Peptic ulcer is one of the most important and frequent gastrointestinal diseases in Japan similarly as in the foreign countries. Although the reports of statistics on peptic ulcer of pathologicanatomical and clinical materials and of mortality have been presented abundantly, there are but few which review widely the true and accurate features of peptic ulcer in Japan. Recently we had an opportu...

A 45-year-old male recipient of a renal allograft was admitted because of a giant oesophageal ulcer coinciding with leucopoenia. An extensive workup revealed no explanation for the ulcer and leucopoenia. Our final diagnosis by exclusion was an idiopathic giant oesophageal ulcer and late-onset neutropenia as consequences of rituximab induction therapy given during the transplant procedure. The p...

Anti ulcer activity of root, stem and leave of Murrya koenigii (Linn.) Spreng was studied against ethanol, hydrochloric acid, indomethacin, stress and pyloric ligation induced gastric ulceration in albino rats. Significant antiulcer activity was observed in root, stem as well as leave of MurryaKoenigii (Linn.) Spreng in all the gastric ulcer models studied. Maximum anti ulcer activity was found...

The gastritis associated with chronic gastric ulcer has been studied by means of biopsy specimens taken under vision through a fibreoptic gastroscope from four standard sites in the stomach. Observations have been made in patients with untreated gastric ulcer and also in patients after medical or surgical treatment of the ulcer. The gastritis is usually widespread in chronic peptic ulcer of the...

Tobacco smoking delays healing of gastric ulcer and may influence duodenal ulceration. Seventy men, all cigarette smokers, were found to have duodenal ulceration at endoscopy. All were advised to stop smoking and received a three-month course of cimetidine. Endoscopy was repeated at three months (n = 63) and at six months (n = 56). At three months most (79%) patients showed ulcer healing and th...

A 55-year-old man visited our department because of epigastric pain. Upper gastrointestinal endoscopy revealed a small, undermined ulcer in the gastric cardia. He had no history of taking NSAIDs, and was positive for Helicobacter pylori (Hp) infection. After Hp eradication therapy followed by 8 weeks of proton pump inhibitor (PPI) administration, re-endoscopy showed that the ulcer had slightly ...

Sarcoidosis--a chronic, multisystem disease of unknown etiology characterized by noncaseating granulomas--may cause ulcerative lesions, particularly in African American women. A case of ulcerative sarcoidosis mimicking a venous ulcer is presented. The patient is a 44-year-old African American hypertensive, obese woman with a nonhealing medially based lower leg ulcer of 3 years' duration clinica...

OBJECTIVE To study if the prevalence of vitamin D deficiency in patients with venous leg ulcer is higher than in the control population. METHODS Serum levels of 25 hidroxi (OH)-vitamin D3 was studied by chemiluminescence in 27 patients with chronic venous ulcer and 58 controls at the Evangelical Hospital of Curitiba. RESULTS The levels of 25 OH-vitamin D3 were below 8 ng/dl in 11.1% of ulce...

A survey of recurrent indigestion in four general practices (19,619 patients) showed a wide range of dyspeptic complaints. Of these 82 (4.2 per 1,000) already had a proved ulcer and 144 (7.3 per 1,000) had symptoms suggesting a duodenal ulcer and had either not been investigated or had previously had a normal barium meal. A duodenal ulcer was found radiologically in half the men (46 out of 95) ...

OBJECTIVE To evaluate the prognostic factors in uncomplicated venous leg ulcer healing. DESIGN Randomised parallel group controlled trial with subjects stratified by initial ulcer diameter and four months' maximum duration of follow up. SETTING Assessment at Northwick Park Hospital vascular unit with community based treatment. PATIENTS 200 patients with clinical and objective evidence of ...