Proton-pump inhibitor as palliative care for chemotherapy-induced gastroesophageal reflux disease in pancreatic cancer patients

J Palliat Med. 2010 Jul;13(7):815-8. doi: 10.1089/jpm.2009.0404.

Abstract

Relief of adverse events induced by chemotherapy is an important issue for patients, especially those with a poor prognosis, such as with pancreatic cancer. There are no reports of the relationship between gastroesophageal reflux disease (GERD) and chemotherapy, so we investigated the incidence of chemotherapy-induced GERD in patients undergoing treatment with gemcitabine or S-1 for pancreatic cancer and the effect of sodium rabeprazole (RPZ), a proton-pump inhibitor. GERD was diagnosed in 40% of the patients according to the Frequency Scale for Symptoms of GERD score, and RBZ therapy significantly improved their symptoms.

Publication types

  • Clinical Trial

MeSH terms

  • 2-Pyridinylmethylsulfinylbenzimidazoles / therapeutic use*
  • Adult
  • Aged
  • Antineoplastic Combined Chemotherapy Protocols / adverse effects*
  • Antineoplastic Combined Chemotherapy Protocols / therapeutic use
  • Deoxycytidine / administration & dosage
  • Deoxycytidine / adverse effects
  • Deoxycytidine / analogs & derivatives
  • Drug Combinations
  • Female
  • Gastroesophageal Reflux / chemically induced
  • Gastroesophageal Reflux / drug therapy*
  • Gemcitabine
  • Humans
  • Male
  • Middle Aged
  • Oxonic Acid / administration & dosage
  • Oxonic Acid / therapeutic use
  • Palliative Care / methods*
  • Pancreatic Neoplasms / drug therapy*
  • Prospective Studies
  • Proton Pump Inhibitors / therapeutic use*
  • Rabeprazole
  • Tegafur / administration & dosage
  • Tegafur / therapeutic use

Substances

  • 2-Pyridinylmethylsulfinylbenzimidazoles
  • Drug Combinations
  • Proton Pump Inhibitors
  • Deoxycytidine
  • S 1 (combination)
  • Tegafur
  • Rabeprazole
  • Oxonic Acid
  • Gemcitabine