한국인의 소화성 궤양에 대한 임상적 고찰 = The Clinical Observation of the Peptic Ulcer in Koreans

다국어 초록 (Multilingual Abstract)

N/A

다국어 초록 (Multilingual Abstract)

Objectives: Although the peptic ulcer is a benign disease, it has relatively high incidence and recurrence rate in Koreans. It is important to understanding the current characteristics of peptic ulcer disease because that helps us to diagnose and treat and expect the exact prognosis of peptic ulcer disease. Methods: The clinical observation of the peptic ulcer was done retrospectively using medical records and protocl in 893 peptic ulcer patients who were diagnosed with gastroduodenoscopy at eight medical school hospitals in Korea during recent 10 years, Results: In 893 peptic ulcer patients, gastric ulcers were 499(55.9%) cases, duodenal ulcers were 319(35.7%) cases, and combined gastric and duodenal ulcers were 75(8.5%) cases. The incidence of duodenal ulcer was higher before forties and lower after forties than that of gastric ulcer. Among the peptic ulcer patients, males were 645/893 cases(72.2%) and females were 248/893 cases(29.8%) and the ratio of males and females was 2.6:1. The seasonal incidence of peptic ulcer was not remarkable except slightly lower in the fall. There was no special difference in the incidence of peptic ulcer between the alcoholics and nonalcolics. Regard in blood types, peptic ulcer was more common in the blood type O group than others. The location of gastric ulcer showed as 54.7% in body, 25.6% in angle, 19.7% in antrum. The location of duodenal ulcer showed as 57.5% in the anterior wall of bulb, 28.0% in lesser curvature, 11.4% in posterior wall and 3.0% in greater curvature. The single ulcer was noted 68.6% in gastric ulcer, 80.2% in duodenal ulcer. The complication rate was 38.2% in peptic ulcer and the bleeding was the most common with 73.6% of total complications(gastric ulcer 54.5%, duodenal ulcer 46.7%) followed by perforation(19.6%) and pyloric obstruction(6.4%). The recurrence rate of peptic ulcer was 51.6%(54.5% in gastric ulcer, 46.7% in duodenal ulcer). Conclusion: We analized the peptic ulcer disease in 893 patients using medical records and protocol. We report the characteristics of current peptic ulcer disease in koreans.