• 제목/요약/키워드: Peptic Ulcers

검색결과 38건 처리시간 0.028초

A STRUCTURED MODELING APPROACH OF PEPTIC ULCERS AND H. PYLORI INFECTION

  • Do, Tae-Sug;Ledder, Glenn;Lee, Young-S.
    • Journal of the Korean Society for Industrial and Applied Mathematics
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    • 제13권1호
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    • pp.1-11
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    • 2009
  • Current therapies against ulcers caused by H. pylori infection consist of antibiotics, an acid reducer, and some clinical trials underway to develop a H. pylori vaccine. We develop a structured model with age-dependent mortality of peptic ulcers and H. pylori infection. Our main goal is to analyze our structured model mathematically and to compare it to our previously unstructured model to examine the disease transmission dynamics in terms of annual prevalence and annual incidence of the disease.

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Serum Zinc Status and Helicobacter Pylori Infection in Gastric Disease Patients

  • Zhang, Wen-Hua;Wu, Xiao-Jing;Niu, Jing-Xiu;Yan, Hao;Wang, Xin-Zhuo;Yin, Xiao-Dong;Pang, Yan
    • Asian Pacific Journal of Cancer Prevention
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    • 제13권10호
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    • pp.5043-5046
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    • 2012
  • The role of Helicobacter pylori status and serum zinc value in gastric disease patients and healthy controls were investigated. Cases used in this work were 45 gastric cancer patients, 44 with peptic ulcers, 52 suffering gastritis and 64 healthy controls, all diagnosed histologically with the controls undergoing medical checkups. Helicobacter pylori status and serum levels of Zn were determined by 13C-urea breath test and flame atomic absorption spectrophotometer, respectively. Our study showed that Helicobacter pylori infection has no change in gastritis, peptic ulcer and gastric cancer group, on the contrast, serum levels of Zn were significantly reduced in gastritis, peptic ulcer and gastric cancer group, compared with healthy controls, and the higher the Zn levels are, the more increased risk of gastric cancer. Helicobacter pylori infection is a cause of gastritis, peptic ulcers and even gastric cancer, while serum zinc level is an indicator of protection of gastric membranes against damage.

머신러닝 기반 중노년층의 기능성 위장장애 예측 모델 구현 (Prediction model of peptic ulcer diseases in middle-aged and elderly adults based on machine learning)

  • 이범주
    • 문화기술의 융합
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    • 제6권4호
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    • pp.289-294
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    • 2020
  • 기능성 위장장애는 Helicobacter pylori 감염 및 비 스테로이드성 항염증제의 사용 등의 원인으로 발생하는 소화기 계통 질환이다. 그동안 기능성 위장장애의 위험요인에 대한 많은 연구들이 수행되어졌으나, 한국인에 대한 기능성 위장장애 예측 모델 제시에 대한 연구는 없는 실정이다. 따라서 본 연구의 목적은 중년 및 노년층을 대상으로 인구학적정보, 비만정보, 혈액정보, 영양성분 정보를 바탕으로 머신러닝을 이용하여 기능성위장장애 예측 모델을 구현하고 평가하는 것이다. 모델생성을 위해 wrapper-based variable selection 메소드와 naive Bayes 알고리즘이 사용되었다. 여성 예측 모델의 분류 정확도는 0.712의 the area under the receiver operating characteristics curve(AUC) 값을 나타냈고, 남성에서는 여성보다 낮은 0.674의 AUC값이 나타났다. 이러한 연구결과는 향후 중년 및 노년층의 위장장애 질환의 예측과 예방에 활용될 수 있다.

도화탕(桃花湯)이 백서(白鼠)의 소화성(消化性) 궤양(潰瘍) 및 장관수송능(腸管輸送能)에 미치는 영향(影響) (The Efficiency of Dohwa-tang on Peptic Ulcer of Rat and Transportability in the Large Intestine of Mouse)

  • 김수정;김진규;백정한;강석봉;이익행
    • 대한한방내과학회지
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    • 제22권2호
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    • pp.207-213
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    • 2001
  • Objectives : In order to study the clinical efficiency of Dohwatang, based on Oriental Medical References, using experimental animals, we studied ulcers, gastric juice secretion, free acidity, total acidity, and the action of transport rates in the intestine. Methods : We used rats administered with the above herbs. Results : Dohwa-tang showed remarkable inhibitory effects on peptic ulcers, gastric juice secretion, free acidity, and total acidity in pyloricligated rat. It also showed remarkable inhibitory effects on the transportability in the large intestine of rats. But Dohwa-tang didn't show any remarkable difference on stressed rats. Conclusions : Dohwatang works better for chronic pyloristenosis-peptic ulcer and for diarrhea than acute stress ulcer.

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소화성 궤양 출혈의 내시경 치료 (Endoscopic Hemostatic Treatment of Peptic Ulcer Bleeding)

  • 최연화;박준철
    • 대한상부위장관⦁헬리코박터학회지
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    • 제18권4호
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    • pp.235-241
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    • 2018
  • Peptic ulcer bleeding is a common complication of peptic ulcer disease and the most common cause of upper gastrointestinal bleeding. Despite advances in drug usage and endoscopic modalities, no significant improvement is observed in the mortality rate of bleeding ulcers. The purpose of this review is to discuss various endoscopic hemostatic methods to treat peptic ulcer bleeding. Endoscopic hemostatic techniques can be classified into injection, mechanical, electrocoagulation, hemostatic powder, and endoscopic Doppler-guided hemostatic therapies (the last mentioned being a newly developed technique). Endoscopic hemostasis can be performed as mono or combination therapy using the aforementioned methods. Endoscopic hemostasis is the most important treatment for patients with peptic ulcer bleeding. Endoscopists should consider the treatment approach for peptic ulcer bleeding based on patient characteristics, the size and shape of the lesion, the endoscopist's expertise, and the resources and circumstances at each hospital. Follow-up studies are needed to evaluate the efficacy of newly developed hemostatic powder therapy and endoscopic Doppler-guided hemostasis.

Virulence Genes of Helicobacter pylori in Gastritis, Peptic Ulcer and Gastric Cancer in Laos

  • Vannarath, Sengdao;Vilaichone, Ratha-Korn;Rasachak, Bouachanh;Mairiang, Pisaln;Yamaoka, Yoshio;Shiota, Seiji;Binh, Tran Thanh;Mahachai, Varocha
    • Asian Pacific Journal of Cancer Prevention
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    • 제15권20호
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    • pp.9027-9031
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    • 2014
  • Background: Helicobacter pylori (H. pylori) infection is an established cause of peptic ulcers and gastric cancer. The aim of this study was to identify H. pylori genotypes and to examine their associations with geographical regions and gastritis, peptic ulcers and gastric cancer in Laos. Materials and Methods: A total of 329 Lao dyspeptic patients who underwent gastroscopy at Mahosot Hospital, Vientiane, Laos during December 2010 - March 2012 were enrolled. Two biopsy specimens (one each from the antrum and corpus) were obtained for CLO testing and only CLO test-positive gastric tissue were used to extract DNA. PCR and sequencing were identified for variants of the cagA and vacA genotypes. Results: Some 119 Laos patients (36.2%) were found to be infected with H. pylori including 83 with gastritis, 13 with gastric ulcers (GU), 20 with duodenal ulcers (DU) and 3 with gastric cancer. cagA was detected in 99.2%. East-Asian-type cagA (62%) and vacA s1c (64.7%) were predominant genotypes in Laos. vacA s1c-m1b was significantly higher in GU than gastritis (53.8% vs. 24.1%; P-value=0.04) whereas vacA s1a-m2 was significantly higher in DU than gastritis (40.0% vs. 16.9%; P-value=0.03). East-Asian-type cagA and vacA s1c were significantly higher in highland than lowland Lao (100% vs. 55.8%; P-value=0.001 and 88.2% vs. 61.5%, P-value=0.03 respectively). Conclusions: H. pylori is a common infection in Laos, as in other countries in Southeast Asia. The cagA gene was demonstrated in nearly all Laos patients, cagA and vacA genotypes being possible important factors in explaining H. pylori infection and disease outcomes in Laos.

진통소염제에 의한 위 십이지장 궤양에 합병된 위 출구 폐쇄 1예 (A Case of Gastric Outlet Obstruction Complicated by Peptic Ulcer Secondary to Non-Steroidal Anti-Inflammatory Drug (NSAID))

  • 최창환;변성환;장수희;백소야
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • 제8권2호
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    • pp.226-232
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    • 2005
  • 저자들은 11개월 영아의 고열을 조절하기 위해 진통소염제 근주와 경구 해열제 병용투여 후 발생한 다발성 식도 위 십이지장 궤양 치료 과정 중 조기에 위 출구 폐쇄가 합병된 1예를 경험하였기에 보고하는 바이다.

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Creosote에 의해 발생한 위궤양 2례 (Two Cases of Creosote Induced Gastric Ulcer)

  • 김광렬;박재옥;신상만
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • 제3권1호
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    • pp.84-88
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    • 2000
  • Secondary peptic ulceration and gastritis have been known to be associated with stress, exogenous agents, drugs or infection. Salicylate (aspirin) ingestion has been known to be associated with increased incidence of gastric ulcer and more frequently as the cause of hemorrhagic gastric erosions and gastritis. Some medications such as tetracyclines and iron preparations have been associated with ulceration of the gastrointestinal tract. Chemotherapeutic agents including cytoxan and methotrexate also have been implicated in the development of mucosal and gastrointestinal ulcers. We have experienced two cases of hemorrhagic gastric ulcers due to creosote ingestion in a 13 month and a 5 year old boys. Creosote is a main component of one of the popular digestives, Jungrohwan in Japan and Korea.

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Expression Levels of Vascular Endothelial Growth Factors A and C in Patients with Peptic Ulcers and Gastric Cancer

  • Taghizadeh, Shirin;Sankian, Mojtaba;Ajami, Abolghasem;Tehrani, Mohsen;Hafezi, Nasim;Mohammadian, Rajeeh;Farazmandfar, Touraj;Hosseini, Vahid;Abbasi, Ali;Ajami, Maryam
    • Journal of Gastric Cancer
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    • 제14권3호
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    • pp.196-203
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    • 2014
  • Purpose: Vascular endothelial growth factor (VEGF) is one of the most important growth factors for metastatic tumors. To clarify the role of VEGF-A and C in patients with peptic ulcer disease (PUD) or gastric cancer (GC), we evaluated the expression levels of these two molecules. We also analyzed the effect of Helicobacter pylori infection on VEGF-A and C expression levels. Materials and Methods: Patients with dyspepsia who needed diagnostic endoscopy were selected and divided into three groups: nonulcer dyspepsia (NUD), PUD, and GC, according to their endoscopic and histopathological results. Fifty-two patients with NUD, 50 with PUD, and 38 with GC were enrolled in this study. H. pylori infection was diagnosed by the rapid urease test. After RNA extraction and synthesis of cDNA, the expression levels of VEGF-A and C were determined by quantitative reverse transcriptase polymerase chain reaction. Results: The VEGF-C expression level in the PUD and GC groups was significantly higher than that in the NUD group. Moreover, the VEGF-A expression level in the PUD and GC groups was higher than in the NUD group, although the differences were not statistically significant. Significant positive correlations were also observed between the expression levels of these two molecules in the PUD and GC groups. In addition, the expression levels of these two molecules were higher in H. pylori positive patients with PUD or GC than in H. pylori negative patients of the same groups; however, these differences did not reach statistical significance. Conclusions: Up-regulation of VEGF-C expression during gastric mucosal inflammation may play a role in the development of peptic ulcers or GC.