Accommodation in a refugee shelter as a risk factor for peptic ulcer bleeding after the Great East Japan Earthquake: a case–control study of 329 patients

Kanno, Takeshi; Iijima, Kastunori; Koike, Tomoyuki; Abe, Yasuhiko; Shimada, Naoyuki; Hoshi, Tatsuya; Sano, Nobuyuki; Ohyauchi, Motoki; Ito, Hirotaka; Atsumi, Tomoaki; Konishi, Hidetomo; Asonuma, Sho; Shimosegawa, Tooru

doi:10.1007/s00535-014-0940-4

Cited by 16 publications

(13 citation statements)

References 35 publications

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“…The number of reported cases of heart disease and brain infarction have increased in the devastated area [ 26 ]. Anxiety and tension have led to peptic ulcer diseases [ 27 ]. Lack of motivation has led to a lack of exercise.…”

Section: Discussionmentioning

confidence: 99%

Change in and Long-Term Investigation of Neuro-Otologic Disorders in Disaster-Stricken Fukushima Prefecture: Retrospective Cohort Study before and after the Great East Japan Earthquake

et al. 2015

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On March 11, 2011, Japan’s northeast Pacific coast was hit by a gigantic earthquake and subsequent tsunami. Soma City in Fukushima Prefecture is situated approximately 44 km north of Fukushima Daiichi Nuclear Power Plant. Soma General Hospital is the only hospital in Soma City that provides full-time otolaryngological medical care. We investigated the changes in new patients from one year before to three years after the disaster. We investigated 18,167 new patients treated at our department during the four years from April 1, 2010 to March 31, 2014. Of the new patients, we categorized the diagnoses into Meniere’s disease, acute low-tone sensorineural hearing loss, vertigo, sudden deafness, tinnitus, and facial palsy as neuro-otologic symptoms. We also investigated the changes in the numbers of patients whom we examined at that time concerning other otolaryngological disorders, including epistaxis, infectious diseases of the laryngopharynx, and allergic rhinitis. The total number of new patients did not change remarkably on a year-to-year basis. Conversely, cases of vertigo, Meniere’s disease, and acute low-tone sensorineural hearing loss increased in number immediately after the disaster, reaching a plateau in the second year and slightly decreasing in the third year. Specifically, 4.8% of patients suffering from these neuro-otologic diseases had complications from depression and other mental diseases. With regard to new patients in our department, there was no apparent increase in the number of patients suffering from diseases other than neuro-otologic diseases, including epistaxis, and allergic rhinitis. Patients suffering from vertigo and/or dizziness increased during the first few years after the disaster. These results are attributed to the continuing stress and tension of the inhabitants. This investigation of those living in the disaster area highlights the need for long-term support.

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Section: Discussionmentioning

confidence: 99%

Change in and Long-Term Investigation of Neuro-Otologic Disorders in Disaster-Stricken Fukushima Prefecture: Retrospective Cohort Study before and after the Great East Japan Earthquake

et al. 2015

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“…Eight articles describing the development of gastrointestinal diseases were identified, of which 6 described peptic ulcers that developed after the GEJE. [82][83][84][85][86][87][88][89] The number of patients with peptic ulcers increased in 2011 compared with 2010. [82][83][84] The proportion of non-Helicobacter pylori and non-NSAID (nonsteroidal anti-inflammatory drug) peptic ulcers was increased significantly after the GEJE.…”

Section: Gastrointestinal Diseasementioning

confidence: 99%

“…82,84,86 According to some studies, living in evacuation centers and taking antithrombotic drugs were the 2 major factors underlying hemorrhagic ulcers after the disaster. 86,87 Evacuation center residents experienced various gastrointestinal symptoms such as weight loss, constipation, appetite loss, and nausea. 88 Food and water security was a major difficulty in the acute phase of the disaster.…”

Section: Gastrointestinal Diseasementioning

confidence: 99%

Noncommunicable Diseases After the Great East Japan Earthquake: Systematic Review, 2011–2016

Murakami

Sasaki

Pascapurnama

et al. 2017

Disaster med. public health prep.

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“…In that study, peptic ulcers and hemorrhagic ulcers increased 1.5- and 2.2-fold, respectively, compared with the rates reported one year earlier. However, the opinion of the Kanno study differed from that of the Aoyama study ( 1 ) on the Great Hanshin-Awaji Earthquake as follows: given that the frequency of H. pylori -negative non-NSAID-induced ulcers increased significantly from 13% at one year previous to 24%, mental stress (particularly daily life in refugee shelter ( 13 ) may be an independent causal factor for peptic ulcers during large disasters.…”

Section: Discussionmentioning

confidence: 94%

“…Kanno et al ( 10 , 12 , 13 ) conducted a survey to characterize cases of peptic ulcers found at seven facilities in Miyagi Prefecture during the three-month period just following the quake. In that study, peptic ulcers and hemorrhagic ulcers increased 1.5- and 2.2-fold, respectively, compared with the rates reported one year earlier.…”

Section: Discussionmentioning

confidence: 99%

Peptic Ulcers in Fukushima Prefecture Related to the Great East Japan Earthquake, Tsunami and Nuclear Accident

et al. 2018

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Objective Due to the Great East Japan Earthquake, which occurred in March 2011, many residents of Fukushima Prefecture were affected by a radiation accident in addition to suffering loss or damage from the earthquake and the subsequent tsunami. The aim of this study was to evaluate the actual condition of patients with peptic ulcers related to the disaster. Methods Patients with peptic ulcers at six hospitals in three different regions of Fukushima Prefecture during the two months following the disaster and the corresponding period of the year before and the year after the disaster were enrolled in this study. Changes by period and region in the number of esophagogastroduodenoscopy (EGD) examinations and the number of peptic ulcer patients were evaluated as the primary endpoints. Changes in the frequencies of hemorrhagic ulcers were evaluated by period and by region as secondary endpoints. Results The numbers of EGDs and peptic ulcer cases compared to the previous year decreased in 2011 and then increased in 2012. However, the ratio of hemorrhagic ulcers to peptic ulcers was higher in 2011 (51.9%) than in 2010 (38.1%) and 2012 (31.1%), and the 2011 hemorrhagic ulcer ratio was the highest at 63.6% in the coastal area. Regarding bleeding cases during 2011, the rate at 1 month after the disaster (64.1%) was higher than the rate at 2 months after the disaster (40.5%) (p=0.033). Conclusion The number of patients with peptic ulcers did not increase immediately following the disaster in Fukushima Prefecture. However, the rate of bleeding patients increased soon after the disaster, especially in the coastal area.

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Accommodation in a refugee shelter as a risk factor for peptic ulcer bleeding after the Great East Japan Earthquake: a case–control study of 329 patients

Cited by 16 publications

References 35 publications

Change in and Long-Term Investigation of Neuro-Otologic Disorders in Disaster-Stricken Fukushima Prefecture: Retrospective Cohort Study before and after the Great East Japan Earthquake

Change in and Long-Term Investigation of Neuro-Otologic Disorders in Disaster-Stricken Fukushima Prefecture: Retrospective Cohort Study before and after the Great East Japan Earthquake

Noncommunicable Diseases After the Great East Japan Earthquake: Systematic Review, 2011–2016

Peptic Ulcers in Fukushima Prefecture Related to the Great East Japan Earthquake, Tsunami and Nuclear Accident

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