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首页> 美国卫生研究院文献>Gut >Post-bulbar and coexisting ulceration: unique features of peptic ulcer in Hyderabad.
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Post-bulbar and coexisting ulceration: unique features of peptic ulcer in Hyderabad.

机译：球后溃疡和并存溃疡：海得拉巴消化性溃疡的独特特征。

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Post-bulbar ulceration is uncommon, but a pilot study in Hyderabad showed a high incidence. We therefore carried out a prospective endoscopic study of the distribution of peptic ulceration and its relation to symptoms and demography. Of the 360 consecutive patients referred for endoscopy, 113 (92 men, 21 women) had peptic ulceration. Median age 35 years, median duration one year. Five patients (4%) had gastric ulcer, 77 (68%) had duodenal ulcer, and 31 (28%) had coexisting gastric and duodenal ulcer. The duodenal ulcer was found in the pyloric canal in 14% of patients, in the bulb in 80%, and the post-bulbar region in 56% of patients. Sixty seven per cent of duodenal ulcers were located at more than one site. The incidence of post-bulbar v bulbar ulcer was 1:1.5. Deformed bulb was seen in 50% of duodenal ulcer patients, but haemorrhage and stenosis were uncommon. Except for nocturnal pain, there were no differences in symptoms between the groups. Forty two per cent of patients smoked, 15% chewed tobacco, and 18% drank alcohol; almost all were men. Sixty four per cent drank tea. The staple diet (85%) was rice, and 70% used tamarind and spices daily. Duodenal ulcer was three times more common than gastric ulcer with a high incidence of post-bulbar and coexisting ulcer. It affected a younger and predominantly male population, and was not associated with a higher rate of complication.
机译：球后溃疡很少见，但在海得拉巴进行的一项初步研究显示，其发生率很高。因此，我们对消化性溃疡的分布及其与症状和人口统计学的关系进行了前瞻性内镜研究。在连续360例接受内镜检查的患者中，有113例（男性92例，女性21例）有消化性溃疡。中位年龄35岁，中位病历一年。 5例（4％）患胃溃疡，77例（68％）患十二指肠溃疡，31例（28％）并存胃十二指肠溃疡。在14％的患者的幽门管中发现十二指肠溃疡，在80％的患者中发现球囊，在56％的患者中发现球后区域。十二指肠溃疡的百分之六十七位于一个以上的位置。球后v球状溃疡的发生率为1：1.5。在50％的十二指肠溃疡患者中观察到球泡变形，但出血和狭窄很少见。除夜间疼痛外，两组之间的症状无差异。 42％的患者吸烟，15％的咀嚼烟草和18％的饮酒。几乎所有人都是男人。百分之六十四喝茶。主食（85％）是大米，每天有70％的人使用罗望子和香料。十二指肠溃疡是胃溃疡的三倍，鳞茎后和并存溃疡的发生率很高。它影响了年轻且主要为男性的人群，并且与更高的并发症发生率无关。

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