2018 Section 6 - Laryngology, Voice Disorders, and Bronchoesophalogy

S. E. Attwood et al.

(a)

Omeprazole ( n = 92)

Open ARS ( n = 75)

2.5

2.5

2.0

2.0

1.5

1.5

1.0

1.0

0.5

0.5

0 0 0.5 1.0 1.5 Baseline S-ALP (relative to ULN) 2.5 2.0

0 0 0.5 1.0 1.5 Baseline S-ALP (relative to ULN) 2.5

S-ALP (relative to ULN), last value 2.0

S-ALP (relative to ULN), last value

Figure 3 | Serum levels of alkaline phosphatase (ALP) relative to the upper limit of normal (ULN) in individual patients treated with a proton pump inhibitor (omeprazole or esomeprazole) or anti-re fl ux surgery (open ARS or laparoscopic ARS [LARS]) in (a) the SOPRAN study (baseline vs. last value) and (b) the LOTUS study (baseline vs. 5 years). Diagonal line indicates ‘ no change ’ .

(b)

Esomeprazole ( n = 183)

LARS ( n = 147)

2.0

2.0

1.5

1.5

1.0

1.0

0.5

0.5

0 0 0.5 1.0 1.5 Baseline S-ALP (relative to ULN) 2.0

0 0 0.5 1.0 1.5 Baseline S-ALP (relative to ULN) 2.0

S-ALP (relative to ULN), 5-year

S-ALP (relative to ULN), 5-year

(a)

Omeprazole ( n = 143)

Open ARS ( n = 125)

5.0

5.0

4.0

4.0

3.0

3.0

2.0

2.0

1.0

1.0

0 0 1.0 2.0 3.0 Total baseline calcium (mmol/L) 4.0 5.0

0 0 1.0 2.0 3.0 Total baseline calcium (mmol/L) 4.0 5.0

Total calcium (mmol/L), last value

Total calcium (mmol/L), last value

(b)

Esomeprazole ( n = 182)

LARS ( n = 147)

Figure 4 | Serum levels of S- calcium in individual patients treated with a proton pump inhibitor (omeprazole or esomeprazole) or anti-re fl ux surgery (open ARS or laparoscopic ARS [LARS]) in (a) the SOPRAN study (baseline vs. last value) and (b) the LOTUS study (baseline vs. 5 years). Diagonal line indicates ‘ no change ’ .

5.0

5.0

4.0

4.0

3.0

3.0

2.0

2.0

1.0

1.0

0 0 1.0 2.0 3.0 Total baseline calcium (mmol/L) 4.0 5.0

0 0 1.0 2.0 3.0 Total baseline calcium (mmol/L) 4.0 5.0

Total calcium (mmol/L), last value

Total calcium (mmol/L), last value

Aliment Pharmacol Ther 2015; 41: 1162 – 1174 ª 2015 John Wiley & Sons Ltd

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