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Gastric Ulcer Relapse
Author(s) -
OGOSHI Kazuei
Publication year - 1994
Publication title -
digestive endoscopy
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.5
H-Index - 56
eISSN - 1443-1661
pISSN - 0915-5635
DOI - 10.1111/j.1443-1661.1994.tb00369.x
Subject(s) - medicine , etiology , gastroenterology , helicobacter pylori , peptic ulcer , duodenal ulcer
Abstract: In this review we found that the rate of gastric ulcer relapse reached near! 70% over a 13 year period and was nearly 10% after one year from when they reache the white scar stage. A H2‐RA or proton pump inhibiter had a high relapse rate the reason being the fragile re‐epithelization of the scar 3)4) . Factors involved in gastric ulcer relapse are considered to be the fragile re‐epithelization of the ulcer, disturbance c blood flow due to fibrosis underneath the ulcer scar, and etiological factors such a smoking and so on. Endoscopic findings of the ulcer scar can statistically suggest th gastric ulcer relapse rate. The main cause of peptic ulcers, especially duodenal ulce relapse, is strongly related to Helicobacter pylori infection. The causes of gastric ulcer relapse are very complicated and variegated. H. pylori infection contributes to les gastric ulcer relapse than duodenal ulcer relapse. To prevent gastric ulcer relapse, therefore, one should consider the eradication c H. pylori , the endoscopic features of the ulcer scar and etiological factors.