Peptic ulcer primary prevention: Difference between revisions
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* Limit alcohol to no more than two drinks per day. | * Limit alcohol to no more than two drinks per day. | ||
Patients on long-term NSAID therapy and with the following risk factors, present an elevated risk of gastrointestinal bleeding and perforation:<ref name="pmid19240698">{{cite journal| author=Lanza FL, Chan FK, Quigley EM, Practice Parameters Committee of the American College of Gastroenterology| title=Guidelines for prevention of NSAID-related ulcer complications. | journal=Am J Gastroenterol | year= 2009 | volume= 104 | issue= 3 | pages= 728-38 | pmid=19240698 | doi=10.1038/ajg.2009.115 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=19240698 }} </ref><ref name="pmid18836135">{{cite journal| author=Bhatt DL, Scheiman J, Abraham NS, Antman EM, Chan FK, Furberg CD et al.| title=ACCF/ACG/AHA 2008 expert consensus document on reducing the gastrointestinal risks of antiplatelet therapy and NSAID use: a report of the American College of Cardiology Foundation Task Force on Clinical Expert Consensus Documents. | journal=Circulation | year= 2008 | volume= 118 | issue= 18 | pages= 1894-909 | pmid=18836135 | doi=10.1161/CIRCULATIONAHA.108.191087 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=18836135 }} </ref> | Patients on long-term NSAID therapy and with the following risk factors, present an elevated risk of gastrointestinal bleeding and perforation:<ref name="pmid19240698">{{cite journal| author=Lanza FL, Chan FK, Quigley EM, Practice Parameters Committee of the American College of Gastroenterology|title=Guidelines for prevention of NSAID-related ulcer complications. | journal=Am J Gastroenterol | year= 2009 | volume= 104 | issue= 3 | pages= 728-38 | pmid=19240698 | doi=10.1038/ajg.2009.115 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=19240698 }} </ref><ref name="pmid18836135">{{cite journal| author=Bhatt DL, Scheiman J, Abraham NS, Antman EM, Chan FK, Furberg CD et al.| title=ACCF/ACG/AHA 2008 expert consensus document on reducing the gastrointestinal risks of antiplatelet therapy and NSAID use: a report of the American College of Cardiology Foundation Task Force on Clinical Expert Consensus Documents. | journal=Circulation | year= 2008 | volume= 118 | issue= 18 | pages= 1894-909 | pmid=18836135 | doi=10.1161/CIRCULATIONAHA.108.191087 |pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=18836135 }} </ref> | ||
*History of ulcer complication. | *History of ulcer complication. | ||
*History of ulcer disease (non-bleeding). | *History of ulcer disease (non-bleeding). | ||
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Risk calculators and risk factors for Peptic ulcer primary prevention |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Primary Prevention
Lifestyle changes may help prevent peptic ulcers:
Tips include:
- Avoid aspirin, ibuprofen, naproxen, and other NSAIDs. Try acetaminophen instead. If you must take such medicines, talk to your doctor first.
- Don't smoke or chew tobacco.
- Limit alcohol to no more than two drinks per day.
Patients on long-term NSAID therapy and with the following risk factors, present an elevated risk of gastrointestinal bleeding and perforation:[1][2]
- History of ulcer complication.
- History of ulcer disease (non-bleeding).
- Dual antiplatelet therapy.
- Concomitant anticoagulant therapy
- ≥60 years
- Corticosteroid use
- Dyspepsia
- GERD symptoms.
- Helicobacter pylori infection: there is a potential advantage of eradicating the infection
References
- ↑ Lanza FL, Chan FK, Quigley EM, Practice Parameters Committee of the American College of Gastroenterology (2009). "Guidelines for prevention of NSAID-related ulcer complications". Am J Gastroenterol. 104 (3): 728–38. doi:10.1038/ajg.2009.115. PMID 19240698.
- ↑ Bhatt DL, Scheiman J, Abraham NS, Antman EM, Chan FK, Furberg CD; et al. (2008). "ACCF/ACG/AHA 2008 expert consensus document on reducing the gastrointestinal risks of antiplatelet therapy and NSAID use: a report of the American College of Cardiology Foundation Task Force on Clinical Expert Consensus Documents". Circulation. 118 (18): 1894–909. doi:10.1161/CIRCULATIONAHA.108.191087. PMID 18836135.