The Natural History of Peptic Ulcer—Views in the 1980s

Myren, J

doi:10.3109/00365528309181831

Cited by 15 publications

(2 citation statements)

References 32 publications

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“…There has been a growing recognition, however, that 50–90% of the patients who consult physicians for symptoms suggestive of peptic ulcer disease do not have an ulcer (Krag, 1982; Myren, 1983), and a prospective study suggests that only 3% of them will develop an ulcer within 6 years of initial assessment (Gregory, Davies, Evans, & Rhodes, 1972). It is now believed that non-ulcer dyspepsia represents a distinct clinical syndrome, separate from peptic ulcer disease and similar to the irritable bowel syndrome.…”

Section: Peptic Ulcer and Functional Dyspepsiamentioning

confidence: 99%

Behavioral medicine approaches to gastrointestinal disorders.

Whitehead

1992

Journal of Consulting and Clinical Psychology

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Behavioral research in gastroenterology has grown exponentially over the last decade. Controlled studies demonstrate that psychotherapy, stress management, and hypnosis are effective for irritable bowel syndrome; and behavioral treatments are preferred over medical management for some types of fecal incontinence and vomiting. For peptic ulcer disease, interest in behavioral treatments has declined. However, a new syndrome, functional dyspepsia, is now recognized, in which ulcerlike symptoms occur without ulcer and frequently in association with psychological symptoms. For inflammatory bowel disease, stress management training has produced inconsistent outcomes. Newly recognized disorders for which behavioral treatments are needed include constipation associated with inability to relax the pelvic floor muscles during defecation, functional rectal pain (proctalgia), noncardiac chest pain, and aerophagia (excessive air swallowing).

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Section: Peptic Ulcer and Functional Dyspepsiamentioning

confidence: 99%

Behavioral medicine approaches to gastrointestinal disorders.

Whitehead

1992

Journal of Consulting and Clinical Psychology

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“…To exclude peptic ulcer, gastric cancer and reflux esophagitis, an upper gastrointestinal endoscopy has to be performed before NUD is diagnosed. Moreover, since peptic ulcer disease shows a cyclic course [Myren, 1983], Helicobacter pylori (HP), the main cause of peptic ulcer disease [Marshall and Warren, 1984], has to be excluded either by biopsies taken during the endoscopy or by serology, at least if the endoscopy is performed in an asymptomatic phase. Furthermore, since HP is also an important factor in gastric carcinogenesis [Parsonnet et al 1991], it is wise to test the patients for this infection, particularly if an upper gastrointestinal endoscopy is not performed.…”

Section: Introductionmentioning

confidence: 99%