Cimetidine and perforated peptic ulcer
Cimetidine is thought to have accelerated the reduction in elective peptic ulcer surgery but its effect on the incidence of perforated peptic ulcer has not been reported. A 15‐year (1966–1980) review of peptic ulcer surgery in a district general hospital is presented. Since cimetidine became availab...
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Veröffentlicht in: | British journal of surgery 1982-06, Vol.69 (6), p.319-320 |
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description | Cimetidine is thought to have accelerated the reduction in elective peptic ulcer surgery but its effect on the incidence of perforated peptic ulcer has not been reported. A 15‐year (1966–1980) review of peptic ulcer surgery in a district general hospital is presented. Since cimetidine became available (November 1976), the mean annual number of elective operations has fallen from 91·4 to 50·5 (45 per cent reduction). The number of perforations has fallen from 40·6 to 36·5 (10 per cent reduction).
One hundred and five patients treated for perforation (97 duodenal, 8 gastric) from 1978 to 1980 were reviewed in detail. Of the 64 patients with a chronic ulcer, 8 were taking cimetidine when their ulcers perforated and a further 8 had been on the drug previously. Cimetidine has substantially reduced elective peptic ulcer surgery. There appears to have been no equivalent reduction in the incidence of perforation. |
doi_str_mv | 10.1002/bjs.1800690609 |
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One hundred and five patients treated for perforation (97 duodenal, 8 gastric) from 1978 to 1980 were reviewed in detail. Of the 64 patients with a chronic ulcer, 8 were taking cimetidine when their ulcers perforated and a further 8 had been on the drug previously. Cimetidine has substantially reduced elective peptic ulcer surgery. There appears to have been no equivalent reduction in the incidence of perforation.</description><identifier>ISSN: 0007-1323</identifier><identifier>EISSN: 1365-2168</identifier><identifier>DOI: 10.1002/bjs.1800690609</identifier><identifier>PMID: 7082957</identifier><language>eng</language><publisher>Bristol: John Wiley & Sons, Ltd</publisher><subject>Cimetidine - therapeutic use ; Female ; Guanidines - therapeutic use ; Humans ; Male ; Peptic Ulcer - drug therapy ; Peptic Ulcer - surgery ; Peptic Ulcer Perforation - drug therapy ; Peptic Ulcer Perforation - surgery ; Scotland</subject><ispartof>British journal of surgery, 1982-06, Vol.69 (6), p.319-320</ispartof><rights>Copyright © 1982 British Journal of Surgery Society Ltd.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3399-81742f16288ea7bcbee985d512cd29ee742313d830225ffee01e0a754b3b60263</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fbjs.1800690609$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fbjs.1800690609$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/7082957$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>McKay, Alan J.</creatorcontrib><creatorcontrib>McArdle, C. S.</creatorcontrib><title>Cimetidine and perforated peptic ulcer</title><title>British journal of surgery</title><addtitle>Br J Surg</addtitle><description>Cimetidine is thought to have accelerated the reduction in elective peptic ulcer surgery but its effect on the incidence of perforated peptic ulcer has not been reported. A 15‐year (1966–1980) review of peptic ulcer surgery in a district general hospital is presented. Since cimetidine became available (November 1976), the mean annual number of elective operations has fallen from 91·4 to 50·5 (45 per cent reduction). The number of perforations has fallen from 40·6 to 36·5 (10 per cent reduction).
One hundred and five patients treated for perforation (97 duodenal, 8 gastric) from 1978 to 1980 were reviewed in detail. Of the 64 patients with a chronic ulcer, 8 were taking cimetidine when their ulcers perforated and a further 8 had been on the drug previously. Cimetidine has substantially reduced elective peptic ulcer surgery. There appears to have been no equivalent reduction in the incidence of perforation.</description><subject>Cimetidine - therapeutic use</subject><subject>Female</subject><subject>Guanidines - therapeutic use</subject><subject>Humans</subject><subject>Male</subject><subject>Peptic Ulcer - drug therapy</subject><subject>Peptic Ulcer - surgery</subject><subject>Peptic Ulcer Perforation - drug therapy</subject><subject>Peptic Ulcer Perforation - surgery</subject><subject>Scotland</subject><issn>0007-1323</issn><issn>1365-2168</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1982</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpFkM1PwkAQxTdGg4hevZlw4lac3WW_joqKGtQYNHjbbNtpsthC7bZR_ntLIHCamfzem-Q9Qi4pDCkAu44XYUg1gDQgwRyRLuVSRIxKfUy6AKAiyhk_JWchLAAoB8E6pKNAMyNUlwzGvsDap36JfbdM-yVW2apyNW7WsvZJv8kTrM7JSebygBe72SOfD_cf48do-jZ5Gt9Mo4RzYyJN1YhlVDKt0ak4iRGNFqmgLEmZQWwppzzVHBgTWYYIFMEpMYp5LIFJ3iOD7d-yWv00GGpb-JBgnrslrppg1QiUlIa3wqudsIkLTG1Z-cJVa7sL1nKz5b8-x_UeU7Cb1mzbmj20Zm-fZ4er9UZbrw81_u29rvq2UnEl7Px1Yu_m7B1mXy8W-D8vLm2K</recordid><startdate>198206</startdate><enddate>198206</enddate><creator>McKay, Alan J.</creator><creator>McArdle, C. S.</creator><general>John Wiley & Sons, Ltd</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>198206</creationdate><title>Cimetidine and perforated peptic ulcer</title><author>McKay, Alan J. ; McArdle, C. S.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3399-81742f16288ea7bcbee985d512cd29ee742313d830225ffee01e0a754b3b60263</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1982</creationdate><topic>Cimetidine - therapeutic use</topic><topic>Female</topic><topic>Guanidines - therapeutic use</topic><topic>Humans</topic><topic>Male</topic><topic>Peptic Ulcer - drug therapy</topic><topic>Peptic Ulcer - surgery</topic><topic>Peptic Ulcer Perforation - drug therapy</topic><topic>Peptic Ulcer Perforation - surgery</topic><topic>Scotland</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>McKay, Alan J.</creatorcontrib><creatorcontrib>McArdle, C. S.</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>British journal of surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>McKay, Alan J.</au><au>McArdle, C. S.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Cimetidine and perforated peptic ulcer</atitle><jtitle>British journal of surgery</jtitle><addtitle>Br J Surg</addtitle><date>1982-06</date><risdate>1982</risdate><volume>69</volume><issue>6</issue><spage>319</spage><epage>320</epage><pages>319-320</pages><issn>0007-1323</issn><eissn>1365-2168</eissn><abstract>Cimetidine is thought to have accelerated the reduction in elective peptic ulcer surgery but its effect on the incidence of perforated peptic ulcer has not been reported. A 15‐year (1966–1980) review of peptic ulcer surgery in a district general hospital is presented. Since cimetidine became available (November 1976), the mean annual number of elective operations has fallen from 91·4 to 50·5 (45 per cent reduction). The number of perforations has fallen from 40·6 to 36·5 (10 per cent reduction).
One hundred and five patients treated for perforation (97 duodenal, 8 gastric) from 1978 to 1980 were reviewed in detail. Of the 64 patients with a chronic ulcer, 8 were taking cimetidine when their ulcers perforated and a further 8 had been on the drug previously. Cimetidine has substantially reduced elective peptic ulcer surgery. There appears to have been no equivalent reduction in the incidence of perforation.</abstract><cop>Bristol</cop><pub>John Wiley & Sons, Ltd</pub><pmid>7082957</pmid><doi>10.1002/bjs.1800690609</doi><tpages>2</tpages></addata></record> |
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subjects | Cimetidine - therapeutic use Female Guanidines - therapeutic use Humans Male Peptic Ulcer - drug therapy Peptic Ulcer - surgery Peptic Ulcer Perforation - drug therapy Peptic Ulcer Perforation - surgery Scotland |
title | Cimetidine and perforated peptic ulcer |
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