[Role of stress in the etiopathogenesis of duodenal ulcer in young patients].
The analysis of the acid-forming function of the stomach, both basal and stimulated with insulin, atropine test, tests for the content of the adrenocorticotropic hormone, somatotropic hormone, thyrotropic hormone, triiodothyronine, thyroxin, cortisol in the blood and the content of gastrin in the blood and gastric juice, activity of the processes of lipid peroxidation, content of ceruloplasmin in the blood, content of Helicobacter pylori (Hp) in the gastric mucosa were conducted in 68 men and 64 women at the age from 18 to 40 years suffering from gastroduodenal ulcer in order to examine the role of stress in ulcer formation. 38 patients with duodenal ulcer took proton pump blockers and antioxidants for 3 years whenever they were in a stress situation. The research revealed that young patients with duodenal ulcer show enhanced sensitivity of parietal cells and sympathoadrenal system to stressful situations, and stimulation of the acid-forming stomach function takes place under the effect of both catecholamines and gastrin. Men can have both Hp-dependent and Hp-independent duodenal ulcers, while women have mostly Hp-dependent duodenal ulcers. Prescription of proton pump blockers of and antioxidants for patients with duodenal ulcer, who are in a stressful situation, reduces the frequency of duodenal ulcer recurrences.
Lazebnik
L B
LB
Central Scientific Research Institute of Gastroenterology, Moscow.
Arbuzova
V G
VG
Sokolova
G N
GN
Astaf'eva
O V
OV
Petrakov
A V
AV
Nilova
T V
TV
Chikunova
B Z
BZ
D000293:Adolescent; D000328:Adult; D016022:Case-Control Studies; D004381:Duodenal Ulcer / Q000097:blood / Q000209:etiology* / Q000382:microbiology; D005260:Female; D016480:Helicobacter pylori / Q000302:isolation & purification; D006728:Hormones / Q000097:blood; D006801:Humans; D015227:Lipid Peroxidation; D008297:Male; D013315:Stress, Psychological / Q000097:blood / Q000150:complications*
D006728:Hormones