Omeprazole and adenocarcinoma in the stomach of rats submitted to duodenogastric reflux. Is there a protective effect?

Purpose: To investigate the role of omeprazole and nitrites on the gastric mucosa of rats submitted to specific techniques to induce duodenogastric reflux. Methods: One hundred and twenty Wistar rats were divided into three groups: Group I (n=40) – gastrotomy; Group II (n=40) – duodenogastric reflux...

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Detalles Bibliográficos
Autores: Monteiro, Rosângela Lucinda Rocha, Kobayasi, Maria Aparecida Marchesan Rodrigues [UNESP], de Araujo, Marina Rachel, Monteiro, Dafny Rocha, Andreollo, Nelson Adami
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2020
País:Brasil
Institución:Universidade Estadual Paulista (UNESP)
Repositorio:Repositório Institucional da UNESP
Idioma:inglés
OAI Identifier:oai:repositorio.unesp.br:11449/206596
Acceso en línea:http://dx.doi.org/10.1590/s0102-865020200090000004
http://hdl.handle.net/11449/206596
Access Level:acceso abierto
Palabra clave:Carcinogenesis
Duodenogastric Reflux
Nitrites
Omeprazole
Rats
Descripción
Sumario:Purpose: To investigate the role of omeprazole and nitrites on the gastric mucosa of rats submitted to specific techniques to induce duodenogastric reflux. Methods: One hundred and twenty Wistar rats were divided into three groups: Group I (n=40) – gastrotomy; Group II (n=40) – duodenogastric reflux after gastrojejunoanastomosis latero-lateral (DGR); Group III (n=40) – retrograde duodenogastric reflux through the pylorus (DGR-P). The groups were divided into 4 subgroups of 10 animals, respectively treated for 16 weeks with water, omeprazole 1.6 mg / rat / day, nitrite 600 mg / kg / day and omeprazole plus nitrite simultaneously. Results: The proliferative lesions found were: squamous hyperplasia – 69.1%, adenomatous hyperplasia in the anastomosis – 29.1% and prepyloric adenomatous hyperplasia – 42.5%. Adenocarcinomas were registered in 7 animals (5.8%): one in Group I (omeprazole plus nitrite), two in Group II (omeprazole and nitrite plus omeprazole) and four in Group III (water, nitrite, omeprazole and omeprazole plus nitrite). Conclusions: The occurrence of squamous hyperplasia, adenomatous hyperplasia and adenocarcinoma increased after gastrojejunal anastomoses, which cause duodenogastric reflux. The association of omeprazole did not protect the development of proliferative lesions and cancer induced by duodenogastric reflux in rats.