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FACTORES DE RIESGO RELACIONADOS CON LA ULCERA PEPTICA GASTRODUODENAL Y EXPOSICION A NOCTURNIDAD
Romero Madero,Jesús;
Revista Habanera de Ciencias M??dicas , 2007,
Abstract: the risk factors related with the gastroduodenal peptic ulcer were compared in a sample of 76 workers divided in two groups: exposed and not to nigth shift work as well as among the subgrups of the first one. the study design was analytic type of traverse court with a not probabilistic sampling. the test chi-square was applied (alfa>=95%) for the significance of the differences among the groups. the exposed group to night shift work and the subgrup with rotative quick changes shift work they presented bigger incidence of the risk factors for that desease. the night shift work and specifically the workers with rotative quick chances had more appropriated conditions for happening of the gastroduodenal peptic ulcer because the frequency of appearance of the risk factors and they presuppose bigger interaction with circadian rhythm dysruptions.
PERCEPCION SUBJETIVA DE ADAPTACION AL TURNO LABORAL EN TRABAJADORES CON ULCERA PEPTICA Subjective perception of adaptation to the labor shift in workers with ulcerates peptic  [cached]
Jesús Romero Madero
Revista Habanera de Ciencias M??dicas , 2007,
Abstract: Se calculó un modelo matemático-estadístico por medio del análisis multivariado discriminante a una muestra de 76 trabajadores, para diferenciar los trabajadores expuestos y no expuestos a nocturnidad; nos basamos en la expresión de los factores de riesgo relacionados con la úlcera péptica gastroduodenal (p<0,05) y se determinó de forma comparativa entre los grupos la percepción subjetiva de adaptación al turno de trabajo . El dise o de estudio fue analítico de corte transversal. Los instrumentos aplicados para explorar los factores de riesgo fueron: Factores de individualidad, Personalidad, Escala Sintomática de Estrés, Exploración de Fatiga Laboral y Situación Laboral .Se aplicó la Escala Analógico-Visual como instrumento de evaluación de la percepción subjetiva de adaptación al turno de trabajo. La función discriminante calculada tuvo una capacidad de pronóstico de 86,8% y la percepción subjetiva de adaptación al turno de trabajo fue mala en 43,4 % de la muestra, sin diferencias significativas entre los grupos. La capacidad discriminante de este modelo puede constituir un primer paso en la estrategia de prevención de esta afección en nuestros trabajadores y alertarnos acerca del valor que pueden tener variables psicológicas como la percepción subjetiva de adaptación al turno de trabajo en la misma. A mathematical-statistical model was calculated by means of the multivariade discriminant analysis (p <0,05) to a sample of 76 workers, to differentiate the exposed workers and not to night shift work, basing us on the expression of the risk factors related with the gastroduodenal peptic ulcer and the subjetive perception of adaptation to the type of shift work was determinated in comparative form betwen groups. The study design was analytic of traverse court. The instruments applied to explore the factors of risk were: Factors of Individuality, Personality, Symptomatic Scale of Stress, Exploration of Labor Fatigue and Labor Situation. The analogical-visual Scale was applied to evaluate the subjetive perception of adaptation to shift work. The calculated discriminant function had a capacity of prognostic of 86,8% and the subjetive perception of adaptation to shift work was bad in 43,4 % of the sample without any significant differencies betwen groups. This result can constitute a first step in the strategy of prevention of this affection in our workers and keep alert about impact of psicological variables as subjetive perception of adaptation to shift work in that desease.
PERCEPCION SUBJETIVA DE ADAPTACION AL TURNO LABORAL EN TRABAJADORES CON ULCERA PEPTICA
Romero Madero,Jesús;
Revista Habanera de Ciencias M??dicas , 2007,
Abstract: a mathematical-statistical model was calculated by means of the multivariade discriminant analysis (p <0,05) to a sample of 76 workers, to differentiate the exposed workers and not to night shift work, basing us on the expression of the risk factors related with the gastroduodenal peptic ulcer and the subjetive perception of adaptation to the type of shift work was determinated in comparative form betwen groups. the study design was analytic of traverse court. the instruments applied to explore the factors of risk were: factors of individuality, personality, symptomatic scale of stress, exploration of labor fatigue and labor situation. the analogical-visual scale was applied to evaluate the subjetive perception of adaptation to shift work. the calculated discriminant function had a capacity of prognostic of 86,8% and the subjetive perception of adaptation to shift work was bad in 43,4 % of the sample without any significant differencies betwen groups. this result can constitute a first step in the strategy of prevention of this affection in our workers and keep alert about impact of psicological variables as subjetive perception of adaptation to shift work in that desease.
Perforación gastroduodenal por ulcera péptica: estudio de 99 pacientes operados
Bejerano García,Ramiro Julio;
Revista Cubana de Cirug?-a , 2007,
Abstract: a study was conducted on 99 patients operated from perforated gastroduodenal peptic ulcer at “dr ambrosio grillo portuondo” provincial teaching clinical and surgical hospital in santiago de cuba province in the period from 2000 to 2006. thirty years age group (30,3 %), males (90 %)and intermediate level schooling prevailed. perforation was a complication of ulcerous disease in most of the patients (68,7 %). more than one toxic habit was found in 72 % of patients. the most performed procedure was troncular vagotomy with piloroplasty (82,8 %). there was no postoperative complication in 77,7 % of the operated patients and the global mortality was 98%.
Perforación gastroduodenal por ulcera péptica: estudio de 99 pacientes operados Perforated gastroduodenal peptic ulcer: a study of operated patients
Ramiro Julio Bejerano García
Revista Cubana de Cirugía , 2007,
Abstract: Se realizó un estudio de los pacientes operados por úlcera péptica gastroduodenal perforada en el Hospital Provincial Docente Clinicoquirúrgico Dr. Ambrosio Grillo Portuondo (Santiago de Cuba), entre los a os 2000 y 2006. En el estudio predominaron los pacientes en la tercera década de la vida (30,3 %) y el sexo masculino (90 %). En la mayoría de los pacientes (68,7 %) la perforación fue una complicación de enfermedad ulcerosa y predominó entre ellos el nivel medio de escolaridad (67,7 %). Tenían más de un hábito tóxico 72 % de los pacientes. El procedimiento más realizado fue la vagotomía troncular con piloroplastia (82,8 %). No hubo complicaciones posoperatorias en 77,7 % de los operados y la mortalidad global fue de 98 % A study was conducted on 99 patients operated from perforated gastroduodenal peptic ulcer at “Dr Ambrosio Grillo Portuondo” provincial teaching clinical and surgical hospital in Santiago de Cuba province in the period from 2000 to 2006. Thirty years age group (30,3 %), males (90 %)and intermediate level schooling prevailed. Perforation was a complication of ulcerous disease in most of the patients (68,7 %). More than one toxic habit was found in 72 % of patients. The most performed procedure was troncular vagotomy with piloroplasty (82,8 %). There was no postoperative complication in 77,7 % of the operated patients and the global mortality was 98%.
Microbial Diversity in Patients with Gastroduodenal Diseases  [PDF]
Shorena Khetsuriani, Klara Khetsuriani
Advances in Microbiology (AiM) , 2014, DOI: 10.4236/aim.2014.42011
Abstract:

H. pylori infection is mainly spread in the kind of gastroduodenal diseases: chronic gastritis, peptic ulcer disease, MALT-lymphoma, gastric cancer. According to certain literature, the mentioned bacterium causes diseases of other visceral organs of humans. Study of the aggravating impact of this infection is under the attention of the scientists. However, other infectious agents, including fungi, other bacteria, parasites, and viruses and their role in different gastroduodenal diseases are not studied enough. The aim of our study was to identify mucous (parietal) gastroduodenal microflora in patients with different diseases of this zone. 390 patients with chronic gastritis (CG), peptic ulcer diseases (PUD) and gastric cancer (GC) were included in the study. The resection materials and biopsy specimens were taken during the operation or endoscopy procedures. Identification of strains H. pylori, Candida spp and others was performed by established methods, on the basis of morphological, tinctorial, cultural and biochemical properties. Microflora of patients with different gastroduodenal diseases is diverse enough. It is represented by facultative, obligate anaerobes, microaeropilic bacteria. More frequently, there were H. pylori and Candida sp, as well as in associations and monocultures. The obtained results confirmed the wide distribution of H. pylori and Candida

úlcera gastroduodenal: problemática de la morbilidad
Fernández Machín,Luis Manuel; González García,Verónica Marlene; Díaz Guzmán,Julio Lenin; Sarmiento Brooks,Gil; Infante Pedreira,Olga;
Revista Cubana de Medicina General Integral , 2000,
Abstract: a descriptive and retrospective study was conducted in 4 family physician?s offices from the plaza de la revolución? polyclinic to stress the main health problems affecting morbidity from peptic ulcer between january, 1996, and december, 1997. males accounted for 65,7 % of the sample under study, whereas the highest prevalence was observed in the age groups 31-40 and 51-60. 42,1 % of the patients who had pathological family history of gastroduodenal disorders developed peptic ulcer.the duodenal localization was present in 77,1 % of the cases. coffee was the most frequent of the toxic habits, followed by alcohol. among the drugs taken by the patients, aspirin represented 17,1 % of the cases. the most used schemes of treatment were cimetidine and other drugs (74,3 %), the milk diets (65,7 %) and the antiacids (62,9 %). endoscopy and radiology (40 %) associated with endoscopy were the most frequent methods used for diagnosing. likewise, high digestive bleeding was the commonest complications (28,6 %)
Nonsteroidal Anti-Inflammatory Drug-Induced Gastroduodenal Bleeding: Risk Factors and Prevention Strategies  [PDF]
Marino Venerito,Thomas Wex,Peter Malfertheiner
Pharmaceuticals , 2010, DOI: 10.3390/ph3072225
Abstract: Nonsteroidal anti-inflammatory drugs (NSAIDs) are the most widely prescribed medications in the World. A frequent complication of NSAID use is gastroduodenal bleeding. Risk factors for gastroduodenal bleeding while on NSAID therapy are age, prior peptic ulcer and co-medication with anti-platelet agents, anticoagulants, glucocorticosteroids and selective serotonin-reuptake inhibitors (SSRI). Prevention strategies for at-risk patients include the use of the lowest effective dose of NSAIDs, co-therapy with proton-pump inhibitors and/or the use of a COX-2 selective agent. Treatment of Helicobacter pylori infection is beneficial for primary prophylaxis of NSAID-induced gastroduodenal bleeding in NSAID-naive patients. For patients with cardiovascular risk factors requiring NSAIDs, naproxen should be selected. In very high risk patients for both gastrointestinal and cardiovascular complications NSAID therapy should be avoided altogether.
úlcera gastroduodenal: problemática de la morbilidad
Luis Manuel Fernández Machín,Verónica Marlene González García,Julio Lenin Díaz Guzmán,Gil Sarmiento Brooks
Revista Cubana de Medicina General Integral , 2000,
Abstract: Se realizó un estudio descriptivo, restrospectivo en 4 consultorios atendidos por Médicos de la Familia, pertenecientes al Policlínico "Plaza de la Revolución" para se alar los principales problemas de salud que afectan la morbilidad por úlcera gastroduodenal, en el período comprendido desde enero de 1996 hasta diciembre de 1997. El sexo masculino representó el 65,7 % de la muestra en estudio y los grupos de edades de mayor prevalencia fueron de 31 a 40 a os y de 51 a 60. El 42,1 % de los pacientes que refirieron antecedentes patológicos familiares de afecciones gastroduodenales desarrollaron úlcera gastroduodenal. La localización duodenal se presentó en un 77,1 % de los casos. El café fue el más frecuente de los hábitos tóxicos, siguiéndole el alcohol; entre los medicamentos ingeridos, la aspirina representó el 17,1 % de los casos. Los esquemas de tratamiento más empleados fueron la cimetidina y otros medicamentos (74,3 %), los regímenes lácteos (65,7 %) y los antiácidos (62,9 %). La endoscopia y la radiología (40 %) asociada a la endoscopia fueron los métodos más frecuentes para el diagnóstico. Asimismo, el sangramiento digestivo alto fue la complicación más observada (28,6 %) A descriptive and retrospective study was conducted in 4 family physician?s offices from the Plaza de la Revolución? Polyclinic to stress the main health problems affecting morbidity from peptic ulcer between January, 1996, and December, 1997. Males accounted for 65,7 % of the sample under study, whereas the highest prevalence was observed in the age groups 31-40 and 51-60. 42,1 % of the patients who had pathological family history of gastroduodenal disorders developed peptic ulcer.The duodenal localization was present in 77,1 % of the cases. Coffee was the most frequent of the toxic habits, followed by alcohol. Among the drugs taken by the patients, aspirin represented 17,1 % of the cases. The most used schemes of treatment were cimetidine and other drugs (74,3 %), the milk diets (65,7 %) and the antiacids (62,9 %). Endoscopy and radiology (40 %) associated with endoscopy were the most frequent methods used for diagnosing. Likewise, high digestive bleeding was the commonest complications (28,6 %)
Role of transcatheter arterial embolization for massive bleeding from gastroduodenal ulcers  [cached]
Romaric Loffroy, Boris Guiu
World Journal of Gastroenterology , 2009,
Abstract: Intractable bleeding from gastric and duodenal ulcers is associated with significant morbidity and mortality. Aggressive treatment with early endoscopic hemostasis is essential for a favourable outcome. In as many as 12%-17% of patients, endoscopy is either not available or unsuccessful. Endovascular therapy with selective catheterization of the culprit vessel and injection of embolic material has emerged as an alternative to emergent operative intervention in high-risk patients. There has not been a systematic literature review to assess the role for embolotherapy in the treatment of acute upper gastrointestinal bleeding from gastroduodenal ulcers after failed endoscopic hemostasis. Here, we present an overview of indications, techniques, and clinical outcomes after endovascular embolization of acute peptic-ulcer bleeding. Topics of particular relevance to technical and clinical success are also discussed. Our review shows that transcatheter arterial embolization is a safe alternative to surgery for massive gastroduodenal bleeding that is refractory to endoscopic treatment, can be performed with high technical and clinical success rates, and should be considered the salvage treatment of choice in patients at high surgical risk.
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