The risk of gastric cancer in patients with duodenal and gastric ulcer: Research progresses and clinical implications

被引:7
作者
Zhang Z. [1 ]
机构
[1] Norfolk and Norwich University Hospital, University of East Anglia, Norwich NR4 7UY, Colney Lane
关键词
Complications; Duodenal ulcer; Gastric cancer; Gastric ulcer; H; pylori; NSAIDs;
D O I
10.1007/s12029-008-9015-1
中图分类号
学科分类号
摘要
Introduction: Although controversial, clinicians generally consider patients who present with gastric ulcer to have an increased risk of gastric cancer, while the risk for patients with duodenal ulcer is reduced in comparison with that of the general population. Infection with Helicobacter pylori and the use of non-steroidal anti-inflammatory drugs (NSAIDs) are the major causes for peptic ulcers, but their roles in relation to the risk of gastric cancer in patients with peptic ulcer may be different. Methods and Results: This article reviewed existing literature to assess our understanding of the risk of gastric cancer in patients with gastric and duodenal ulcers more than 25 years after the discovery of H. pylori and also examined whether gastric ulcers induced by NSAID carry a lower risk of gastric cancer as compared to those induced by H. pylori infection or other causes. © 2008 Humana Press Inc.
引用
收藏
页码:38 / 45
页数:7
相关论文
共 87 条
[1]  
Marshall B.J., Warren J.R., Unidentified curved bacilli in the stomach of patients with gastritis and peptic ulceration, Lancet, 1, pp. 1311-5, (1984)
[2]  
Konturek S.J., Konturek P.C., Brzozowski T., Et al., From nerves and hormones to bacteria in the stomach
[3]  
Nobel prize for achievements in gastrology during last century, J Physiol Pharmacol, 56, pp. 507-30, (2005)
[4]  
Egan B.J., O'Morain C.A., A historical perspective of Helicobacter gastroduodenitis and its complications, Best Pract Res Clin Gastroenterol, 21, pp. 335-46, (2007)
[5]  
Ernst P.B., Gold B.D., The disease spectrum of Helicobacter pylori: The immunopathogenesis of gastroduodenal ulcer and gastric cancer, Annu Rev Microbiol, 54, pp. 615-40, (2000)
[6]  
Zhang Z.W., Reynolds J.V., The risk of gastric cancer in patients with gastric and duodenal ulcer, CML Gastroenterology, 24, pp. 45-9, (2005)
[7]  
Hansson L.E., Risk of stomach cancer in patients with peptic ulcer disease, World J Surg, 24, pp. 315-20, (2000)
[8]  
Hansson L.E., Nyren O., Hsing A.W., Et al., The risk of stomach cancer in patients with gastric or duodenal ulcer disease, N Engl J Med, 335, pp. 242-9, (1996)
[9]  
Lewis J.H., Woods III M., Gastric carcinoma in patients with unoperated duodenal ulcer disease, Am J Gastroenterol, 77, pp. 368-73, (1982)
[10]  
Norfleet R.G., Johnson S.E., Strange bedfellows: Duodenal ulcer and cancer of the stomach, J Clin Gastroenterol, 11, pp. 382-5, (1989)