保健 - 第79期 - page 30

28
Ԑ̈Ⴌਜ
AVOIDING PITFALLS OF PEPTIC ULCER TREATMENT: INTERVIEWING CHIEF CONSULTANT
GASTRO-ENTEROLOGIST PROF GU TONGJIN OF THE SHANGHAI HUADONG HOSPITAL
According to Prof Gu Tongjin, a State-class gastro-enterologist of the Shanghai Huadong Hospital, the common gastric / duode-
nal ulcers are from acid erosion, then invasion by H pylori; eradicated by potent antibiotics. Pitfalls are: (1) Prolonged anti-ulcer
drug use: no better; as non-steroidal anti-inflammatory drug use, smoking, stress, etc., also counts; anti-ulcer drugs have ~70%
relapse rates; highest with "proton pump inhibitors" and lowest with bismuth preparations and Sulcralfate. (2) Combining Cimetidine
with Sulcralfate, Ranitidine, etc.: no better (3) Unaware that antacids prevents absorption of H2-receptor antagonists (4) Pro-
longed antibiotics use (>7-14 days: already 92% efficacy):invites side effects and resistance. Long-term bismuth affects the
brain: numbness of hands, tiredness, agitation, poor concentration and memory, etc. (5) Misbelief that no pain means healing. (6)
Diet therapy contributes little. Have regular meals; chew carefully; avoid snacks, especially before retiring; never overeat; refrain
from smoking; avoid excessive drinking, especially spirits; take less concentrated tea or coffee - all of these stimulate gastric
secretion!
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