Esophageal ulcer and alendronate

Authors

  • Angelo Paulo Ferrari Junior Universidade Federal de São Paulo
  • Sérgio Hernani Stuhr Domingues Universidade Federal de São Paulo

Keywords:

Endoscopy, Alendronate, Esophageal ulcer

Abstract

OBJECTIVE: To describe a case of esophageal ulcer associated with the use of alendronate. CASE REPORT: This is the fifth case ever described in the literature according to our bibliographic review. In our patient, the association between the drug and the esophageal lesions was masked by the presence of a hiatal hernia, potentially a cause of the esophageal lesion. The persistence of the lesions despite high doses of anti-reflux therapy called attention to the possibility of the relationship. The esophageal lesion healed soon after suspension of alendronate. DISCUSSION: The authors present a review of the literature and point to the need for diagnostic investigation, to suspend such a drug from patients who experience dyspeptic symptoms while using it.

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Author Biographies

Angelo Paulo Ferrari Junior, Universidade Federal de São Paulo

Universidade Federal de São Paulo, Escola Paulista de Medicina, São Paulo, Brazil

Sérgio Hernani Stuhr Domingues, Universidade Federal de São Paulo

Universidade Federal de São Paulo, Escola Paulista de Medicina, São Paulo, Brazil

References

Maconi G, Porro GB. Multiple ulcerative esophagitis caused by alendronate. Am J Gastroenterol 1996; 90(10):1889-90.

Harris ST, Gertz BJ, Genant HK, et al. The effect of short term treatment with alendronate on vertebral density and biochemical markers of bone remodelling in early postmenopausal women. J Clin Endocrinol Metab 1993;76:1399-406.

Lieberman UA, Weiss SR, Bröll J, et al. Effect of oral alendronate on bone mineral density and the incidence of fractures in menopausal osteoporosis. N Engl J Med 1995;333(22):1437-43.

De Groen PC, Lubbe DF, Hirsch LJ, et al. Esophagitis associated with the use of alendronate. N Engl J Med 1996;335:1016-21.

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Published

1998-11-11

How to Cite

1.
Ferrari Junior AP, Domingues SHS. Esophageal ulcer and alendronate. Sao Paulo Med J [Internet]. 1998 Nov. 11 [cited 2025 Oct. 16];116(6):1882-4. Available from: https://periodicosapm.emnuvens.com.br/spmj/article/view/2389

Issue

Section

Case Report