Abstract
Studies of the effect of intravenous sodium acetylsalicylate (aspirin) on gastrointestinal blood loss with 51Cr-labelled red cells were made on 15 healthy male volunteers. After a control period of five days 1 g. of sodium acetylsalicylate was infused over a period of 100 minutes twice daily for three days. Faecal blood loss was not increased.
In a further six subjects 3 g. of sodium acetylsalicylate was infused over a period of 120 minutes. No salicylate or acetylsalicylate was detected in saliva or gastric washings from these six subjects. Hence gastrointestinal blood loss induced by aspirin may be explained by a local effect on mucosa and not by any systemic effect.
Full text
PDF![330](https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1ed5/1989048/3d4e2c388356/brmedj02044-0026.png)
![331](https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1ed5/1989048/64627ee65469/brmedj02044-0031.png)
![332](https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1ed5/1989048/7229e4f1cc60/brmedj02044-0032.png)
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Brodie D. A., Chase B. J. Role of gastric acid in aspirin-induced gastric irritation in the rat. Gastroenterology. 1967 Oct;53(4):604–610. [PubMed] [Google Scholar]
- Davison C., Hertig D. H., DeVine R. Gastric hemorrhage induced by nonnarcotic analgetic agents in dogs. Clin Pharmacol Ther. 1966 Mar-Apr;7(2):239–249. doi: 10.1002/cpt196672239. [DOI] [PubMed] [Google Scholar]
- Eeken W. L. Effect of five salicylate-containing compounds upon loss of 51chromium-labelled erythrocytes from the gastrointestinal tract of normal man. Gut. 1968 Aug;9(4):475–479. doi: 10.1136/gut.9.4.475. [DOI] [PMC free article] [PubMed] [Google Scholar]
- GOULSTON K., SKYRING A. EFFECT OF PARACETAMOL (N-ACETYL-P-AMINOPHENOL) ON GASTROINTESTINAL BLEEDING. Gut. 1964 Oct;5:463–466. doi: 10.1136/gut.5.5.463. [DOI] [PMC free article] [PubMed] [Google Scholar]
- GROSSMAN M. I., MATSUMOTO K. K., LICHTER R. J. Fecal blood loss produced by oral and intravenous administration of various salicylates. Gastroenterology. 1961 Mar;40:383–388. [PubMed] [Google Scholar]
- Goulston K., Cooke A. R. Alcohol, aspirin, and gastrointestinal bleeding. Br Med J. 1968 Dec 14;4(5632):664–665. doi: 10.1136/bmj.4.5632.664. [DOI] [PMC free article] [PubMed] [Google Scholar]
- HURLEY J. W., CRANDALL L. A., Jr THE EFFECT OF SALICYLATES UPON THE STOMACHS OF DOGS. Gastroenterology. 1964 Jan;46:36–43. [PubMed] [Google Scholar]
- LYNCH A., SHAW H., MILTON G. W. EFFECT OF ASPIRIN ON GASTRIC SECRETION. Gut. 1964 Jun;5:230–236. doi: 10.1136/gut.5.3.230. [DOI] [PMC free article] [PubMed] [Google Scholar]
- TRINDER P. Rapid determination of salicylate in biological fluids. Biochem J. 1954 Jun;57(2):301–303. doi: 10.1042/bj0570301. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Weiss H. J., Aledort L. M., Kochwa S. The effect of salicylates on the hemostatic properties of platelets in man. J Clin Invest. 1968 Sep;47(9):2169–2180. doi: 10.1172/JCI105903. [DOI] [PMC free article] [PubMed] [Google Scholar]