Safety and efficacy of risedronate for patients with esophageal varices and liver cirrhosis: a non-randomized clinical trial
Autor(a) principal: | |
---|---|
Data de Publicação: | 2019 |
Outros Autores: | , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UNESP |
Texto Completo: | http://dx.doi.org/10.1038/s41598-019-55603-y http://hdl.handle.net/11449/199800 |
Resumo: | Despite the high prevalence of osteoporosis in liver cirrhosis, the indication of bisphosphonates for patients with esophageal varices has been avoided due to risk of digestive mucosal damage. Therefore, this study aimed to evaluate the safety profile of risedronate treatment for patients with osteoporosis, liver cirrhosis and esophageal varices with low risk of bleeding. A total of 120 patients were allocated into two groups according to their bone mineral density measured by dual-energy X-ray absorptiometry. In the intervention group, 57 subjects with osteoporosis received oral risedronate at 35 mg weekly plus daily calcium and vitamin D supplementation. In the control group, 63 subjects with osteopenia received only calcium and vitamin D. The groups received the treatment for one year and underwent surveillance endoscopies at six and 12 months, as well as a control dual-energy X-ray absorptiometry after a 12-month follow-up. The study received Institutional Review Board approval. The groups had not only comparable Model for End-stage Liver Disease score and esophageal varices degree, but also similar incidence of digestive adverse effects. A significant improvement was achieved in the intervention group in the lumbar spine T score (p < 0.001). The results suggest that risedronate may be safely used in liver cirrhosis and esophageal varices with low bleeding risk under endoscopic surveillance, thus allowing bone mass recovery. |
id |
UNSP_74a5c65cf34c0f3f11b58e9f76c791c7 |
---|---|
oai_identifier_str |
oai:repositorio.unesp.br:11449/199800 |
network_acronym_str |
UNSP |
network_name_str |
Repositório Institucional da UNESP |
repository_id_str |
2946 |
spelling |
Safety and efficacy of risedronate for patients with esophageal varices and liver cirrhosis: a non-randomized clinical trialDespite the high prevalence of osteoporosis in liver cirrhosis, the indication of bisphosphonates for patients with esophageal varices has been avoided due to risk of digestive mucosal damage. Therefore, this study aimed to evaluate the safety profile of risedronate treatment for patients with osteoporosis, liver cirrhosis and esophageal varices with low risk of bleeding. A total of 120 patients were allocated into two groups according to their bone mineral density measured by dual-energy X-ray absorptiometry. In the intervention group, 57 subjects with osteoporosis received oral risedronate at 35 mg weekly plus daily calcium and vitamin D supplementation. In the control group, 63 subjects with osteopenia received only calcium and vitamin D. The groups received the treatment for one year and underwent surveillance endoscopies at six and 12 months, as well as a control dual-energy X-ray absorptiometry after a 12-month follow-up. The study received Institutional Review Board approval. The groups had not only comparable Model for End-stage Liver Disease score and esophageal varices degree, but also similar incidence of digestive adverse effects. A significant improvement was achieved in the intervention group in the lumbar spine T score (p < 0.001). The results suggest that risedronate may be safely used in liver cirrhosis and esophageal varices with low bleeding risk under endoscopic surveillance, thus allowing bone mass recovery.Internal Medicine Department Gastroenterology Division – São Paulo State University (UNESP) Botucatu Medical SchoolPublic Health Department São Paulo State University (UNESP) Botucatu Medical SchoolGeneral Hospital of Shenyang Military CommandInternal Medicine Department Gastroenterology Division – São Paulo State University (UNESP) Botucatu Medical SchoolPublic Health Department São Paulo State University (UNESP) Botucatu Medical SchoolUniversidade Estadual Paulista (Unesp)General Hospital of Shenyang Military CommandLima, Talles Bazeia [UNESP]Santos, Lívia Alves Amaral [UNESP]Nunes, Hélio Rubens de Carvalho [UNESP]Silva, Giovanni Faria [UNESP]Caramori, Carlos Antonio [UNESP]Qi, XingshunRomeiro, Fernando Gomes [UNESP]2020-12-12T01:49:40Z2020-12-12T01:49:40Z2019-12-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttp://dx.doi.org/10.1038/s41598-019-55603-yScientific Reports, v. 9, n. 1, 2019.2045-2322http://hdl.handle.net/11449/19980010.1038/s41598-019-55603-y2-s2.0-85076389028Scopusreponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPengScientific Reportsinfo:eu-repo/semantics/openAccess2024-09-03T14:11:07Zoai:repositorio.unesp.br:11449/199800Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestrepositoriounesp@unesp.bropendoar:29462024-09-03T14:11:07Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false |
dc.title.none.fl_str_mv |
Safety and efficacy of risedronate for patients with esophageal varices and liver cirrhosis: a non-randomized clinical trial |
title |
Safety and efficacy of risedronate for patients with esophageal varices and liver cirrhosis: a non-randomized clinical trial |
spellingShingle |
Safety and efficacy of risedronate for patients with esophageal varices and liver cirrhosis: a non-randomized clinical trial Lima, Talles Bazeia [UNESP] |
title_short |
Safety and efficacy of risedronate for patients with esophageal varices and liver cirrhosis: a non-randomized clinical trial |
title_full |
Safety and efficacy of risedronate for patients with esophageal varices and liver cirrhosis: a non-randomized clinical trial |
title_fullStr |
Safety and efficacy of risedronate for patients with esophageal varices and liver cirrhosis: a non-randomized clinical trial |
title_full_unstemmed |
Safety and efficacy of risedronate for patients with esophageal varices and liver cirrhosis: a non-randomized clinical trial |
title_sort |
Safety and efficacy of risedronate for patients with esophageal varices and liver cirrhosis: a non-randomized clinical trial |
author |
Lima, Talles Bazeia [UNESP] |
author_facet |
Lima, Talles Bazeia [UNESP] Santos, Lívia Alves Amaral [UNESP] Nunes, Hélio Rubens de Carvalho [UNESP] Silva, Giovanni Faria [UNESP] Caramori, Carlos Antonio [UNESP] Qi, Xingshun Romeiro, Fernando Gomes [UNESP] |
author_role |
author |
author2 |
Santos, Lívia Alves Amaral [UNESP] Nunes, Hélio Rubens de Carvalho [UNESP] Silva, Giovanni Faria [UNESP] Caramori, Carlos Antonio [UNESP] Qi, Xingshun Romeiro, Fernando Gomes [UNESP] |
author2_role |
author author author author author author |
dc.contributor.none.fl_str_mv |
Universidade Estadual Paulista (Unesp) General Hospital of Shenyang Military Command |
dc.contributor.author.fl_str_mv |
Lima, Talles Bazeia [UNESP] Santos, Lívia Alves Amaral [UNESP] Nunes, Hélio Rubens de Carvalho [UNESP] Silva, Giovanni Faria [UNESP] Caramori, Carlos Antonio [UNESP] Qi, Xingshun Romeiro, Fernando Gomes [UNESP] |
description |
Despite the high prevalence of osteoporosis in liver cirrhosis, the indication of bisphosphonates for patients with esophageal varices has been avoided due to risk of digestive mucosal damage. Therefore, this study aimed to evaluate the safety profile of risedronate treatment for patients with osteoporosis, liver cirrhosis and esophageal varices with low risk of bleeding. A total of 120 patients were allocated into two groups according to their bone mineral density measured by dual-energy X-ray absorptiometry. In the intervention group, 57 subjects with osteoporosis received oral risedronate at 35 mg weekly plus daily calcium and vitamin D supplementation. In the control group, 63 subjects with osteopenia received only calcium and vitamin D. The groups received the treatment for one year and underwent surveillance endoscopies at six and 12 months, as well as a control dual-energy X-ray absorptiometry after a 12-month follow-up. The study received Institutional Review Board approval. The groups had not only comparable Model for End-stage Liver Disease score and esophageal varices degree, but also similar incidence of digestive adverse effects. A significant improvement was achieved in the intervention group in the lumbar spine T score (p < 0.001). The results suggest that risedronate may be safely used in liver cirrhosis and esophageal varices with low bleeding risk under endoscopic surveillance, thus allowing bone mass recovery. |
publishDate |
2019 |
dc.date.none.fl_str_mv |
2019-12-01 2020-12-12T01:49:40Z 2020-12-12T01:49:40Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://dx.doi.org/10.1038/s41598-019-55603-y Scientific Reports, v. 9, n. 1, 2019. 2045-2322 http://hdl.handle.net/11449/199800 10.1038/s41598-019-55603-y 2-s2.0-85076389028 |
url |
http://dx.doi.org/10.1038/s41598-019-55603-y http://hdl.handle.net/11449/199800 |
identifier_str_mv |
Scientific Reports, v. 9, n. 1, 2019. 2045-2322 10.1038/s41598-019-55603-y 2-s2.0-85076389028 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
Scientific Reports |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.source.none.fl_str_mv |
Scopus reponame:Repositório Institucional da UNESP instname:Universidade Estadual Paulista (UNESP) instacron:UNESP |
instname_str |
Universidade Estadual Paulista (UNESP) |
instacron_str |
UNESP |
institution |
UNESP |
reponame_str |
Repositório Institucional da UNESP |
collection |
Repositório Institucional da UNESP |
repository.name.fl_str_mv |
Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP) |
repository.mail.fl_str_mv |
repositoriounesp@unesp.br |
_version_ |
1810021358368718848 |