Abstract | OBJECTIVE: To determine if N-3 fatty acid ( fish oil) dietary supplements could favorably alter indomethacin induced gastric and small bowel toxicity related to use of nonsteroidal antiinflammatory drugs ( NSAID). METHODS: Healthy volunteers consumed 8 g of N-3 fatty acids for 16 weeks, while controls consumed corn oil. Subjects ingested indomethacin 50 mg tid between Weeks 12 and 16. Upper gastrointestinal (GI) endoscopy with biopsies and Cr- EDTA swallows were performed at Week 12 and again at Week 16. Biopsy specimens were graded for inflammation and endoscopic scores were recorded. RESULTS: No significant differences were seen between groups in any study variable, although the direction of change favored the fish oil subjects for inflammation scores in both the stomach and duodenum ( fish oil subjects -0.50 +/- 1.2 stomach, -0.28 +/- 0.97 duodenum; and corn oil subjects +0.10 +/- 0.84 stomach, +0.20 +/- 0.79 duodenum; p = 0.086). Direction of change in stomach inflammation showed a trend favoring fish oil (p = 0.056 by chi square). CONCLUSION: Although no significant differences were seen between groups, the changes observed in inflammation suggest a possible benefit of fish oil in the amelioration of NSAID induced GI inflammation.
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Authors | J M Kremer, H Malamood, B Maliakkal, J B Rodgers, J S Ross, J A Cooper |
Journal | The Journal of rheumatology
(J Rheumatol)
Vol. 23
Issue 10
Pg. 1770-3
(Oct 1996)
ISSN: 0315-162X [Print] Canada |
PMID | 8895156
(Publication Type: Clinical Trial, Journal Article, Randomized Controlled Trial, Research Support, Non-U.S. Gov't)
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Chemical References |
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Topics |
- Adult
- Biopsy
- Double-Blind Method
- Endoscopy
- Enteritis
(chemically induced, prevention & control)
- Female
- Fish Oils
(pharmacology)
- Food, Fortified
- Gastritis
(chemically induced, prevention & control)
- Humans
- Indomethacin
(adverse effects)
- Male
- Middle Aged
- Prospective Studies
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