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An ulcer is the result of an imbalance between aggressive and
defensive factors. The pathology of ulcer is complex and may
involve overproduction of acid or pepsin, inadequate mucosal
defence, reflux of bile and pancreatic juice into stomach. Peptic
ulcer is a classical example of the biopsychosocial model of
disease and like most diseases, it has a multifactorial origin.
Furthermore, peptic ulcer disease (PUD) is one of the common
disorders affecting the digestive system. The lifetime risk of
ulcer is 5-10% in developed countries. This book examines the
psychosocial risk factors for developing peptic ulcers. It is shown
that PUD occurs more frequently among individuals with anxiety and
depressive disorders. The use of a fibrinogen- and thrombin-coated
collagen patch for a perforated peptic ulcer is researched as a
method to reduce morbidity and mortality rates. Through the
application of such a device, previously used in hepatic surgery, a
new and simple modification to the standard technique may improve
the seal of the traditional repair, has no complications and makes
the overall operation faster. In addition to peptic ulcers, the
aetiology, diagnosis and treatment of gastric and skin ulcers are
explored in this book, including the four most common etiologies
that account for the large majority of skin ulcers in the elderly,
the prevention and treatment of pressure ulcers and the results of
research done on opical opioid therapy in treating pain from
ulcers.
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