Male Sprague-Dawley rats were used to study the effects of omeprazole on no
rmal and ethanol damaged gastric mucosa, and to estimate plasma gastrin lev
els following the: administration of omeprazole for 2 weeks. The dosage of
omeprazole was 50 mg/kg body weight. once daily via gavage. In omeprazole t
reated animals, serum gastrin levels showed statistically significant incre
ases compared with the control and ethanol treated animals. Our results ind
icate that omeprazole has no protective effect on ethanol-induced alteratio
ns in gastric mucosa and, in Fact, appears to produce worsened lesions. In
achlorohydric doses- omeprazole can induce significant gastrin levels with
consequent hypertrophy and hyperplasia of enterochromaffin-like cells and s
omatostatin cells. It is believed that this powerful drug should be reserve
d for patients who are refractory to standard H-2-receptor antagonist thera
py. (C) 2000 Elsevier Science Ireland Ltd. All rights reserved.