Efficacy of trimebutine therapy in patients with gastroesophageal reflux disease and irritable bowel syndrome

Hepatogastroenterology. Jan-Feb 2002;49(43):193-7.

Abstract

Background/aims: GERD (gastroesophageal reflux disease) occurs in 25-51% of IBS (irritable bowel syndrome) patients. Trimebutine has been effective in some IBS patients by modulating colonic motility. Furthermore, it increases gastric emptying rates, and controls esophageal motility. The aim of this study was to investigate the efficacy of trimebutine therapy in GERD patients with IBS.

Methodology: Sixty-nine patients with GERD and IBS underwent upper gastrointestinal endoscopic, histologic and clinical evaluation prior to and 3 months post-treatment. H. pylori presence was determined by histology and CLOtest. Forty patients (Group A) were treated with omeprazole plus trimebutine for 3 months: in 32 H. pylori-positive patients (subgroup A1), a standard triple eradication regimen was introduced. Twenty-nine patients (Group B) were treated with omeprazole for 3 months: in 24 H. pylori-positive patients (subgroup B1), the same eradication therapy was employed.

Results: Specialized intestinal metaplasia of the gastroesophageal junction was observed in 20% and in 17.2% of the patients in Groups A and B, respectively. Eradication rates were similar in subgroups A1 (84%) and B1 (83%). In Group A there was a significant improvement in GERD (P = 0.003) and IBS symptoms (P < 0.0001) as well as esophagitis (P = 0.029), when compared with Group B.

Conclusions: Trimebutine appears to be effective in patients with GERD and IBS.

Publication types

  • Clinical Trial
  • Controlled Clinical Trial

MeSH terms

  • Adult
  • Amoxicillin / therapeutic use
  • Anti-Bacterial Agents / therapeutic use
  • Anti-Ulcer Agents / therapeutic use
  • Clarithromycin / therapeutic use
  • Colonic Diseases, Functional / complications*
  • Colonic Diseases, Functional / diagnosis
  • Colonic Diseases, Functional / drug therapy*
  • Drug Therapy, Combination
  • Endoscopy, Digestive System
  • Female
  • Gastroesophageal Reflux / complications*
  • Gastroesophageal Reflux / diagnosis
  • Gastroesophageal Reflux / drug therapy*
  • Gastrointestinal Agents / therapeutic use*
  • Helicobacter Infections / complications*
  • Helicobacter Infections / diagnosis
  • Helicobacter Infections / drug therapy*
  • Helicobacter pylori*
  • Humans
  • Male
  • Middle Aged
  • Omeprazole / therapeutic use*
  • Parasympatholytics / therapeutic use*
  • Treatment Outcome
  • Trimebutine / therapeutic use*

Substances

  • Anti-Bacterial Agents
  • Anti-Ulcer Agents
  • Gastrointestinal Agents
  • Parasympatholytics
  • Amoxicillin
  • Clarithromycin
  • Omeprazole
  • Trimebutine