An introduction and an analysis of the issue of ulcers around the world
Comorbidity was defined as any concomitant disease at the time of admittance for PPU, including cardiovascular disease, pulmonary disease, autoimmune disorders and known or previous cancer disease in patient history.
Causes include bacteria and certain types of medication. The ulcer is a break in the stomach lining, the first part of the small intestine, or sometimes in the lower esophagus. In such cases, the doctor might advise some diet and lifestyle changes. Comorbidity was defined as any concomitant disease at the time of admittance for PPU, including cardiovascular disease, pulmonary disease, autoimmune disorders and known or previous cancer disease in patient history. Discussion Our systematic review of the literature on the epidemiology of PUD highlights several important points. This is reflected in the decrease in prevalence of H. In individuals with asymptomatic PUD, severe complications, such as gastrointestinal haemorrhage, may be the first signs of the disease. The adjusted incidence rate for the overall year period was 6. However, the time period of the study was not reported, nor was the method of diagnosis or whether verification against medical records was conducted, which may explain this apparently high prevalence. Not smoking and avoiding alcohol can help. Time-trends were also tested by a Poisson time series model.
This article has been cited by other articles in PMC. A 2-sided p-value of less than 0. The questionnaire had a brief introduction informed consent explaining the aims and significance of the study.
Data was collected from individuals aged between 18 to 75 years. This study found a prevalence of PUD of 5.
Median age was 68 years ranging from 18 to years. In such cases, the doctor might advise some diet and lifestyle changes. Ulcer localisation was regarded as gastric when present anywhere in the stomach, including prepyloric and pyloric ulcers. They are prescribed for patients who test negative for H.
Peptic ulcer pathophysiology
Complications can include: internal bleeding hemodynamic instability, a result of internal bleeding which can affect multiple organs and be a serious complication peritonitis, in which the ulcer bores a hole through the wall of the stomach or small intestine scar tissue pyloric stenosis, a chronic inflammation in the lining of the stomach or duodenum Peptic ulcers can recur. It is not uncommon for people to have a peptic ulcer and no symptoms at all. All rights reserved. One ulcer located in an anastomosis after a gastrectomy was regarded as a gastric ulcer. Time-trends were also tested by a Poisson time series model. Conclusion This is the first population-based study in Arar, Northern Saudi Arabia reporting point prevalence of peptic ulcer disease. Follow-up treatment Even after the ulcer has healed and treatment has been completed, the patient may still have indigestion. Table 2 illustrates the total prevalence of peptic ulcer among the studied respondents in Arar, Saudi Arabia. Crude and adjusted incidence and mortality rates were estimated by using national population demographics data. In those with increased antibodies to H. In the United States, around , people develop a peptic ulcer each year. A plot of visits over time showed a steady decline in physician visits for DU during this time period exact figures were not reported. Increase in incidence and mortality occurs with older age. A study from Finland used the national register of hospital discharge reports to estimate the incidence of PUD between and
Patient Handouts Summary A peptic ulcer is a sore in the lining of your stomach or your duodenum, the first part of your small intestine. Of these, five were based on physician diagnoses and two were based on hospitalizations only.
Alcohol has the same effect on the stomach and should also be avoided.
based on 54 review