Peptic Ulcers After the Hanshin-Awaji Earthquake: Increased Incidence of Bleeding Gastric Ulcers

Aoyama, Nobuo; Kinoshita, Yoshikazu; Fujimoto, Sotaro; Himeno, Seiichi; Todo, Akio; Kasuga, Masato; Chiba, Tsutomu

doi:10.1111/j.1572-0241.1998.00311.x

Cited by 81 publications

(20 citation statements)

References 22 publications

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“…In this study, we clarified, for the first time, the detailed morphological characteristics of hemorrhagic ulcers after a large-scale disaster. First, the hemorrhagic ulcers more frequently occurred in the stomach than the duodenum after the earthquake, consistent with a previous report on another great earthquake in Japan in 1995 [1]. Furthermore, in cases of gastric ulcers, the lesions tended to occur in the proximal portion of the stomach.…”

Section: Discussionsupporting

confidence: 78%

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Hemorrhagic Ulcers after Great East Japan Earthquake and Tsunami: Features of Post-Disaster Hemorrhagic Ulcers

Kanno¹,

Iijima²,

Abe³

et al. 2013

Digestion

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Background: We investigated the characteristic features and treatment of hemorrhagic peptic ulcers after the Great East Japan Earthquake, which occurred on 11 March 2011. Methods: Clinical data of patients with hemorrhagic peptic ulcers were retrospectively collected during the 3 months after the earthquake from seven major hospitals in the middle of the stricken area, and were compared with those during the same period of the previous year. Results: After the earthquake, the number of hemorrhagic ulcers increased 2.2 fold as compared with the previous year, and gastric ulcers were significantly more frequent compared with duodenal ulcers (p <0.05) and more often presented multiple forms (p <0.05). Nonetheless, the proportion of re-bleeding cases after hemostasis treatment (8% in 2010 vs. 5% in 2011) or total mortality rate (2.5% in 2010 vs. 1.2% in 2011) was rather lower after the earthquake compared with that of the previous year. Conclusion: We clarified that post-disaster hemorrhagic ulcers existed frequently in the stomach, often as multiple ulcers at the same time. The Great East Japan Earthquake and Tsunami caused many cases of hemorrhagic ulcer. However, because of the high success rate of endoscopic hemostasis, the mortality remained as low as in the previous year. Our present study provides important information for large-scale disasters which can occur anywhere.

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Section: Discussionsupporting

confidence: 78%

“…Immediately after the earthquake we noticed a dramatic increase in the occurrence of peptic ulcers, especially hemorrhagic ones, as also occurred after the Hanshin-Awaji Earthquake in 1995 [1]. …”

Section: Introductionmentioning

confidence: 99%

Hemorrhagic Ulcers after Great East Japan Earthquake and Tsunami: Features of Post-Disaster Hemorrhagic Ulcers

Kanno¹,

Iijima²,

Abe³

et al. 2013

Digestion

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“…In this regard, it is important to note that, according to Uemura et al [3], no gastric cancer developed in patients with duodenal ulcer (DU), but 3.4% of patients with gastric ulcer (GU) developed gastric cancer [3]. Their data are in agreement with the fact that we have twice as many patients with GU than with DU [4]. We also have many patients with gastric cancer in Japan, whereas there are fewer patients with GU and fewer patients with gastric cancer in Western countries.…”

supporting

confidence: 82%

Factors contributing to the development of gastric cancer due to Helicobacter pylori infection

Chiba

2002

Curr Gastroenterol Rep

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“…The impact of the earthquake affects many patients in various ways [5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20][21][22], with morbidity and mortality from chronic diseases increasing following an earthquake [5-9, 12, 23]. Diabetes mellitus is affected negatively after a lengthy duration in an unfavorable environment [5].…”

mentioning

confidence: 99%

Lessons Learnt from Influences of the Marmara Earthquake on Glycemic Control and Quality of Life in People with Type 1 Diabetes

Şengül¹,

Özer

Salman

et al. 2004

Endocr J

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Abstract. To examine the short-and long-term influences of the Marmara earthquake, which occurred on August 17, 1999 in Turkey, on glycemic control and quality of life (QOL), HbA 1c, insulin requirement and QOL of 88 people with type 1 diabetes living in the quake zone were evaluated one year before (PreE), 3 months after (PostE) and one year after (FE) the earthquake. HbA 1c levels and daily insulin requirements increased significantly at PostE (HbA 1c from 7.4 ± 1.3% to 8.5 ± 1.8%, p<0.05; insulin from 0.58 ± 0.2 IU/kg/day to 0.77 ± 0.2 IU/kg/day, p<0.05). Mean total QOL scores at PostE were significantly lower than the scores obtained at PreE (62.7 ± 17.3 vs 74.2 ± 13.4, p<0.001). There were no significant differences between HbA 1c levels and total QOL scores at PreE and FE. People with type 1 diabetes living in the same house after the earthquake and not having enough food supply were reported to have lower QOL than people moving to another house and having enough food supply after the earthquake (p = 0.014, p<0.0001, respectively). The Marmara Earthquake had a negative impact on the glycemic control and QOL of the subjects with type 1 diabetes for the short term but prequake scores might be achieved after a long period.

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Peptic Ulcers After the Hanshin-Awaji Earthquake: Increased Incidence of Bleeding Gastric Ulcers

Abstract: The Hanshin-Awaji earthquake-induced life event stress not only triggered but also exacerbated GU, particularly in the elderly.

Cited by 81 publications

References 22 publications

Hemorrhagic Ulcers after Great East Japan Earthquake and Tsunami: Features of Post-Disaster Hemorrhagic Ulcers

Hemorrhagic Ulcers after Great East Japan Earthquake and Tsunami: Features of Post-Disaster Hemorrhagic Ulcers

Factors contributing to the development of gastric cancer due to Helicobacter pylori infection

Lessons Learnt from Influences of the Marmara Earthquake on Glycemic Control and Quality of Life in People with Type 1 Diabetes

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