Profound gastric mucosal changes and severe rebound acid hypersecretion after long‐term Vonoprazan use: A case report
2024

Gastric Changes After Long-Term Use of Vonoprazan: A Case Report

Sample size: 1 publication Evidence: low

Author Information

Author(s): Suda Hiroko, Eto Sachi, Sakurai Koichi

Primary Institution: Hattori Clinic, Kumamoto, Japan

Hypothesis

What are the effects of long-term Vonoprazan use on gastric mucosa?

Conclusion

Long-term use of Vonoprazan can lead to significant gastric mucosal changes and severe rebound acid hypersecretion after discontinuation.

Supporting Evidence

  • The patient developed significant gastric epithelial changes after 6 years of Vonoprazan use.
  • After switching to H2 blockers, the patient experienced rebound acid hypersecretion.
  • Histological analysis showed parietal cell and G-cell hyperplasia.

Takeaway

Taking a medicine called Vonoprazan for a long time can change your stomach and make it hurt more when you stop taking it.

Methodology

A case report of a 76-year-old man who used Vonoprazan for 6 years, followed by observations of gastric and duodenal changes after medication switch.

Limitations

The findings are based on a single case report, limiting generalizability.

Participant Demographics

76-year-old male with a history of hypertension and previous proton pump inhibitor use.

Digital Object Identifier (DOI)

10.1002/deo2.70046

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