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Published in: Surgery Today 8/2013

01-08-2013 | Review Article

Do proton pump inhibitors protect against cancer progression in GERD?

Authors: Tomoharu Miyashita, Furhawn A. Shah, John W. Harmon, Guy P. Marti, Daisuke Matsui, Koichi Okamoto, Isamu Makino, Hironori Hayashi, Katsunobu Oyama, Hisatoshi Nakagawara, Hidehiro Tajima, Hideto Fujita, Hiroyuki Takamura, Manabu Murakami, Itasu Ninomiya, Hirohisa Kitagawa, Sachio Fushida, Takashi Fujimura, Tetsuo Ohta

Published in: Surgery Today | Issue 8/2013

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Abstract

Gastro-duodenal content reflux from gastro-esophageal reflux disease (GERD) induces the inflammation–metaplasia–dysplasia–adenocarcinoma sequence. Proton pump inhibitors (PPIs) are potent blockers of gastric acid secretion, which are widely used for treating GERD and peptic ulcer-associated acid-secreting diseases. The effect of PPI therapy on esophageal carcinogenesis remains unclear. While some studies suggest PPIs result in a significant reduction in the risk of developing dysplasia and adenocarcinoma in patients with Barrett’s esophagus, others suggest that PPIs have no effect. Recent studies have revealed that PPIs can exert anti-inflammatory effects such as anti-oxidant properties and immunomodulatory effects through their interactions with neutrophils, monocytes, endothelial and epithelial cells. In addition, PPIs have the ability to prevent adhesion molecule binding in malignant cells and suppress metastasis. This article reviews the role of PPIs in esophageal carcinogenesis and their use as antitumor agents.
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Metadata
Title
Do proton pump inhibitors protect against cancer progression in GERD?
Authors
Tomoharu Miyashita
Furhawn A. Shah
John W. Harmon
Guy P. Marti
Daisuke Matsui
Koichi Okamoto
Isamu Makino
Hironori Hayashi
Katsunobu Oyama
Hisatoshi Nakagawara
Hidehiro Tajima
Hideto Fujita
Hiroyuki Takamura
Manabu Murakami
Itasu Ninomiya
Hirohisa Kitagawa
Sachio Fushida
Takashi Fujimura
Tetsuo Ohta
Publication date
01-08-2013
Publisher
Springer Japan
Published in
Surgery Today / Issue 8/2013
Print ISSN: 0941-1291
Electronic ISSN: 1436-2813
DOI
https://doi.org/10.1007/s00595-012-0395-2

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