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2004 | 11 | 2 |

Tytuł artykułu

Peptic ulcer among rural population in a selected region of South-Eastern Poland

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Warianty tytułu

Języki publikacji

EN

Abstrakty

EN
Environmental conditioning of peptic ulcer, territorial variations in the occurrence of this disease, as well as reports indicating changes in the natural history of peptic ulcer provided incentives to undertake the present study. The aim of the study was to determine whether the above-mentioned changes in the course of peptic ulcer also concerned rural population from the agricultural region of south-eastern Poland. The study covered 1,647 patients with peptic ulcer treated in the General Surgery Ward at the Specialist Hospital in Brzozów (Rzeszów Region) between 1980-1999. The analysis was conducted based on data obtained from the documentation of the General Surgery Ward. In order to determine changes in the parameters examined taking place during the 20 year period, it was divided into 4 sub-periods of 5 years each. The total number of patients treated due for peptic ulcer was 1,647, including 470 patients with gastric ulcer (28.5%), 1,137 patients with duodenal ulcer (69.0%) and 40 with gastric and duodenal ulcer (2.5%). A decrease was noted in the number of patients treated for peptic ulcer during Period I of observation (1980-1984) and Period IV (1995-1999) - from 460 down to 348 patients p < 0.0001. Peptic ulcer more often affected males than females (70.2% and 29.8% respectively), most frequently in the age groups 41-50 (20.9%) and 51-60 (20.0%). Gastric ulcer was most often noted in the age groups 51-60 (24.4%) and 61-70 (23.8%), whereas duodenal ulcer in the age groups 42-50 (22.4%) and 31-40 (20.6%). During the study period (1980-1999), a decrease was observed in the number of patients treated for peptic ulcer. Hospitalization due to peptic ulcer decreased, mainly in patients with duodenal ulcer, and to a smaller degree among those with gastric ulcer. The relationship was observed between the incidence of peptic ulcer and the site of ulcer, sex and age of patients. Changes observed in hospitalization due to peptic ulcer among rural population in the south-eastern region of Poland was similar to those observed in other regions of Poland and the majority of European countries.

Wydawca

-

Rocznik

Tom

11

Numer

2

Opis fizyczny

p.323-327,ref.

Twórcy

  • Institute of Agricultural Medicine, Jaczewskiego 2, PO Box 185, 20-950 Lublin, Poland
autor

Bibliografia

  • 1. Andersen B, Bonnevie О, Jorgensen T, Sorensen TJ: Time trends for peptic ulcer disease in Denmark, 1981-1993. Analysis of hospitalization register and mortality data Scand J Gastroenterol 1998 33, 260-266.
  • 2.Bernersen В, Johnsen R, Straume B, Burhol PG, Jennsen TG, Stakkevold PA: Towords a true prevalence of peptic ulcer: the Sorreisa gastrointestinal disorder study. Gut 1990, 31, 989-992.
  • 3.Coggon D, Langman MJS, Lambert P: 20 years of hospital admissions for peptic ulcer in England and Wales. Lancet 1981,1, 1302-1304.
  • 4.El-Serag HB, Sonnenberg A: Opposing time trends of peptic ulcer and reflux disease. Gut 1998, 43, 327-333.
  • 5.Everhart JE, Byrd-Holt D, Sonnenberg A: Incidence and risk factors for self-reported peptic ulcer disease in the United States. Am J Epidemiol 1998,147, 529-536.
  • 6.Jędrychowski W, Popiela T, Tobiasz-Adamczyk В,Chłopek H, Kulig J: Analiza rozpowszechnienia w populacji przewlekłych chorób przewodu pokarmowego na podstawie wyników badań ankietowych w zakładzie pracy. (Analysis of the prevalence of chronic digestive tract diseases in the population in the light of the results of inquiry investigations in the palace of employment). Zdr Publ 1980, 91, 135- 141 (in Polish).
  • 7.Johnsen R, Straume В, Forde OH, Burhol PG: Changing incidence of peptic ulcer - facts or artefacts? A cohort study from Tromso. J Epidemiol Community Health 1992, 46, 433-436.
  • 8.Kemppainen H, Raiha I, Sourander L: Clinical presentation of peptic ulcer in the elderly. Gerontology 1997, 43, 283-288.
  • 9.Kurata J, Nagawa AN, Abbey DE, Petersen F: A prospective study of risk for peptic ulcer disease in Seventh-Day Adventists. Gastroenterology 1992,102, 902- 909.
  • 10.Makela J, Laitinen S, Kairaluoma MI: Complications of peptic ulcer disease before and after the introduction of H2-receptor antagonists. Hepato,gastroenterology 1992, 39, 144-148.
  • 11.Markert R, Gryszkiewicz M, Korzycki J, Wasiak J: Ulcer of the stomach and duodenum continue to be a cause of death. Pol Tyg Lek 1996, 51, 203-204 (in Polish).
  • 12.Pitera J, Strzałka В, Florek P, Schabowski J: Krwawienia z powodu choroby wrzodowej w 20-letnim materiale chorych Oddziału Chirurgii Ogólnej Szpitala Specjalistycznego w Brzozowie. (Bleeding due to peptic ulcer - based on 20-year material from the General Surgery Ward at the Specialist Hospital in Brzozów). Med Ogólna 2003, 1-2, 129-138 (in Polish).
  • 13.Rużyłło E, Biernat J: The natural history of peptic disease in Poland I. The number of patients and their general characteristics. Mat Med Pol 1989, 21,235-243
  • 14.Schabowski J: Choroby przewodu pokarmowego wœród dorosłych mieszkańców wsi w Polsce. (Gastrointestinal diseases among Polish rural population). Med Ogólna 1994, 29, 363-373 (in Polish).
  • 15.Schabowski J: Choroba wrzodowa wœród pracowników przemysłu maszynowego i chemicznego. (Peptic ulcer among workers of the engineering and chemical industries). Med Pracy 1995, 46, 25-31 (in Polish).
  • 16.Schabowski J: Helicobacter pylori - znaczenie kliniczne oraz zasady leczenia. (Helicobacter pylori - clinical importance and treatment procedures). Med Rodzinna 1998, 3, 23-25 (in Polish).
  • 17.Schabowski J: Peptic ulcer among polish rural population and the nicotinic index. Ann Agric Environ Med 2000, 7, 119-12.
  • 18.Schabowski J: Is there a territorial differentiation in the prevalence of peptic ulcer among rural population in Poland? Ann Agric Environ Med 2001, 8, 57-62.
  • 19.Schabowski J: Selected socio-economic features and the prevalence of peptic ulcer among Polish rural population. Ann Agric Environ Med 2002, 9, 79-84.
  • 20.Sodolska K, Saran T, Schabowski J: Niesteroidowe leki przeciwzapalne a przewód pokarmowy. (Non-steroid anti-inflamatory drugs and the alimentary tract). Med Ogólna 2003, 9, 177-183 (in Polish).
  • 21.Tonus C, Weisenfeld E, Appel P, Nier H: Introduction of proton pump inhibitors - consequences for surgical treatment of peptic ulcer. Hepatogastroenterology 2000, 47, 285-290.
  • 22.Watanabe Y, Kurata JH, Kawamoto K: Epidemiological study of peptic ulcer disease among Japanese and Koreans in Japan. J Clin Gastroenterol 1992, 15, 69-74.
  • 23.Van Leerdam ME, Vreeburg EM, Rauws EAJ, Geraedts AAM, Tijssen JGP, Reitsma JB, Tytgat GNJ: Acute upper GI bleeding: did anything change? Time trend analysis of incidence and outcome of acute upper GI bleeding between 1993/1994 and 2000. Am J Gastroenterol 2003,98, 1494-1499.

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Bibliografia

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