ID | 66675 |
JaLCDOI | |
FullText URL | |
Author |
Miyake, Keisuke
Post graduate clinical education center, Kawasaki Medical School General Medical Center
Tanikawa, Tomohiro
Department of General Internal Medicine 2, Kawasaki Medical School
Haruma, Ken
Department of General Internal Medicine 2, Kawasaki Medical School
Kawada, Mayuko
Department of General Internal Medicine 2, Kawasaki Medical School
Ishii, Katsunori
Department of General Internal Medicine 2, Kawasaki Medical School
Urata, Noriyo
Department of General Internal Medicine 2, Kawasaki Medical School
Nishino, Ken
Department of General Internal Medicine 2, Kawasaki Medical School
Suehiro, Mitsuhiko
Department of General Internal Medicine 2, Kawasaki Medical School
Kawanaka, Miwa
Department of General Internal Medicine 2, Kawasaki Medical School
Manabe, Noriaki
Division of Endoscopy and Ultrasonography, Department of Clinical Pathology and Laboratory Medicine, Kawasaki Medical School
Kawamoto, Hirofumi
Department of General Internal Medicine 2, Kawasaki Medical School
|
Abstract | A 30-year-old man with idiopathic peptic ulcer disease (IPUD) experienced repeated recurrence of ulcerative bleeding despite treatment with lansoprazole and then vonoprazan. Further evaluation suggested that the cause of the ulcer was strong contractile movements of the antrum. This prompted the co-administration of trimebutine maleate (TM) and vonoprazan to relieve the stomach contractions. TM was effective in preventing the recurrence of ulcerative bleeding, and the patient has remained in remission for 4 years. This case highlights the potential efficacy of TM in treating IPUD and the importance of considering hypercontractility as the underlying cause in cases of IPUD.
|
Keywords | gastric ulcer
idiopathic peptic ulcerative disease
trimebutine maleate
|
Amo Type | Case Report
|
Publication Title |
Acta Medica Okayama
|
Published Date | 2024-02
|
Volume | volume78
|
Issue | issue1
|
Publisher | Okayama University Medical School
|
Start Page | 85
|
End Page | 88
|
ISSN | 0386-300X
|
NCID | AA00508441
|
Content Type |
Journal Article
|
language |
English
|
Copyright Holders | Copyright Ⓒ 2024 by Okayama University Medical School
|
File Version | publisher
|
Refereed |
True
|
PubMed ID | |
Web of Science KeyUT |