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

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

  • Vonoprazan is more potent than proton pump inhibitors.
  • The patient developed gastric polyps after switching to Vonoprazan.
  • Significant gastric mucosal changes were observed after long-term use.
  • Rebound acid hypersecretion occurred after discontinuing Vonoprazan.
  • Histological analysis showed parietal cell and G-cell hyperplasia.

Takeaway

Taking Vonoprazan for a long time can change your stomach lining and cause problems when you stop taking it.

Methodology

Case report of a 76-year-old man who used Vonoprazan for 6 years and experienced gastric changes and complications.

Limitations

Only one case is reported, 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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