Duodenal ulcer and diet

Geographical aspects of peptic ulcer surgery

“…These duodenal ulcers differ in certain characteristics [2,3,5] from duodenal ulcer in Western countries. The ulcer often gives rise to a large inflammatory mass, fibrosis occurs, and pyloric stenosis is often an early complication; hemorrhage and perforation in comparison are uncommon.…”

Diet and duodenal ulcer

“…Since then the incidence has fallen, especially in men. [1][2][3][4][5][6] A similar pattern of rising incidence of duodenal ulcer in the first half of the century occurred in most of northern and western Europe, apart from France, and in both the black and white populations of North America. Records suggest, however, that it was ~n c o m m o n~J~~~~ in the black population of North America prior to the 1930s, coinciding with a change in diet from hominy (maize) to diets similar to the white In the United Kingdom the incidence of duodenal ulcer and its complications during this century has always been more in the north and less in the south, and in recent years there has been a further decrease in the south.…”

Dietary Phosphilipids and Sterols Protective against Peptic Ulceration

“…Information was collected from India, China, West and East and South Africa, Malaysia, Indonesia and South Sea Islands. It was based on surgical figures, at the time when surgery was the accepted treatment for peptic ulcer and its complications, which showed that duodenal ulcer prevalence in a region was affected by the staple diet of that region (Tovey, , , ). A higher prevalence was found in areas where the staple diet was principally milled rice, refined wheat or maize, yams, cassava, sweet potato or green bananas, and a lower prevalence in areas where the staple diet was based on unrefined wheat or maize, soya, certain millets or certain pulses (Jayaraj et al ., 2000; Tovey, , , ; Wong et al ., ; Tovey and Tunstall, ; Tovey et al ., , ).…”