期刊
FRONTIERS IN PHARMACOLOGY
卷 12, 期 -, 页码 -出版社
FRONTIERS MEDIA SA
DOI: 10.3389/fphar.2021.813587
关键词
proton pump inhibitor; H2-receptor antagonists; choletithiasis; cohort study; risk factor
资金
- National Natural Science Foundation of China [82003408, 82003524, 82060511]
- Startup Fund for the 100 Top Talents Program [392012]
- Guangdong Provincial Key Laboratory of Digestive Cancer Research [2021B1212040006]
- Gansu Province Science and Technology Planning Project [20YF8WA085]
This study evaluated the association between regular use of proton pump inhibitors (PPIs) and H2-receptor antagonists (H2RAs) with the risk of cholelithiasis. The study found that regular use of PPIs or H2RAs was associated with an increased risk of cholelithiasis.
Background: Gastric acid suppressants have a major impact on gut microbiome which in turn, may increase the risk of cholelithiasis, but epidemiological evidence remains unclear. We undertook this research to evaluate the association between regular use of proton pump inhibitors (PPIs) and H2-receptor antagonists (H2RAs) with risk of cholelithiasis.Methods: Prospective cohort study included 477,293 UK residents aged 37-73 years from the UK Biobank. We included the participants reported PPI or H2RA use, and were free of cholelithiasis or cancer. We evaluated hazard ratios (HRs) of regular use of PPIs or H2RAs and risk of cholelithiasis adjusting for demographic factors, lifestyle habits, the presence of comorbidities, use of other medications, and clinical indications.Results: We identified 12,870 cases of cholelithiasis over a median follow-up of 8.1 years. Regular use of PPIs (HR 1.22 95% CI 1.16-1.29) or H2RAs (HR 1.16, 95% CI 1.05-1.28) was associated with an increased risk of cholelithiasis after confounding adjustment. There were no major differences among individual PPIs/H2RAs. The absolute risk of PPI-associated cholelithiasis was increased with the baseline predicted risk evaluated by known environmental and genetic risk factors (Risk differences in the lowest vs. the highest quartile: 1.37 vs. 4.29 per 1,000 person-years).Conclusion: Regular use of PPIs and H2RAs was associated with increased risk of cholelithiasis. Future prospective studies are required to confirm whether the observed associations are casual.
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