Seroprevalence of Helicobacter pylori in Patients With Surgical Peptic Ulcer

Lee, Wei-Jei; Wu, Ming-Sen; Chen, Chiung-Nien; Yuan, Ray-Huang; Lin, Jaw‐Town; Chang, King‐Jen

doi:10.1001/archsurg.1997.01430280104017

Cited by 11 publications

(9 citation statements)

References 15 publications

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“…For instance, Lee et al [10] demonstrated that the H. pylori seropositivity of patients having complications of their peptic ulcer was similar to that for patients not having complications.…”

Section: Emergency Surgery For Peptic Ulcer Diseasementioning

confidence: 99%

Current Status of Indications for Surgery in Peptic Ulcer Disease

Jamieson

2000

World j. surg.

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Abstract. The eradication of Helicobacter pylori in patients with peptic ulcer disease has greatly diminished the need for antiulcer surgery. However, in societies where such drug therapy is considered too expensive and because occasional patients remain refractory to optimal medical therapy, elective surgery for duodenal ulcer disease is still carried out. If the required expertise is available, it can be undertaken laparoscopically. The advent of endoscopic therapies such as heater probe therapy and injection sclerotherapy has also greatly diminished the need for emergency surgery in bleeding peptic ulcer disease. Once again, however, when such therapy fails surgery is still indicated. Even with perforated peptic ulcer disease the role of surgery has receded somewhat, but here not because of changes in drug therapy. Nonoperative management of perforation is indicated in fit patients if the diagnosis is in doubt, in any patient when surgical facilities are unavailable (e.g., remote geographic areas, on board ship), or when a patient is extremely ill either because of comorbidity or late presentation of the disease. Operation should be considered in all patients when the perforation is established to be unsealed, particularly after a trial of conservative management, and in all patients who are otherwise fit.

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Section: Emergency Surgery For Peptic Ulcer Diseasementioning

confidence: 99%

Current Status of Indications for Surgery in Peptic Ulcer Disease

Jamieson

2000

World j. surg.

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“…We excluded 540 articles due to the following reasons: editorial ( n = 3), meta‐analysis ( n = 6), review article ( n = 22), title and abstract showed not relevant ( n = 224), duplicate ( n = 153), outlying islands of Taiwan (n = 9), in gastric cancer group ( n = 7), in group with specific diseases ( n = 36), no data of H. pylori prevalence ( n = 67), in specific age group ( n = 4), or children and adolescents ( n = 9). Subsequently, we added the unpublished data of the present study and excluded 13 ineligible articles after review of full texts and one article which there was no full‐text available for identification, and the remaining 29 clinical articles were eligible 17–44 . The information of each study including data collecting period, participants, setting, study site, mean or range of age, numbers of H. pylori positivity, numbers of study participants was shown in Table .…”

Section: Resultsmentioning

confidence: 99%

“…This study was conducted in the main island of Taiwan which was divided into four regions: Northern, Central, Southern, and Eastern regions. 13 In these 19…”

Section: The Regions Of Main Island In Taiwanmentioning

confidence: 99%

Declining trends of prevalence ofHelicobacter pyloriinfection and incidence of gastric cancer in Taiwan: An updated cross‐sectional survey and meta‐analysis

et al. 2022

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Background We aimed to assess the latest prevalence and secular trend of Helicobacter pylori infection and its association with the incidence and mortality of gastric cancer in Taiwan. Materials and Methods Adults naive to H. pylori eradication received 13C‐urea breath test (13C‐UBT), H. pylori stool antigen test, and serology test during 2019–2020 in this prospective screening program. Children and adolescent aged between 7 and 19 years received 13C‐UBT for H. pylori screening. We also conducted a systematic review and meta‐analysis to assess the secular trend of prevalence of H. pylori from 1990 to 2020 in Taiwan. The secular trends of age‐standardized incidence and mortality of gastric cancer were obtained from the Taiwan Cancer Registry. Results A total of 1494 participants were enrolled, including 294 children or adolescents and 1200 adults. The overall prevalence of active H. pylori infection by 13C‐UBT was 26.6% (397/1494), which was 30.8% in adults and 9.5% in adolescents/children. The age‐standardized prevalence of active H. pylori infection was 32.3% in adults after adjustment of the population structure in Taiwan. Of the 29 studies including 38,597 subjects eligible for the meta‐analysis, the pooled prevalence of H. pylori infection decreased from 63.8% (95% CI: 55.9%–71%) in 1990–2000 to 28.2% (95% CI:21.8%–35.6%) in 2016–2020. The age‐standardized incidence and mortality of gastric cancer have also declined from 15.2 to 10.75 per 100,000, respectively, in 1999 to 9.29 and 5.4 per 100,000, respectively, in 2019. Conclusions The prevalence of H. pylori infection has declined in Taiwan, which correlates with the declining trends of age‐standardized incidence and mortality of gastric cancer in Taiwan.

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“…The true incidence of surgical emergencies is unclear at this time. The Asian literature suggests that although the incidence of operation for overall management of ulcer disease may be decreasing, the incidence of emergent operation for ulcer-related problems actually is increasing [3,4]. The literature in the US population is variably reported as to the increase [5] or decrease in need for emergent operation [6,7].…”

Section: The Problemsmentioning

confidence: 99%

Surgical management of complicated ulcer disease

Martin

Bang²

2007

Curr Treat Options Gastro

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The advent of excellent acid-suppressing medications and the not-so-recent realization of the importance of Helicobacter pylori have markedly altered the physician's management of ulcer-related problems. Although the investigation of acid-peptic disorders helped to launch the modern understanding of abdominal surgery, the majority of operative interventions are now aimed at managing emergent problems that arise from ulcers. There are a waning number of surgeons with extensive experience in the operations that will be described in this report. The global management of patients who suffer from ulcer-related problems will require close cooperation among and between specialties, as well as clear understanding of our respective capabilities and limitations.

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Seroprevalence of Helicobacter pylori in Patients With Surgical Peptic Ulcer

Cited by 11 publications

References 15 publications

Current Status of Indications for Surgery in Peptic Ulcer Disease

Current Status of Indications for Surgery in Peptic Ulcer Disease

Declining trends of prevalence ofHelicobacter pyloriinfection and incidence of gastric cancer in Taiwan: An updated cross‐sectional survey and meta‐analysis

Surgical management of complicated ulcer disease

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