PMID- 24834225 OWN - NLM STAT- PubMed-not-MEDLINE DCOM- 20140516 LR - 20220316 IS - 2008-2258 (Print) IS - 2008-4234 (Electronic) IS - 2008-2258 (Linking) VI - 5 IP - 4 DP - 2012 Fall TI - Non-Helicobacter pylori, non-NSAIDs peptic ulcers: a descriptive study on patients referred to Taleghani hospital with upper gastrointestinal bleeding. PG - 190-6 AB - AIM: The purpose of the present study was to evaluate the number and proportion of various causes of upper gastrointestinal bleeding and actual numbers of non-NSAID, non-Helicobacter pylori (H.pylori) peptic ulcers seen in endoscopy of these patients. BACKGROUND: The number and the proportion of patients with non- H.pylori, non-NSAIDs peptic ulcer disease leading to upper gastrointestinal bleeding is believed to be increasing after eradication therapy for H.pylori. PATIENTS AND METHODS: Medical records of patients referred to the emergency room of Taleghani hospital from 2010 with a clinical diagnosis of upper gastrointestinal bleeding (hematemesis, coffee ground vomiting and melena) were included in this study. Patients with hematochezia with evidence of a source of bleeding from upper gastrointestinal tract in endoscopy were also included in this study. RESULTS: In this study, peptic ulcer disease (all kinds of ulcers) was seen in 61 patients which were about 44.85% of abnormalities seen on endoscopy of patients. Among these 61 ulcers, 44 were duodenal ulcer, 22 gastric ulcer (5 patients had the both duodenal and gastric ulcers). Multiple biopsies were taken and be sent to laboratory for Rapid Urease Test and pathological examination. About 65.53% of patients had ulcers associated with H.pylori, 9.83% had peptic ulcer disease associated with NSAIDs and 11.47% of patients had ulcers associated with both H.pylori and consumption of NSAIDs. 13.11% of patients had non-NSAIDs non- H.pylori peptic ulcer disease. CONCLUSION: The results of this study supports the results of other studies that suggest the incidence of H.pylori infection related with duodenal ulcer is common, and that non-H pylori and non-NSAIDs duodenal ulcer is also common. FAU - Rajabalinia, Hasan AU - Rajabalinia H AD - Taleghani Hospital, Internal Medicine Department, Shahid Beheshti University of Medical Sciences, Tehran, Iran. FAU - Ghobakhlou, Mehdi AU - Ghobakhlou M AD - Taleghani Hospital, Internal Medicine Department, Shahid Beheshti University of Medical Sciences, Tehran, Iran. FAU - Nikpour, Shahriar AU - Nikpour S AD - Loghman Hakim Hospital, Internal Medicine Department, Shahid Beheshti University of Medical Sciences, Tehran, Iran. FAU - Dabiri, Reza AU - Dabiri R AD - Taleghani Hospital, Internal Medicine Department, Shahid Beheshti University of Medical Sciences, Tehran, Iran. FAU - Bahriny, Rasoul AU - Bahriny R AD - Taleghani Hospital, Internal Medicine Department, Shahid Beheshti University of Medical Sciences, Tehran, Iran. FAU - Sherafat, Somayeh Jahani AU - Sherafat SJ AD - Taleghani Hospital, Internal Medicine Department, Shahid Beheshti University of Medical Sciences, Tehran, Iran. FAU - Moghaddam, Pardis Ketabi AU - Moghaddam PK AD - Taleghani Hospital, Internal Medicine Department, Shahid Beheshti University of Medical Sciences, Tehran, Iran. FAU - Alizadeh, Amirhoushang Mohammad AU - Alizadeh AM AD - Taleghani Hospital, Internal Medicine Department, Shahid Beheshti University of Medical Sciences, Tehran, Iran. LA - eng PT - Journal Article PL - Iran TA - Gastroenterol Hepatol Bed Bench JT - Gastroenterology and hepatology from bed to bench JID - 101525875 PMC - PMC4017462 OTO - NOTNLM OT - H.pylori OT - Nonsteroidal antiflammatory drugs (NSAIDs) OT - Peptic ulcer OT - Upper gastrointestinal bleeding EDAT- 2012/10/01 00:00 MHDA- 2012/10/01 00:01 PMCR- 2012/09/01 CRDT- 2014/05/17 06:00 PHST- 2012/06/16 00:00 [received] PHST- 2012/08/06 00:00 [accepted] PHST- 2014/05/17 06:00 [entrez] PHST- 2012/10/01 00:00 [pubmed] PHST- 2012/10/01 00:01 [medline] PHST- 2012/09/01 00:00 [pmc-release] AID - GHFBB-5-190 [pii] PST - ppublish SO - Gastroenterol Hepatol Bed Bench. 2012 Fall;5(4):190-6.