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Despi te a slow decrease in the incidence of peptic ulcer in the
Western world during the past decade, general practitioners,
physicians, gastroenterologists, and surgeons deal with patients
suffering from peptic ulcer and its complications almost daily. It
has been estimated that some 10% of the population in the Western
world becomes af flicted by peptic ulcer at least once and many of
them have chronic relapsing disease. This lays a heavy burden on
the amount of money which is spent in general health care. In
recent years our understanding of peptic ulcer disease has in
creased tremendously, but considerable gaps in our knowledge
remain. Originally the increase in our knowledge has been
stimulated by the development of fibre-optic endoscopy in the
sixties, and later by the development of new surgical techniques
and drugs in the seventies. New insights into the pathophysiology
of the disease resulted from these developments and revived the
scientific interest in peptic ulcer disease. However, the field
remains complicated and the studies are be devilled by the large
number of variables which can affect the results. In the symposium
'PEPTIC ULCER TODAY' we have attemp ted to bring together recent
knowledge on basic and clinical aspects of peptic ulcer disease."
During the past five years, evidence based medicine has become the
sine qua non of clinical practice. Thus, the rise of evidence-based
medicine has re-emphasised the need for high quality evidence that
management interventions will actually benefit our patients. The
authors have tried to explore some of these areas in the European
Association of Gastroenterology and Endoscopy Postgraduate Course
held in Birmingham, October 1997.
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