Peptic-ulcer disease.

The discovery of Helicobacter pylori has greatly changed our approach to peptic ulcer disease. Bacterial, host, and environmental factors all have a role in peptic-ulcer disease. Although the prevalence of uncomplicated peptic ulcers is falling, hospital admissions for ulcer complications associated...

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Publicado en:Lancet Vol. 360; no. 9337; pp. 933 - 942
Autores principales: Chan FKL, Leung WK, Chan, Francis K L, Leung, W K
Formato: review tables/charts Journal Article
Publicado: Lancet 9/21/2002
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Peptic-ulcer disease.
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          Chan FKL
          Leung WK
          Chan, Francis K L
          Leung, W K
        affil: Department of Medicine and Therapeutics, Prince of Wales Hospital, Chinese University of Hong Kong, Hong Kong, China
      sug:
        subj:
          Helicobacter Infections Complications
          Peptic Ulcer
          Antiinflammatory Agents, Non-Steroidal Adverse Effects
          Antiulcer Agents Therapeutic Use
          Clinical Trials
          Helicobacter Infections Drug Therapy
          Helicobacter Infections Physiopathology
          Peptic Ulcer Drug Therapy
          Peptic Ulcer Microbiology
          Peptic Ulcer Physiopathology
          Peptic Ulcer Prevention and Control
      ab: The discovery of Helicobacter pylori has greatly changed our approach to peptic ulcer disease. Bacterial, host, and environmental factors all have a role in peptic-ulcer disease. Although the prevalence of uncomplicated peptic ulcers is falling, hospital admissions for ulcer complications associated with non-steroidal anti-inflammatory drugs (NSAIDs) are rising. Evidence suggests that prescription of NSAIDs along with potent antiulcer agents and the use of highly selective cyclo-oxygenase-2 inhibitors reduce gastroduodenal ulceration. Whether these therapeutic advances will translate into clinical benefits remains to be seen. The interaction between H pylori and NSAIDs is one of the most controversial issues in peptic ulcer disease. With the fall in rates of H pylori infection, the proportion of ulcers not related to this organism and NSAIDs has risen, which will affect the management of peptic ulcer.
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    language: English
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