RESUMO
We performed upper gastrointestinal endoscopy in 60 rural Haitian patients who complained of chronic upper abdominal pain. Twenty-five of 37 men (68%) and 5 of 23 women (22%) had abnormal findings. In men the predominant abnormalities were severe duodenal ulcer, duodenitis, and pyloroduodenal obstruction; duodenal ulcer or duodenitis appeared to precede obstructive disease by about 20 years. In women the abnormal findings invariably were milder than in men and consisted of duodenal ulcer, duodenitis, and gastritis. These observations as well as the observations of others indicate that peptic ulcer disease is common in developing countries, particularly among men. We hypothesize that this familiar abnormality reported from unfamiliar places represents the ordinary spectrum of peptic ulcer disease, but that inadequate treatment of recurrent episodes over time leads to obstruction. Physicians need to learn more about the epidemiology of peptic disease in developing countries and to devise better methods of effective treatment to prevent the late complication of gastric outlet obstruction.
Assuntos
Países em Desenvolvimento , Úlcera Duodenal/epidemiologia , Abdome , Adolescente , Adulto , Idoso , Úlcera Duodenal/complicações , Duodenite/complicações , Endoscopia , Feminino , Gastrite/complicações , Haiti , Humanos , Masculino , Pessoa de Meia-Idade , Dor/etiologia , População RuralAssuntos
Malária/prevenção & controle , Viagem , América Central , Países em Desenvolvimento , Feminino , Humanos , Masculino , Risco , Estados UnidosRESUMO
I. In a study of 100 duodenal ulcer patients in rural Haiti, pyloric obstruction was present initially in nine per cent, but later developed in an additional 20 per cent. This high incidence of obstruction is similar to that observed in other tropicla populations in Africa and India. II. Standardized tests for basal and stimulated acid secretion in a small group of duodenal ulcer patients in rural Haiti were not elevated. The implication of the study is that either the test must be modified for different populations or the role of acid secretion in the pathogenesis of the disease questioned.