Year: 2002
Type: article
Abstract: Dyspepsia• The constellation of symptoms may include gas, bloating, nausea, vomiting, and early satiety • Twenty-six percent of the adult population complains of dyspepsia each year, and 10% experiences heartburn daily 1 • In 1997, there were 18,785,000 ambulatory care visits in the United States for stomach and abdominal pain, cramps, and spasms.Dyspepsia was the third most common symptomatic reason for visiting an ambulatory care setting 2 Peptic ulcer disease• The US prevalence of peptic ulcer disease (PUD) is 1%, and the lifetime cumulative incidence is 10% for men and 4% for women.The prevalence and incidence of PUD have declined for the past 2 decades, probably because of decreasing rates of Helicobacter pylori infection • A total of 400,000 new cases of PUD are diagnosed each year • Duodenal ulcers are twice as common in men as in women and 1.5 times as common as gastric ulcers• Peak incidence is in the 40s for men and in the 50s to 60s for women PUD as a chronic disease• As much as 90% of patients with duodenal ulcers will have a recurrence (many asymptomatic) within 1 year if not given maintenance therapy and if H pylori is not eradicated 3 • Risk factors for PUD beyond H pylori infection include use of aspirin and nonsteroidal anti-inflammatory drugs (NSAIDs), male sex, family history, stress, smoking, chronic renal failure, chronic obstructive pulmonary disease, and alcoholism Dyspepsia, peptic ulcer disease, and esophageal reflux diseaseDyspepsia is defined as episodic or persistent pain or discomfort localized to the upper abdomen.
Source: PubMed Central
Author: Mark D Schwartz
Institutions: VA NY Harbor Healthcare System, New York University
Language: English
Subfield: Surgery
Field: Medicine
Domain: Health Sciences
Open Access status: green
OpenAlex ID: W76631182