What Predicts Peptic Ulcer in Patients Referred for Endoscopy? Peptic ulcer predictors
Main Article Content
Keywords
pediction, peptic ulcer, Basrah, endoscopy
Abstract
Background:
Peptic ulcers and other gastric lesions are significant
medical conditions. Endoscopy is one useful diagnostic tool, the use of
which is dependent on patient selection
Objectives:
This study attempts to explore how predictive selected
symptoms may be, along with their characteristics in diagnosing peptic
ulcer s and other gastric lesions in patients undergoing endoscopy.
Methods:
A cross-sectional study was conducted with 15 2 patients
referred to the endoscopic unit at Al Sadr teaching hospital in Basrah.
The patients were carefully interviewed to determine clinical and
sociodemographic characteristics. They were subjected to endoscopic
examination by a specialist physician, and their results were recorded
on the same information sheet. Data were analyzed using the
Statistical Package for Social Science, version 20.
Results:
Given the complexity of the risk factors, clinical
manifestations, and diagnostic techniques, it seems difficult to predict
which patients are likely to have peptic ulcers and which are not. In
this study, only self-reported stress and H pylori infection were found
to significantly predict the likelihood of peptic ulcers among patients
subjected to endoscopic examination.
Conclusions:
Patients subjected to endoscopy are expected to have a
variety of gastric lesions including peptic ulcer. A substantial
proportion of these patients were entirely lesion free
References
1. Boons NA, College NR, Walker BR, Hunter JA. Davidson’s principles and practice of medicine, 22nd edition. Edinburgh, London, Churchill Livingstone, 2014.
2. Farguharson M, Holingshead J, Moran D (Eds.). Farquharson’s textbook of operative surgery, 10th edition. United State of America, Churchill Livingstone, CRC Press, 2014.
3. Malfertheiner P, Chan FK, McColl KE. Peptic Ulcer Disease: Available at: www.fossemedicalcentre.co.uk/.../PEPTICULCERS.pdf. Accessed May 5, 2016. 4. Herrero R, Parsonnet J, Greenberg ER. Prevention of gastric cancer. JAMA. 2014;312(12):1197-1198. doi:10.1001/jama.2014.10498. 5. Cai S, García Rodríguez LA, Masso‐Gonzalez EL, Hernandez‐Diaz S. Uncomplicated peptic ulcer in the UK: trends from 1997 to 2005. Alimentary pharmacology & therapeutics. 2009 Nov;30(10):1039-48.
6. Al-Yassin AM. Helicobacter Pylori Associated with Peptic Ulcer Disease and Chronic Antral Gastritis in Diwaniyah City. Kerbala Jorunal of Medicine. 2009;2(4):382-6.
7. Abdullah EM. The Interaction of H. pylori and Non-Steroidal Anti-Inflammatory Drugs and Their Effect on Induction of Peptic Ulcer. Al-Anbar Medical Journal. 2011;9(1):110-7.
8. Population Division of the Department of Economic and Social
Affairs of the United Nations Secretariat, World Population Prospects: The 2004 Revision and World Urbanization Prospects: The 2003 Revision, accessed online at http://esa.un.org/unpp, on Feb. 24, 2016.
9. Hussain RA. Cancer in Basrah: extent, validation of registration and patients behavior. PhD Thesis, University of Basrah, 2015.
10. Hadi AA, Al-Mulla Ay. Fertility pattern in first year of marriage in Basrah. The Iraqi Journal of Community Medicine.
11. Mahdi SS, Habib OS. A study on preference and practices of women regarding place of delivery. Eastern Mediterranean Health Journal 2010; 16: 874-878. 12. Anand BS, Katz J. Peptic ulcer disease clinical presentation, Medscape. Updated January9,2015.Website:emedicine.medscape.com/article/181753-overview. Accessed September 15, 2016. 13. Peptic ulcer disease clinical presentation. Medscape.WWW.emedicine.medscape.com/article/181753-clinical. Accessed November 16, 2016.
14. Barazandeh F, Yazdanbod A, Pourfarzi F, Sepanlou SG, Derakhshan MH, Malekzadeh R. Epidemiology of peptic ulcer disease: endoscopic results of a systematic investigation in iran. Middle East journal of digestive diseases. 2012 Apr;4(2):90.
15. Rosenstock S, Jørgensen T, Bonnevie O, Andersen L. Risk factors for peptic ulcer disease: a population based prospective cohort study comprising 2416 Danish adults. Gut. 2003 Feb 1;52(2):186-93.
16. Salih JA, Mansoor AR, Rajab HK. The dependence on clinical features in diagnosis of peptic Ulcer. Medical Journal of Tikrit. 2006;1(121):35-8.
17. Leen K, Kamil M, Abdul-Majeed NG. H.pylori infection among adult undergoing gastro intestinal endoscopy, Iraqi Postgraduate Medical Journal at Al-Yarmok teaching hospital 2007;6 (1): 18. Kim JJ, Kim N, Lee BH, Kang JM, Seo P, Lim MK, Kwon JH, Song BJ, Lee JW, Lee SH, Park YS. Risk factors for development and recurrence of peptic ulcer disease. The Korean Journal of Gastroenterology. 2010 Oct 1;56(4):220-8. 19. Levenstein S. Stress and peptic ulcer: life beyond helicobacter. BMJ. 1998 Feb 14;316(7130):538.
Article Sidebar
Article Details
This work is licensed under a Creative Commons Attribution-NoDerivatives 4.0 International License.