Peptic ulcer primary prevention: Difference between revisions
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{{Peptic ulcer}} | {{Peptic ulcer}} | ||
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==Overview== | |||
''[[Helicobacter pylori]]'' eradication has been proved as the most cost-effective strategy for primary prevention of [[NSAID]]-associated [[peptic ulcer]], especially for patients above the age of 50 years.<ref name="pmid15948807">{{cite journal| author=Vergara M, Catalán M, Gisbert JP, Calvet X| title=Meta-analysis: role of Helicobacter pylori eradication in the prevention of peptic ulcer in NSAID users. | journal=Aliment Pharmacol Ther | year= 2005 | volume= 21 | issue= 12 | pages= 1411-8 | pmid=15948807 | doi=10.1111/j.1365-2036.2005.02444.x | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=15948807 }} </ref><ref name="pmid18021578">{{cite journal| author=Leontiadis GI, Sreedharan A, Dorward S, Barton P, Delaney B, Howden CW et al.| title=Systematic reviews of the clinical effectiveness and cost-effectiveness of proton pump inhibitors in acute upper gastrointestinal bleeding. | journal=Health Technol Assess | year= 2007 | volume= 11 | issue= 51 | pages= iii-iv, 1-164 | pmid=18021578 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=18021578 }} </ref> | |||
==Primary Prevention== | ==Primary Prevention== | ||
Lifestyle changes may help prevent peptic ulcers: | Lifestyle changes may help prevent peptic ulcers: | ||
Revision as of 15:44, 6 June 2014
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Guidelines for the Indications to Test for, and to Treat, H. pylori Infection |
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Peptic ulcer primary prevention On the Web |
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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]; Associate Editor(s)-in-Chief: Guillermo Rodriguez Nava, M.D. [2]
Overview
Helicobacter pylori eradication has been proved as the most cost-effective strategy for primary prevention of NSAID-associated peptic ulcer, especially for patients above the age of 50 years.[1][2]
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:[3][4]
- 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
- ↑ Vergara M, Catalán M, Gisbert JP, Calvet X (2005). "Meta-analysis: role of Helicobacter pylori eradication in the prevention of peptic ulcer in NSAID users". Aliment Pharmacol Ther. 21 (12): 1411–8. doi:10.1111/j.1365-2036.2005.02444.x. PMID 15948807.
- ↑ Leontiadis GI, Sreedharan A, Dorward S, Barton P, Delaney B, Howden CW; et al. (2007). "Systematic reviews of the clinical effectiveness and cost-effectiveness of proton pump inhibitors in acute upper gastrointestinal bleeding". Health Technol Assess. 11 (51): iii–iv, 1–164. PMID 18021578.
- ↑ 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.