Letter to the Editor
Copyright ©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. Oct 7, 2024; 30(37): 4160-4162
Published online Oct 7, 2024. doi: 10.3748/wjg.v30.i37.4160
Critical analysis of the effects of proton pump inhibitors on inflammatory bowel disease: An updated review
Omesh Goyal, Manjeet Kumar Goyal
Omesh Goyal, Department of Gastroenterology, Dayanand Medical College and Hospital, Ludhiana 141001, Punjab, India
Manjeet Kumar Goyal, Department of Gastroenterology and Human Nutrition, All India Institute of Medical Sciences, New Delhi 110029, Delhi, India
Author contributions: Goyal O and Goyal MK were responsible for the conceptualization, evidence validation, writing of the original draft, and review and editing of each subsequent version; Goyal O provided overall supervision of the project.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Omesh Goyal, DM, MBBS, MD, Professor, Department of Gastroenterology, Dayanand Medical College and Hospital, Civil Lines, Ludhiana 141001, Punjab, India. dromeshgoyal@gmail.com
Received: June 21, 2024
Revised: September 6, 2024
Accepted: September 11, 2024
Published online: October 7, 2024
Processing time: 96 Days and 21 Hours
Core Tip

Core Tip: This letter critically analyzes the review by Liang et al on the effects of proton pump inhibitors (PPIs) on inflammatory bowel disease (IBD), highlighting several methodological flaws. Reliance on cross-sectional and observational studies limits causal inference, and heterogeneous study populations complicate result interpretation. Furthermore, inconsistent definitions of long-term PPI use, inadequate control for confounding factors, and potential publication bias necessitate cautious interpretation. Future research should prioritize large-scale, prospective cohort studies with rigorous control for confounders, standardized outcome measures, and transparent study selection criteria. Addressing these issues is essential for guiding clinical practice effectively and improving outcomes in IBD management.