81. Peptic Ulcers Kaiser Permanente Medicine 50 Years Ago An Analysis of Acute Perforated peptic ulcersBy Leo D. Nannini, MD By Leo D. Nannini, MD Commentary by Paul Smith, MD http://www.kaiserpermanente.org/medicine/permjournal/winter99pj/perspective.html

Kaiser Permanente Medicine 50 Years Ago An Analysis of Acute Perforated Peptic Ulcers By Leo D. Nannini, MD By Leo D. Nannini, MD Commentary by Paul Smith, MD Reprinted from the Permanente Foundation Medical Bulletin 1944;1:1-11 Acute perforations of peptic ulcers continue as one of the real emergencies of surgery which require immediate attention and prompt operation. Incidence During the past fourteen months 31 patients with perforated peptic ulcers were treated at the Permanente Foundation Hospital. As indicated in Table 1 , 28 patients (90.4 percent of this group) were treated surgically, with no fatalities. Three patients (9.6 percent) were treated non-operatively, with two deaths and a resultant mortality of 66.6 percent. Although our series is relatively small, several factors are revealed which may account for the absence of operative mortality. For comparison, Table 2 lists several reported series of perforated peptic ulcers and their respective operative mortality incidence. The operative mortality rate as shown in the large series collected by DeBakey of 23.4 percent can be considered as an average. The low mortality rate in the 51 cases presented by Graham

82. Senior World Online - Articles Senior World Online. peptic ulcers stress does matter, after all.With the discovery in the late 1980s that bacteria were involved http://www.seniorworld.com/articles/a19980903132402.html

Peptic ulcers: stress does matter, after all With the discovery in the late 1980s that bacteria were involved in causing peptic ulcers, many doctors dropped the notion that stress causes ulcers and declared them merely an infectious disease. Not so, says an expert panel convened by the Academy of Behavioral Medicine Research. The experts looked over the evidence and concluded that ulcers are not merely an infectious disease and that psychological factors do play a significant role. According to the panel's chair, Dr. Susan Levenstein, of the Nuovo Regina Margherita Hospital in Rome, more than four out of five people who are infected with Heliobacter never develop ulcers, while some people who develop ulcers have never been exposed to Helicobacter pylori (H.pylori), the bacterium blamed for "causing" ulcers. "This shows that other factors must be involved," points out Levenstein, who has researched the causes of ulcers for over 10 years. "Stress is probably one of them. Studies show that people who live through wars, earthquakes, or even large doses of the ordinary stresses of life are especially likely to develop ulcers, and ulcer patients who are anxious or under stress have a harder time healing and staying healed." Other research has suggested that psychological stress may push a H.pylori infected person over the edge into developing an ulcer, and may even help H.pylori multiply in the body. Researchers are trying to trace in both animals and humans how stress might promote H.pylori infection (present in most adults) into ulcers (which develop in few).

83. MyCare System - Health At Home peptic ulcers. An ulcer Causes Persons with a family history of pepticulcers tend to be at greater risk for getting them. A bacteria http://www.mycareohp.com/content/Support/HealthAtHome/detail.asp?title=pepticul

84. Digestive Basics - NSAIDs And Peptic Ulcers Most peptic ulcers are caused by the bacterium Helicobacter pylori (H. pylori),but some are caused by prolonged use of nonsteroidal antiinflammatory drugs http://ibscrohns.about.com/library/basics/blnsaids.htm

zfp=-1 About Irritable Bowel/Crohn's Disease Search in this topic on About on the Web in Products Web Hosting Irritable Bowel/Crohn's Disease with Amber J. Tresca Your Guide to one of hundreds of sites Home Articles Forums ... Help zmhp('style="color:#fff"') Subjects ESSENTIALS Irritable Bowel Syndrome (IBS) 101 Inflammatory Bowel Disease (IBD) 101 Is Green Stool Abnormal? ... All articles on this topic Stay up-to-date! Subscribe to our newsletter. Advertising Free Credit Report Free Psychics Advertisement NSAIDs and Peptic Ulcers A peptic ulcer is a sore that forms in the lining of the stomach or the duodenum (the beginning of the small intestine). An ulcer can cause a gnawing, burning pain in the upper abdomen; nausea; vomiting; loss of appetite; and weight loss. Most peptic ulcers are caused by infection with the bacterium Helicobacter pylori (H. pylori). But some peptic ulcers are caused by prolonged use of nonsteroidal anti-inflammatory drugs (NSAIDs) or pain relievers such as aspirin, ibuprofen, and naproxen sodium. NSAIDs cause ulcers by interfering with the stomach's ability to protect itself from acidic stomach juices. Normally the stomach has three defenses against digestive juices: mucus that coats the stomach lining and shields it from stomach acid, the chemical bicarbonate that neutralizes stomach acid, and blood circulation to the stomach lining that aids in cell renewal and repair. NSAIDs hinder all of these protective mechanisms, and with the stomach's defenses down, digestive juices can damage the sensitive stomach lining and cause ulcers.

85. The Changing Face Of H. Pylori - Peptic Ulcers In Upstate New York H. Pylori By i peptic ulcers in Upstate New York H. pylori byRace. Copyright 1999 by the University of Florida. http://www.medinfo.ufl.edu/cme/grounds/toskes/slide14.html

i Peptic Ulcers in Upstate New York H. pylori by Race

86. Cause Of Peptic Ulcers A major cause of peptic ulcer, although far less common than H.pylori or be removedand acid production suppressed to relieve the recurrence of the ulcers. http://www.iowaclinic.com/adam/imagepages/19253.shtml

A major cause of peptic ulcer, although far less common than H.pylori or NSAIDS, is Zollinger-Ellison syndrome. A large amount of excess acid is produced in response to the overproduction of the hormone gastrin, which in turn is caused by tumors on the pancreas or duodenum. These tumors are usually malignant, must be removed and acid production suppressed to relieve the recurrence of the ulcers. Review Date: 4/26/2002 12:00:00 AM Reviewed By:A.D.A.M. Medical Illustration Team Home Introduction Specialties and Locations Bill Payment Online ... Health Library

87. Location Of Peptic Ulcers back. A peptic ulcer is an open sore or raw area in the lining of thestomach (gastric) or the upper part of the small intestine (duodenal). http://www.iowaclinic.com/adam/imagepages/19249.shtml

A peptic ulcer is an open sore or raw area in the lining of the stomach (gastric) or the upper part of the small intestine (duodenal). Review Date: 4/26/2002 12:00:00 AM Reviewed By:A.D.A.M. Medical Illustration Team Home Introduction Specialties and Locations Bill Payment Online ... Health Library

88. NEJM -- Endoscopic Prediction Of Recurrent Bleeding In Peptic Ulcers Original Article from The New England Journal of Medicine Endoscopicprediction of recurrent bleeding in peptic ulcers. http://content.nejm.org/cgi/content/short/305/16/915

HOME SEARCH CURRENT ISSUE PAST ISSUES ... HELP Previous Volume 305:915-916 October 15, 1981 Number 16 Next Endoscopic prediction of recurrent bleeding in peptic ulcers DW Storey, SG Bown, CP Swain, PR Salmon, JS Kirkham, and TC Northfield Table of Contents Find Similar Articles in the Journal Notify a friend about this article Add to Personal Archive ... Related Articles in Medline Articles in Medline by Author: Storey, D. W. Northfield, T. C. Medline Citation Abstract HOME SEARCH CURRENT ISSUE PAST ISSUES ... HELP Comments and questions? Please contact us The New England Journal of Medicine is owned, published, and Massachusetts Medical Society

89. Effectiveness Of Electromagnetic Radiation In Treatment Of Peptic Ulcers Contami Patient Treatment. Effectiveness of Electromagnetic Radiation inTreatment of peptic ulcers Contaminated by HELICOBACTER PYLORI. http://infoventures.com/emf/currlit/bu12485.html

[ EMF-Link Home Hot Topics. Use of Electromagnetic Fields in Patient Treatment. Effectiveness of Electromagnetic Radiation in Treatment of Peptic Ulcers Contaminated by HELICOBACTER PYLORI Last modified on: Friday, February 04, 2000 10:56:16 Effectiveness of Electromagnetic Radiation in Treatment of Peptic Ulcers Contaminated by HELICOBACTER PYLORI. The microorganism Helicobacter pylori (HP) plays an important part in pathogenesis of peptic ulcers. HP penetrates through the mucous layer and proliferates on the epithelial cells, thus being protected not only from the hydrochloric acid of the gastric juice, but from the majority of antibacterial medicines as well. Recent reports on the effectiveness of millimeter waves (MMW) in fighting peptic ulcers motivated the authors to put this method on trial for HP-contaminated ulcers. This Russian study was carried out with 51 patients with duodenal ulcers and 9 patients with gastric ulcers. The authors concluded that MMW treatment decreased HP contamination and facilitated recovery of gastric and duodenal ulcer patients. [BENER Mail us at: http://infoventures.com

90. Digestive And Liver Disorders - Stomach And Duodenal Ulcers ( Print Version. Digestive and Liver Disorders Stomach and DuodenalUlcers (peptic ulcers). What is a stomach or duodenal ulcer? An http://www.musckids.com/health_library/digest/ulcers.htm

91. Welcome To ENH.org - Health Articles: Peptic Ulcers peptic ulcers. 9/30/2002. WHAT ARE peptic ulcers? A peptic ulcer isan open sore or raw area in the digestive tract. They average http://www.enh.org/WellConnected/articles/000019.asp

Back to Article Listing Peptic Ulcers WHAT ARE PEPTIC ULCERS? WHAT CAUSES PEPTIC ULCERS? WHAT ARE THE SYMPTOMS OF PEPTIC ULCERS? HOW SERIOUS ARE PEPTIC ULCERS AND H. PYLORI? ... WHERE ELSE CAN INFORMATION ABOUT PEPTIC ULCERS BE OBTAINED? WHAT ARE PEPTIC ULCERS? A peptic ulcer is an open sore or raw area in the digestive tract. They average between one-quarter and one-half inch in diameter and tend to develop in one of two places: The lining of the stomach (called gastric ulcers ), or The upper part of the small intestine the duodenum (called duodenal ulcers ). In the US, duodenal ulcers are three times more common than gastric ulcers. A peptic ulcer is an open sore or raw area in the lining of the stomach (gastric) or the upper part of the small intestine (duodenal). Ulcers develop when digestive juices produced in the stomach, intestines, and digestive glands damage the lining of the stomach or duodenum. The two important digestive juices are hydrochloric acid and the enzyme pepsin : Both substances are critical in the breakdown and digestion of starch, fat, and proteins in food. They play different roles in ulcers: Click the icon to see an image of the stomach Hydrochloric acid.

92. This Page Has Moved Division of Bacterial and Mycotic Diseases Helicobacter pylori and peptic Ulcer Disease A peptic ulcer is a sore or hole in the lining of the stomach or duodenum (the first part of the small intestine). The good news is that most ulcers are caused by an infection with the bacterium, http://www.cdc.gov/ncidod/dbmd/hpylori.htm

This page has moved, please update your bookmarks or links to the new address: http://www.cdc.gov/ulcer You will be forwarded automatically in a few seconds. Division of Bacterial and Mycotic Diseases National Center for Infectious Diseases Centers for Disease Control and Prevention

93. Ask Dr. Weil Peptic, Duodenal, Or Gastric Ulcers Covers conventional and alternative treatments including diet, deglycyrrhizinated licorice (DGL), aloe vera juice, cayenne pepper, and stress reduction. http://drweil.com

94. Bacteriology 330 Lecture Topics: Helicobacter PyloriBacteriology 330 Lect Many excellent treatments for peptic ulcer disease exist. In the case of duodenalulcers and gastric ulcers, histamine H2receptors can be blocked to cause http://www.bact.wisc.edu/Bact330/lecturehelico1

Bacteriology at UW-Madison Bacteriology 330 Home Page Helicobacter pylori by Tania Zeigler, Department of Bacteriology University of Wisconsin-Madison Biology of Helicobacter pylori Helicobacter are Gram-negative, aerobic or microaerophilic, spiral-shaped bacilli that are motile by way of flagella at one end of the cell. Closely related to Helicobacter are species of the genera Aquaspirillum Azospirillum Spirillum , and Camplyobacter . The genetics of Helicobacter pylori are complex; there are many strains of H . pylori which are distinguished by the human disease with which they are associated. Once Helicobacter pylori colonizes its host, it lives in the interface between the surface of gastric epithelial cells and the overlying mucus gel layer, often clustering at the junctions of epithelial cells. In addition H. pylori can also be found on top of the gastric epithelium in the duodenum and esophagus. It was not until 1983 that H . pylori was recognized as having any medical importance. Now, it has been proven that H. pylori

95. Helicobacter Pylori And Peptic Ulcer Disease A peptic ulcer is a sore or hole in the lining of the stomach or duodenum (the Thegood news is that most ulcers are caused by an infection with the bacterium http://www.cdc.gov/ulcer/

Division of Bacterial and Mycotic Diseases Helicobacter pylori and Peptic Ulcer Disease Menu Good News - A Cure for Ulcers! H. pylori Fact Sheet for Health Care Providers Economic Impact of Ulcers ... Education Materials Order Form Related Contents Foodborne and Diarrheal Diseases Branch DBMD Disease Listing - H. pylori CDC Morbidity and Mortality Weekly Report (MMWR) Ulcer Awareness Week October 6-13, 2003 View details on Ulcer Awareness Week 2003 A peptic ulcer is a sore or hole in the lining of the stomach or duodenum (the first part of the small intestine). People of any age can get an ulcer and women are affected just as often as men. Over 25 million Americans will suffer from an ulcer at some point during their lifetime. The good news is that most ulcers are caused by an infection with the bacterium, Helicobacter pylori , and can be cured in about two weeks with antibiotics.

96. Peptic Ulcer peptic Uclers. I've had a peptic ulcer last Nov 2000. They put me on nexium hopingit would heal up bit it didn't so i had to go for peptic ulcer surgery. http://www.mamashealth.com/community/ulcer.asp

Mamashealth.com Home Users' Community Pages Anorexia Bye Anorexia All Things are Possible! Asthma Story ... Try Again Share your health story on Mamashealth.com and you will be entered into a contest for a FREE book. Your name and email will be annynomous ( unless you state otherwise Peptic Uclers If you would like to contribute your story, send an email to contribute@mamashealth.com Food For Thought Liver Cancer... Do you know the symptoms? Free Shipping when you use coupon code HEALTH

97. Ulcers And Gastritis Alpha Nutrition Health Education. ulcers. A common cause of stomach ulcersis the regular use of ASA or related antiinflammatory drugs - NSAIDs. http://www.nutramed.com/digestion/ulcer.htm

Home Products and Services Medical Information Orders ... Modular Nutrition The Gastrointestinal Center: Solving Digestive Tract Problems Alpha Nutrition Health Education Ulcers I nformation about Nutritional Rescue Starter Pack Order Rescue Starter Pack Book of Food and Digestion Topics Digestion Center Alpha Nutrition Starter Packs Crohn's Disease Irritable Bowel Syndrome ... Alpha Nutrition Formulas Ulcers i n the stomach or duodenum were attributed for years to excess stomach acid and treated with antihistamines which reduce acid secretion and antacids. In the past, milk was recommended, but dairy products can be the cause of the problem and are often contra-indicated; milk allergy may be an original cause of gastritis which leads to ulceration. A common cause of stomach ulcers is the regular use of ASA or related anti-inflammatory drugs - NSAIDs. If ulcer symptoms occur while taking these drugs, their use should be discontinued. An acute duodenal ulcer will present with pain high and central in the abdomen; the pain comes on as the stomach empties 3 or 4 hours after eating and during the night. Eating food, especially bland foods, milk or antacid tends to relieve the pain. Antihistamines ( H2 blockers - examples are tagamet, pepcid and zantac) have been prescribed for years to treat ulcers and acid reflux into the esophagus and are now available as over-the counter medications.

98. MEDLINEplus Medical Encyclopedia: Duodenal Ulcer A duodenal ulcer is a type of peptic disease that is caused by an Duodenal ulcersare commonly associated with the presence of the bacteria Helicobacter pylori http://www.nlm.nih.gov/medlineplus/ency/article/000206.htm

Skip navigation Medical Encyclopedia Other encyclopedia topics: A-Ag Ah-Ap Aq-Az B-Bk ... Z Duodenal ulcer Contents of this page: Illustrations Alternative names Definition Causes, incidence, and risk factors ... Prevention Illustrations Ulcer emergencies Gastroscopy procedure Location of peptic ulcers Cause of peptic ulcers ... Stomach disease or trauma Alternative names Return to top Peptic ulcer; Ulcer - peptic; Ulcer - duodenal Definition Return to top An erosion in the lining of the duodenum (first part of the small intestine, connecting to the stomach). See also gastric ulcer - benign Causes, incidence, and risk factors Return to top A duodenal ulcer is a type of peptic disease that is caused by an imbalance between acid and pepsin (an enzyme ) secretion and the defenses of the mucosal lining. The inflammation may be precipitated by aspirin and nonsteroidal anti-inflammatory medications (NSAIDs). Duodenal ulcers are commonly associated with the presence of the bacteria Helicobacter pylori in the stomach. Risk factors are aspirin and NSAID use, cigarette smoking , and older age. Duodenal ulcer has historically occurred more frequently in men, but more recent data suggest similar rates in both men and women. The lifetime prevalence of a peptic ulcer 5 to 10% and approaches 10 to 20% in patients who are Helicobacter pylori positive.

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