Low grade gastric mucosa associated lymphoid tissue lymphoma:Treatment strategies based on 10 year follow-up

AIM:To deduce strategic guidelines of gastric mucosa associated lymphoid tissue lymphoma (MALTOMA) by evaluating the long-term outcome of patients in respect to various treatment modalities. METHODS:A total of 55 patients with MALTOMA from May 1992 to August 2002 were retrospectively reviewed. RESULTS:Complete remission was obtained in 24 (82.8%) of 29 patients treated with anti Helicobacter pylori (Hpylori) regimen only.The duration to reach complete remission was 12 months (85 percentile,2-33 months).Five patients showed complete remission with radiation therapy (26-86 months).Two of them were Hpyloritreatment failure cases. CONCLUSION:Hpylorieradication is an effective primary treatment option for low grade MALTOMA and radiation therapy could be considered in patients with no evidence of Hpyloriinfection or who do not respond to Hpylorieradication therapy 12 months after successful eradication.

地黄的抑制胃酸分泌和抗溃疡作用

观察干地黄和熟地黄水煎剂对幽门结扎大鼠胃酸分泌及胃溃疡形成的影响。以１００％或５０％的于地黄和熟地黄液２．０ｍｌ分别注入大鼠十二指肠内，均明显抑制胃液量、总酸度及总酸排出量，且有一定的量效关系；并能减少胃溃疡的发生率和溃疡数，溃疡抑制率干地黄为６９．６％，熟地黄为８９．２％。熟地黄的抑酸作用强于干地黄。