

  30. Eissele R, Patberg H, Koop H et al. Effect of gastrin receptor blockade on endocrine cells in rats during achlorhydria. Gastroenterology. 1992;103:1596–1601.

    PubMed  CAS  Google Scholar 

  31. Gillen D, Wirz AA, McColl KEL. Rebound acid hypersecretion after omeprazole is a prolonged phenomenon. Gut. 2000;46:A51.

    Google Scholar 

  32. El-Nujumi A, Williams C, Ardill JE, Oien K, McColl KEL. Eradicating H. pylori reduces hypergastrinaemia during long-term omeprazole therapy. Gut. 1998;42:159–165.

    Article  PubMed  CAS  Google Scholar 

  33. Verdu EF, Armstrong D, Idstrom J-P, Cederberg C, Blum Al. Effect of H. pylori status on intragastric pH during treatment with omeprazole. Gut. 1995;36:539–543.

    Article  PubMed  CAS  Google Scholar 

  34. Gillen D, Wirz AA, Neithercut WD, Ardill JES, McColl KEL. Helicobacter pylori infection potentiates the inhibition of gastric acid secretion by omeprazole. Gut. 1999;44:468–475.

    Article  PubMed  CAS  Google Scholar 

  35. Kuipers EJ, Uyterlinde AM, Pena AS et al Increase of Helicobacter pylori-associated corpus gastritis during acid suppressive therapy: implications for long-term safety. Am J Gastroenterol. 1995;90:1401–1406.

    PubMed  CAS  Google Scholar 

  36. El-Omar EM, Oien K, El-Nujumi A et al. H. pylori infection and chronic gastric hyposecre-tion. Gastroenterology. 1997;113:15–24.

    Article  PubMed  CAS  Google Scholar 

  37. Robert A, Olafsson AS, Lancaster C, Zhang W. Interleukin-1 is cytoprotective, antisecretory, stimulates PGE2 synthesis by the stomach and retards gastric emptying. Life Sci. 1991;48:123–134.

    Article  PubMed  CAS  Google Scholar 

Download references

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2000 Springer Science+Business Media Dordrecht

About this chapter

Cite this chapter

Gillen, D., Mccoll, K.E.L. (2000). Rebound acid hypersecretion after acid-suppressive therapy. In: Hunt, R.H., Tytgat, G.N.J. (eds) Helicobacter pylori. Springer, Dordrecht. https://doi.org/10.1007/978-94-011-3927-4_41

Download citation

  • DOI: https://doi.org/10.1007/978-94-011-3927-4_41

  • Publisher Name: Springer, Dordrecht

  • Print ISBN: 978-94-010-5753-0

  • Online ISBN: 978-94-011-3927-4

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics