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Peptic Ulcers in Fukushima Prefecture Related to the Great East Japan Earthquake, Tsunami and Nuclear Accident.
Intern Med. 2018 Apr 01; 57(7):915-921.IM

Abstract

Objective Due to the Great East Japan Earthquake, which occurred in March 2011, many residents of Fukushima Prefecture were affected by a radiation accident in addition to suffering loss or damage from the earthquake and the subsequent tsunami. The aim of this study was to evaluate the actual condition of patients with peptic ulcers related to the disaster. Methods Patients with peptic ulcers at six hospitals in three different regions of Fukushima Prefecture during the two months following the disaster and the corresponding period of the year before and the year after the disaster were enrolled in this study. Changes by period and region in the number of esophagogastroduodenoscopy (EGD) examinations and the number of peptic ulcer patients were evaluated as the primary endpoints. Changes in the frequencies of hemorrhagic ulcers were evaluated by period and by region as secondary endpoints. Results The numbers of EGDs and peptic ulcer cases compared to the previous year decreased in 2011 and then increased in 2012. However, the ratio of hemorrhagic ulcers to peptic ulcers was higher in 2011 (51.9%) than in 2010 (38.1%) and 2012 (31.1%), and the 2011 hemorrhagic ulcer ratio was the highest at 63.6% in the coastal area. Regarding bleeding cases during 2011, the rate at 1 month after the disaster (64.1%) was higher than the rate at 2 months after the disaster (40.5%) (p=0.033). Conclusion The number of patients with peptic ulcers did not increase immediately following the disaster in Fukushima Prefecture. However, the rate of bleeding patients increased soon after the disaster, especially in the coastal area.

Authors+Show Affiliations

Department of Endoscopy, Fukushima Medical University Hospital, Japan.Department of Gastroenterology, Fukushima Medical University School of Medicine, Japan.Department of Endoscopy, Fukushima Medical University Hospital, Japan. Department of Gastroenterology, Fukushima Medical University School of Medicine, Japan.Department of Endoscopy, Fukushima Medical University Hospital, Japan. Department of Gastroenterology, Fukushima Medical University School of Medicine, Japan.Department of Endoscopy, Fukushima Medical University Hospital, Japan. Department of Gastroenterology, Fukushima Medical University School of Medicine, Japan.Department of Gastroenterology, Fukushima Rosai Hospital, Japan.Department of Gastroenterology, Ohara General Hospital, Japan.Department of Gastroenterology, Fukushima Medical University Aizu Medical Center, Japan.Department of Gastroenterology, Soma General Hospital, Japan.Department of Gastroenterology, Japanese Red Cross Fukushima Hospital, Japan.Department of Gastroenterology, Fukushima Medical University School of Medicine, Japan.Department of Gastroenterology, Fukushima Medical University School of Medicine, Japan.Department of Gastroenterology, Fukushima Medical University School of Medicine, Japan.Department of Gastroenterology, Fukushima Medical University School of Medicine, Japan.Department of Gastroenterology, Fukushima Medical University School of Medicine, Japan.Department of Gastroenterology, Fukushima Medical University School of Medicine, Japan.Department of Gastroenterology, Fukushima Medical University School of Medicine, Japan.Department of Gastroenterology, Fukushima Medical University School of Medicine, Japan.Department of Gastroenterology, Fukushima Medical University School of Medicine, Japan.Department of Advanced Gastrointestinal Endoscopy, Fukushima Medical University, Japan.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

29269647

Citation

Hikichi, Takuto, et al. "Peptic Ulcers in Fukushima Prefecture Related to the Great East Japan Earthquake, Tsunami and Nuclear Accident." Internal Medicine (Tokyo, Japan), vol. 57, no. 7, 2018, pp. 915-921.
Hikichi T, Sato M, Watanabe K, et al. Peptic Ulcers in Fukushima Prefecture Related to the Great East Japan Earthquake, Tsunami and Nuclear Accident. Intern Med. 2018;57(7):915-921.
Hikichi, T., Sato, M., Watanabe, K., Nakamura, J., Kikuchi, H., Ejiri, Y., Ishihata, R., Irisawa, A., Takahashi, Y., Saito, H., Takagi, T., Suzuki, R., Sugimoto, M., Konno, N., Waragai, Y., Asama, H., Takasumi, M., Sato, Y., Ohira, H., & Obara, K. (2018). Peptic Ulcers in Fukushima Prefecture Related to the Great East Japan Earthquake, Tsunami and Nuclear Accident. Internal Medicine (Tokyo, Japan), 57(7), 915-921. https://doi.org/10.2169/internalmedicine.9252-17
Hikichi T, et al. Peptic Ulcers in Fukushima Prefecture Related to the Great East Japan Earthquake, Tsunami and Nuclear Accident. Intern Med. 2018 Apr 1;57(7):915-921. PubMed PMID: 29269647.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Peptic Ulcers in Fukushima Prefecture Related to the Great East Japan Earthquake, Tsunami and Nuclear Accident. AU - Hikichi,Takuto, AU - Sato,Masaki, AU - Watanabe,Ko, AU - Nakamura,Jun, AU - Kikuchi,Hitomi, AU - Ejiri,Yutaka, AU - Ishihata,Ryoichi, AU - Irisawa,Atsushi, AU - Takahashi,Yuta, AU - Saito,Hironobu, AU - Takagi,Tadayuki, AU - Suzuki,Rei, AU - Sugimoto,Mitsuru, AU - Konno,Naoki, AU - Waragai,Yuichi, AU - Asama,Hiroyuki, AU - Takasumi,Mika, AU - Sato,Yuki, AU - Ohira,Hiromasa, AU - Obara,Katsutoshi, Y1 - 2017/12/21/ PY - 2017/12/23/pubmed PY - 2018/8/21/medline PY - 2017/12/23/entrez KW - Fukushima KW - Helicobacter pylori KW - disaster KW - endoscopy KW - gastric ulcer KW - radiation SP - 915 EP - 921 JF - Internal medicine (Tokyo, Japan) JO - Intern Med VL - 57 IS - 7 N2 - Objective Due to the Great East Japan Earthquake, which occurred in March 2011, many residents of Fukushima Prefecture were affected by a radiation accident in addition to suffering loss or damage from the earthquake and the subsequent tsunami. The aim of this study was to evaluate the actual condition of patients with peptic ulcers related to the disaster. Methods Patients with peptic ulcers at six hospitals in three different regions of Fukushima Prefecture during the two months following the disaster and the corresponding period of the year before and the year after the disaster were enrolled in this study. Changes by period and region in the number of esophagogastroduodenoscopy (EGD) examinations and the number of peptic ulcer patients were evaluated as the primary endpoints. Changes in the frequencies of hemorrhagic ulcers were evaluated by period and by region as secondary endpoints. Results The numbers of EGDs and peptic ulcer cases compared to the previous year decreased in 2011 and then increased in 2012. However, the ratio of hemorrhagic ulcers to peptic ulcers was higher in 2011 (51.9%) than in 2010 (38.1%) and 2012 (31.1%), and the 2011 hemorrhagic ulcer ratio was the highest at 63.6% in the coastal area. Regarding bleeding cases during 2011, the rate at 1 month after the disaster (64.1%) was higher than the rate at 2 months after the disaster (40.5%) (p=0.033). Conclusion The number of patients with peptic ulcers did not increase immediately following the disaster in Fukushima Prefecture. However, the rate of bleeding patients increased soon after the disaster, especially in the coastal area. SN - 1349-7235 UR - https://www.unboundmedicine.com/medline/citation/29269647/Peptic_Ulcers_in_Fukushima_Prefecture_Related_to_the_Great_East_Japan_Earthquake_Tsunami_and_Nuclear_Accident_ L2 - https://dx.doi.org/10.2169/internalmedicine.9252-17 DB - PRIME DP - Unbound Medicine ER -