Safety and efficacy of risedronate for patients with esophageal varices and liver cirrhosis: a non-randomized clinical trial

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Autor(es): dc.contributorUniversidade Estadual Paulista (Unesp)-
Autor(es): dc.contributorGeneral Hospital of Shenyang Military Command-
Autor(es): dc.creatorLima, Talles Bazeia [UNESP]-
Autor(es): dc.creatorSantos, Lívia Alves Amaral [UNESP]-
Autor(es): dc.creatorNunes, Hélio Rubens de Carvalho [UNESP]-
Autor(es): dc.creatorSilva, Giovanni Faria [UNESP]-
Autor(es): dc.creatorCaramori, Carlos Antonio [UNESP]-
Autor(es): dc.creatorQi, Xingshun-
Autor(es): dc.creatorRomeiro, Fernando Gomes [UNESP]-
Data de aceite: dc.date.accessioned2022-02-22T00:28:21Z-
Data de disponibilização: dc.date.available2022-02-22T00:28:21Z-
Data de envio: dc.date.issued2020-12-11-
Data de envio: dc.date.issued2020-12-11-
Data de envio: dc.date.issued2019-11-30-
Fonte completa do material: dc.identifierhttp://dx.doi.org/10.1038/s41598-019-55603-y-
Fonte completa do material: dc.identifierhttp://hdl.handle.net/11449/199800-
Fonte: dc.identifier.urihttp://educapes.capes.gov.br/handle/11449/199800-
Descrição: dc.descriptionDespite 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.-
Descrição: dc.descriptionInternal Medicine Department Gastroenterology Division – São Paulo State University (UNESP) Botucatu Medical School-
Descrição: dc.descriptionPublic Health Department São Paulo State University (UNESP) Botucatu Medical School-
Descrição: dc.descriptionGeneral Hospital of Shenyang Military Command-
Descrição: dc.descriptionInternal Medicine Department Gastroenterology Division – São Paulo State University (UNESP) Botucatu Medical School-
Descrição: dc.descriptionPublic Health Department São Paulo State University (UNESP) Botucatu Medical School-
Idioma: dc.languageen-
Relação: dc.relationScientific Reports-
???dc.source???: dc.sourceScopus-
Título: dc.titleSafety and efficacy of risedronate for patients with esophageal varices and liver cirrhosis: a non-randomized clinical trial-
Tipo de arquivo: dc.typelivro digital-
Aparece nas coleções:Repositório Institucional - Unesp

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