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Cited by 406

The DOI matches its Crossref record; 49 of the 49 references it cites were found in a registry or an index.

Nonsteroidal anti-inflammatory drugs and upper and lower gastrointestinal mucosal damage

Open access
Sostres, Carlos, Gargallo, Carla J, Lanas, Angel·2013·Arthritis Research & Therapy

Abstract

NSAIDs are among the most commonly used drugs worldwide and their beneficial therapeutic properties are thoroughly accepted. However, they are also associated with gastrointestinal (GI) adverse events. NSAIDs can damage the whole GI tract including a wide spectrum of lesions. About 1 to 2% of NSAID users experienced a serious GI complication during treatment. The relative risk of upper GI complications among NSAID users depends on the presence of different risk factors, including older age (>65 years), history of complicated peptic ulcer, and concomitant aspirin or anticoagulant use, in addition to the type and dose of NSAID. Some authors recently reported a decreasing trend in hospitalizations due to upper GI complications and a significant increase in those from the lower GI tract, causing the rates of these two types of GI complications to converge. NSAID-induced enteropathy has gained much attention in the last few years and an increasing number of reports have been published on this issue. Current evidence suggests that NSAIDs increase the risk of lower GI bleeding and perforation to a similar extent as that seen in the upper GI tract. Selective cyclooxygenase-2 inhibitors have the same beneficial effects as nonselective NSAIDs but with less GI toxicity in the upper GI tract and probably in the lower GI tract. Overall, mortality due to these complications has also decreased, but the in-hospital case fatality for upper and lower GI complication events has remained constant despite the new therapeutic and prevention strategies.

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Metadata

Authors
Sostres, C., Gargallo, C. J., & Lanas, A.
Venue
Arthritis Research & Therapy
Published
2013
Volume
15
Issue
Suppl 3
Pages
S3
ISSN
1478-6354 (ISSN-L)
OpenAlex
W2097111776
Cited by
406
References
49
Type
conference abstract
Language
en
Open access
gold

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CoChat. (2026). Citation check: Nonsteroidal anti-inflammatory drugs and upper and lower gastrointestinal mucosal damage. https://app.cochat.ai/papers/10.1186/ar4175
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Sostres, C., Gargallo, C. J., & Lanas, A. (2013). Nonsteroidal anti-inflammatory drugs and upper and lower gastrointestinal mucosal damage. Arthritis Research & Therapy. https://doi.org/10.1186/ar4175

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.