Factores Medioambientales implicados en la patogenia de las Ulceras Pepticas

Environmental factors in pathogenesis of peptic ulcer disease (PUD)

Infection

Helicobacter pylori

Drugs

NSAIDs

Smoking

Prevalence of PUD

Healing of duodenal ulcer (DU) and gastric ulcer (GU)

Death rates from PUD

Alcohol and caffeine-containing beverages

Acid secretion


Recent studies from Israel and the United States have identified a number of predictors of duodenal ulcer disease in men. These are psychosocial and biological. The important psychosocial factors include anxiety - stress, brooding (i.e., difficulty coping and difficulty expressing emotions) and inadequate caring, particularly lack of family support. Biological factors include age, lower blood pressure, use of cigarettes and leanness