Study |
Groups Studied and Intervention |
Results and Findings |
Conclusions |
Study 1: Non-steroidal anti-inflammatory drugs and life-threatening complications of peptic ulceration [52] |
235 patients with life-threatening complications due to peptic ulcers were studied to determine how many of them used NSAIDs |
60% of patients with bleeding and perforated ulcers were taking NSAIDs, and approximately 80% of ulcer-related deaths occurred in patients who were taking NSAIDs. |
There is a strong correlation between patients taking NSAIDs and both the occurrence of peptic ulcers and peptic ulcer-related complications such as bleeding. |
Study 2: Effect of potassium chloride supplements on upper gastrointestinal mucosa [53] |
225 patients were given various forms of potassium supplementation, and the long-term adverse effects were studied |
Among patients who received the potassium supplement with glycopyrrolate, 51% developed erosions and 11% developed ulcers. Among patients who received only the potassium supplement, 33% developed erosion, and 5% developed ulcers. |
There is a significantly high correlation between potassium supplementation and erosion of gastric tissue, which can eventually result in ulceration. Some preparations of potassium supplementation may have a larger increase in ulcerative events compared to other preparations. |
Study 3: Alendronate, a bisphosphonate, increased upper and lower gastrointestinal bleeding: risk factor analysis from a nationwide population-based study [37] |
3,000 patients taking alendronate and 12,000 age and sex-matched controls were compared to determine the rate of GI bleeding, which was typically due to the development of peptic ulcers. |
The rate of upper GI bleeding was 2.93% and lower GI bleeding was 2.17% in patients taking alendronate, which is significantly higher than the control group. This was determined after adjusting for potential confounding variables. |
The rate of developing both upper and lower GI bleeding is significantly increased in patients taking alendronate compared to a similar population not taking the drug. |
Study 4: Doxycycline-induced gastrointestinal injury [48] |
There are three case reports of patients having doxycycline-induced gastrointestinal injury leading to erosion. |
All three patients had endoscopic and histologic changes consistent with GI injury. |
Gastrointestinal injury is a possible adverse effect of taking doxycycline. |