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Publication Name World Journal of Gastroenterology
Manuscript ID 124419
Country South Korea
Category Gastroenterology & Hepatology
Manuscript Type Randomized Controlled Trial
Article Title Fexuprazan vs esomeprazole for endoscopic submucosal dissection-induced gastric ulcer healing: A double-blind randomized controlled trial
Manuscript Source Unsolicited Manuscript
All Author List Hye Kyung Hyun, Jin Ho Hwang, Nak-Hoon Son, So Hyeon Gwon, Da Hyun Jung and Cheal Wung Huh
Funding Agency and Grant Number
Corresponding Author Cheal Wung Huh, Associate Professor, Department of Internal Medicine, Yongin Severance Hospital, Yonsei University College of Medicine, Dongbaekjukjeon-daero Road, Giheung-gu District, Yongin 16995, Gyeonggi-do, South Korea. huhcw@yuhs.ac
Key Words Fexuprazan; Potassium-competitive acid blocker; Esomeprazole; Endoscopic submucosal dissection; Gastric ulcer; Randomized controlled trial
Core Tip This double-blind, double-dummy randomized controlled trial compared the potassium-competitive acid blocker fexuprazan with the proton pump inhibitor esomeprazole for the healing of artificial gastric ulcers after endoscopic submucosal dissection. Ulcer healing was assessed endoscopically at 4 weeks and 8 weeks. Fexuprazan achieved a significantly higher complete healing rate at 8 weeks in the pre-specified PP analysis (90.2% vs 75.0%) and greater ulcer shrinkage at both time points, although the difference was not significant in the modified intention-to-treat population. In an exploratory analysis, the model-estimated healing time was shorter with fexuprazan, particularly for large baseline ulcers (≥ 800 mm2). The safety profile was comparable between groups.
Citation Hyun HK, Hwang JH, Son NH, Gwon SH, Jung DH, Huh CW. Fexuprazan vs esomeprazole for endoscopic submucosal dissection-induced gastric ulcer healing: A double-blind randomized controlled trial. World J Gastroenterol 2026; In press
Received
2026-06-16 03:23
Peer-Review Started
2026-06-16 03:24
First Decision by Editorial Office Director
Return for Revision
2026-08-11 09:16
Revised
2026-08-24 12:01
Publication Fee Transferred
2026-10-01 04:50
Second Decision by Editor
2026-10-23 02:59
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director
2026-10-23 09:07
Articles in Press
2026-10-23 09:07
Edit the Manuscript by Language Editor
Typeset the Manuscript
ISSN 1007-9327 (print) and 2219-2840 (online)
Open Access This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution-NonCommercial (CC BY-NC 4.0) license. No commercial re-use. See Permissions. Published by Baishideng Publishing Group Inc.
Copyright © The Author(s) 2026. Published by Baishideng Publishing Group Inc. All rights reserved.
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