Key result
Severe psychological stress induced hemorrhagic gastric ulcers in two patients despite successful prior Helicobacter pylori eradication.
Case Report (n=2)
Psychological stress remains an important pathogenic factor for peptic ulceration even in patients with successfully eradicated Helicobacter pylori.
May prompt stress evaluation in post-eradication ulcers; leaves open generalizability and requires prospective confirmation.
INTRODUCTION: Helicobacter pylori infection is a major cause of gastric ulcers, and Helicobacter pylori eradication drastically reduces ulcer recurrence. It has been reported, however, that severe physical stress is closely associated with gastric ulceration even in Helicobacter pylori -negative patients. CASE PRESENTATION: We report the cases of a 47-year-old Japanese man and a 69-year-old Japanese man who developed psychological stress-induced hemorrhagic gastric ulcers, in both of whom Helicobacter pylori had been successfully eradicated. CONCLUSION: Our cases strongly suggest that not only physical but also psychological stress is still an important pathogenic factor for peptic ulceration and accordingly that physicians should pay attention to the possible presence of psychological stress in the management of patients with peptic ulcers.
No takes yet. Share an insight, caveat, or question.
Moriya et al. (2011) conducted a case report in Hemorrhagic gastric ulcer (n=2). Psychological stress was evaluated on Development of hemorrhagic gastric ulcer. Severe psychological stress induced hemorrhagic gastric ulcers in two patients despite successful prior Helicobacter pylori eradication.
Synapse has enriched 4 closely related papers on similar clinical questions. Consider them for comparative context: