Difference in relapse rates of duodenal ulcer after healing with cimetidine or tripotassium dicitrato bismuthate
Abstract
In a double-blind randomised trial in 75 patients with duodenal ulceration diagnosed endoscopically, 38 patients were given tripotassium dicitrato bismuthate and 37 cimetidine. There was no significant difference in the healing rates between the two drugs after 1 and 2 months, although relief of symptoms was marginally quicker with cimetidine. During follow-up for at least a year, relapse was significantly more common in patients whose ulcers had healed during treatment with cimetidine than in those whose ulcers had healed during treatment with tripotassium dicitrato bismuthate. This difference appears to be related to the medication rather than to any other difference between the two groups of patients. These results suggest that drug treatment given for a short period in duodenal-ulcer disease influences the progress of the disease.
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30-40% of individuals treated successfully with bismuth salts had no recurrence of ulcer.
“However, 30–40% of those individuals treated successfully with bismuth salts had no recurrence of ulcer [11].”
From What would it take to prove that a chronic infection is a causal agent in Alzheimer’s disease? (2025) · cites this paper as [11]
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References 34 · Cited by 262
- Authors
- Martin, D., May, S., Tweedle, D. F., Hollanders, D., Ravenscroft, M., & Miller, J. P.
- Affiliations
- University of Manchester (GB)
- ORCID
- Miller, J.Paul
- Venue
- The Lancet
- Publisher
- Elsevier BV
- Published
- 1981-01
- Volume
- 317
- Issue
- 8210
- Pages
- 7-10
- ISSN
- 0099-5355 (ISSN-L)
- 0140-6736
- OpenAlex
- W2067990888
- Cited by
- 262
- References
- 34
- Citations by year
- 2025: 1 · 2023: 1 · 2019: 1 · 2017: 1 · 2015: 1
- FWCI
- 26.58
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The Lancet (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Surgery › Helicobacter pylori-related gastroenterology studies
- Health Sciences › Medicine › Gastroenterology › Gastrointestinal Bleeding Diagnosis and Treatment
- Health Sciences › Medicine › Gastroenterology › Gastroesophageal reflux and treatments
- Keywords
- duodenal ulcer, ulcer healing, ulcer recurrence, cimetidine, tripotassium dicitrato bismuthate, Helicobacter pylori, H2 receptor antagonists, peptic ulcer treatment
- MeSH terms
- Adolescent, Adult, Aged, Bismuth, Cimetidine, Clinical Trials as Topic, Double-Blind Method, Duodenal Ulcer, Female, Guanidines, Humans, Male, Middle Aged, Organometallic Compounds, Random Allocation, Recurrence, Time Factors, Wound Healing
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