Recurrent Peptic Ulcer

Endoscopic diagnosis of recurrent peptic ulcer due to retained antrum.

Recurrent, peptic ulcer following surgery has a 3% to 10% recurrence rate. Recurrence is due to one of the following causes: incomplete vagotomy, failure of gastric drainage, inadequate gastric resection, Zollinger-Ellison syndrome, hyperplasia of the antral gastric-secreting cells or due to use of nonabsorbable sutures. Lack of or incomplete vagotomy has been the most common cause. Gastric ulc...

Peptic Ulcer

Peptic Ulcer

The conventional biomedical model used for medical research and disease management is a linear model in which the cause-effect relationship is important. In contrast, the model used in psychosomatic medicine is a bio-psychosocial model in which much importance is attached to interactions and relationships among various factors, as well as to the individuality of the patients. When peptic ulcer ...

Peptic Ulcer

Intravenous esomeprazole for prevention of recurrent peptic ulcer bleeding.

BACKGROUND Use of proton-pump inhibitors in the management of peptic ulcer bleeding is controversial because discrepant results have been reported in different ethnic groups. OBJECTIVE To determine whether intravenous esomeprazole prevents recurrent peptic ulcer bleeding better than placebo in a multiethnic patient sample. DESIGN Randomized trial conducted between October 2005 and December ...