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Summary
• Guidelines recommend doubling the proton pump inhibitor (PPI) dosage for persistent nocturnal reflux symptoms, while wedge pillows are suggested as anon-pharmacological option. However, their efficacy compared with twice-daily PPI remains unstudied.
• A wedge pillow combined with a morning PPI was non-inferior to twice-daily PPI in alleviating nocturnal reflux symptoms and was associated with greater improvements in sleep quality, despite no significant changes in reflux parameters, suggesting that the observed benefit may be mediated by sleep-related factors.
• A wedge pillow can complement PPI therapy for man-aging nocturnal reflux symptoms, offering relief from night time symptoms and improving sleep quality inpatients not responding to morning PPI therapy.

Summary • Guidelines recommend doubling the proton pump inhibitor (PPI) dosage for persistent nocturnal reflux symptoms, while wedge pillows are suggested as anon-pharmacological option. However, their efficacy compared with twice-daily PPI remains unstudied. • A wedge pillow combined with a morning PPI was non-inferior to twice-daily PPI in alleviating nocturnal reflux symptoms and was associated with greater improvements in sleep quality, despite no significant changes in reflux parameters, suggesting that the observed benefit may be mediated by sleep-related factors. • A wedge pillow can complement PPI therapy for man-aging nocturnal reflux symptoms, offering relief from night time symptoms and improving sleep quality inpatients not responding to morning PPI therapy.

🆕🔥#WedgePillow vs. evening #ProtonPumpInhibitor for #NocturnalReflux symptoms‼️
🎯Adding a wedge pillow was not inferior to evening PPI for nocturnal reflux symptoms ⏩Greater improvements in #sleep quality👏
👉https://onlinelibrary.wiley.com/doi/10.1111/nmo.70256
#ANMS #ESNM #GERD #PPI

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January Issue: Association Between Long-Term #ProtonPumpInhibitor Use and Low-Risk #GastricNeuroendocrineTumors

https://rdcu.be/eZpXa

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Cost-Effectiveness of Pantoprazole for Upper GI Bleeding During Ventilation This economic evaluation examines cost-effectiveness of daily intravenous pantoprazole vs no pantoprazole for preventing upper gastrointestinal bleeding in critically ill, mechanically ventilated pati...

Just published big news for #IntensiveCare. #RandomizedTrial demonstrates that a #ProtonPumpInhibitor not only decreases gastrointestinal #bleeding, but because of #costs generated by those bleeds also appreciably decreases #ICU costs.

jamanetwork.com/journals/jam...

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https://news.ki.se/sites/nyheter/files/styles/article_full_width/public/qbank/GettyImages-1292322622_custom20251001141025.webp

https://news.ki.se/sites/nyheter/files/styles/article_full_width/public/qbank/GettyImages-1292322622_custom20251001141025.webp

#Medsky🧪 #obsky #publichealth @ki.se This population based cohort study of 1.5 mil pregnancies found an association between #protonpumpinhibitor (PPI) use in early pregnancy & increased risk of infection later in pregnancy & postpartum .
news.ki.se/stomach-acid...

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This new study demonstrates that the #ProtonPumpInhibitor, lansoprazole, and its metabolite, 5HLS, work in combination with #PARP inhibitors to efficiently target triple-negative breast cancer cells without BRCA germline mutation. #medsky
#OpenAccess:
www.sciencedirect.com/science/arti...

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#Medsky🧪 #Oncosky #immunosky #pharmasky #drugadverseefects study found that #ProtonPumpinhibitor use during #immunotherapy may predispose patients to more severe upper gastrointestinal toxicities and worse outcomes in those who develop lower gastrointestinal toxicities...

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Renal Effects of PPIs Among Patients With CKD | Docwire News A study assessed whether proton pump inhibitor (PPI) use accelerated chronic kidney disease (CKD) progression and acute kidney injury (AKI) risk.

A study found that the use of PPIs is associated with an increased and accelerated risk of progression to #ESRD and #AKI among a pre-ESRD population. #kidneydisease #protonpumpinhibitor #acutekidneyinjury #endstagerenaldisease #nephrology www.docwirenews.com/post/renal-e...

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