PEPTIC ULCER FREQUENCY DIFFERENCES RELATED TO H. PYLORI OR AINES

Background Peptic ulcer etiology has been changing because of H. pylori decline. Objectives To estimate peptic ulcer prevalence in 10 years-interval and compare the association with H. pylori and use of non-steroidal anti-inflammatory drugs. Methods Records assessment in two periods: A (1997-2000) a...

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Main Authors: Diego Michelon de CARLI, Rafael Cardoso PIRES, Sofia Laura ROHDE, Caroline Mayara KAVALCO, Renato Borges FAGUNDES
Format: Article
Language:English
Published: Instituto Brasileiro de Estudos e Pesquisas de Gastroenterologia (IBEPEGE)
Series:Arquivos de Gastroenterologia
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-28032015000100010&lng=en&tlng=en
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author Diego Michelon de CARLI
Rafael Cardoso PIRES
Sofia Laura ROHDE
Caroline Mayara KAVALCO
Renato Borges FAGUNDES
author_facet Diego Michelon de CARLI
Rafael Cardoso PIRES
Sofia Laura ROHDE
Caroline Mayara KAVALCO
Renato Borges FAGUNDES
author_sort Diego Michelon de CARLI
collection DOAJ
description Background Peptic ulcer etiology has been changing because of H. pylori decline. Objectives To estimate peptic ulcer prevalence in 10 years-interval and compare the association with H. pylori and use of non-steroidal anti-inflammatory drugs. Methods Records assessment in two periods: A (1997-2000) and B (2007-2010), searching for peptic ulcer, H. pylori infection and non-steroidal anti-inflammatory drugs use. Results Peptic ulcer occurred in 30.35% in A and in 20.19% in B. H. pylori infection occurred in 73.3% cases in A and in 46.4% in B. Non-steroidal anti-inflammatory drugs use was 3.5% in A and 13.3% in B. Neither condition occurred in 10.4% and 20.5% in A and B respectively. Comparing both periods, we observed reduction of peptic ulcer associated to H. pylori (P=0.000), increase of peptic ulcer related to non-steroidal anti-inflammatory drugs (P=0.000) and idiopathic peptic ulcer (P=0.002). The concurrent association of H. pylori and non-steroidal anti-inflammatory drugs was also higher in B (P=0.002). Rates of gastric ulcer were higher and duodenal ulcer lower in the second period. Conclusions After 10 years, the prevalence of peptic ulcer decreased, as well as ulcers related to H. pylori whereas ulcers associated to non-steroidal anti-inflammatory drugs increased. There was an inversion in the pattern of gastric and duodenal ulcer and a rise of idiopathic peptic ulcer.
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spelling doaj.art-d14a9eaff57f4873a1ddd0e6374af1442022-12-21T18:31:38ZengInstituto Brasileiro de Estudos e Pesquisas de Gastroenterologia (IBEPEGE)Arquivos de Gastroenterologia1678-4219521464910.1590/S0004-28032015000100010S0004-28032015000100010PEPTIC ULCER FREQUENCY DIFFERENCES RELATED TO H. PYLORI OR AINESDiego Michelon de CARLIRafael Cardoso PIRESSofia Laura ROHDECaroline Mayara KAVALCORenato Borges FAGUNDESBackground Peptic ulcer etiology has been changing because of H. pylori decline. Objectives To estimate peptic ulcer prevalence in 10 years-interval and compare the association with H. pylori and use of non-steroidal anti-inflammatory drugs. Methods Records assessment in two periods: A (1997-2000) and B (2007-2010), searching for peptic ulcer, H. pylori infection and non-steroidal anti-inflammatory drugs use. Results Peptic ulcer occurred in 30.35% in A and in 20.19% in B. H. pylori infection occurred in 73.3% cases in A and in 46.4% in B. Non-steroidal anti-inflammatory drugs use was 3.5% in A and 13.3% in B. Neither condition occurred in 10.4% and 20.5% in A and B respectively. Comparing both periods, we observed reduction of peptic ulcer associated to H. pylori (P=0.000), increase of peptic ulcer related to non-steroidal anti-inflammatory drugs (P=0.000) and idiopathic peptic ulcer (P=0.002). The concurrent association of H. pylori and non-steroidal anti-inflammatory drugs was also higher in B (P=0.002). Rates of gastric ulcer were higher and duodenal ulcer lower in the second period. Conclusions After 10 years, the prevalence of peptic ulcer decreased, as well as ulcers related to H. pylori whereas ulcers associated to non-steroidal anti-inflammatory drugs increased. There was an inversion in the pattern of gastric and duodenal ulcer and a rise of idiopathic peptic ulcer.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-28032015000100010&lng=en&tlng=enPeptic ulcerHelicobacter pyloriNon-steroidal anti-inflammatory agentsStomach ulcerDuodenal ulcer
spellingShingle Diego Michelon de CARLI
Rafael Cardoso PIRES
Sofia Laura ROHDE
Caroline Mayara KAVALCO
Renato Borges FAGUNDES
PEPTIC ULCER FREQUENCY DIFFERENCES RELATED TO H. PYLORI OR AINES
Arquivos de Gastroenterologia
Peptic ulcer
Helicobacter pylori
Non-steroidal anti-inflammatory agents
Stomach ulcer
Duodenal ulcer
title PEPTIC ULCER FREQUENCY DIFFERENCES RELATED TO H. PYLORI OR AINES
title_full PEPTIC ULCER FREQUENCY DIFFERENCES RELATED TO H. PYLORI OR AINES
title_fullStr PEPTIC ULCER FREQUENCY DIFFERENCES RELATED TO H. PYLORI OR AINES
title_full_unstemmed PEPTIC ULCER FREQUENCY DIFFERENCES RELATED TO H. PYLORI OR AINES
title_short PEPTIC ULCER FREQUENCY DIFFERENCES RELATED TO H. PYLORI OR AINES
title_sort peptic ulcer frequency differences related to h pylori or aines
topic Peptic ulcer
Helicobacter pylori
Non-steroidal anti-inflammatory agents
Stomach ulcer
Duodenal ulcer
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-28032015000100010&lng=en&tlng=en
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