臨牀消化器内科 Vol.18 No.1(5)


特集名 食習慣と消化器疾患
題名 食生活と胃癌・胃十二指腸潰瘍
発刊年月 2003年 01月
著者 北村 容子 東京慈恵会医科大学内視鏡科
著者 藤崎 順子 東京慈恵会医科大学内視鏡科
著者 田尻 久雄 東京慈恵会医科大学内視鏡科
【 要旨 】 胃癌，胃十二指腸潰瘍について食生活，Helicobacter pyloriとの関係について最近の知見も含め述べた．胃癌と食生活は，これまで多くの研究報告より密接な関係が広く知られており，今後の予防への貢献が期待されている．また，H. pyloriは胃癌，胃十二指腸潰瘍の原因として認知されているが，感染しても数％の潰瘍発病にとどまるのはなぜか，感染後どのような経過で発病に至るのかなど未解決な点もある．除菌療法の適応などを含め，これまでの見解について述べた．
Theme Life Style and Digestive Diseases
Title Dietary Factors Associated with Gastric Carcinoma and Peptic Ulcers
Author Yoko Kitamura Department of Endoscopy, The Jikei University School of Medicine
Author Junko Fujisaki Department of Endoscopy, The Jikei University School of Medicine
Author Hisao Tajiri Department of Endoscopy, The Jikei University School of Medicine
[ Summary ] This article discusses the relationships between such diseases as gastric carcinoma, gastric ulcers and duodenal ulcers, in relation to dietary habits and Helicobacter pylori (HP), by reviewing recent reports. It has been widely recognized, in numerous reports, that dietary habits are closely related to gastric carcinoma. It is also recognized that HP increases the risk of gastric carcinoma, gastric ulcers and duodenal ulcers. There are many unsolved issues, however, such as the reasons why the percentage of ulcers appearing in those who have HP is in a low percentage range, as is the rate of progress from infection with HP to the appearance of ulcers. We described the generally accepted opinions in respect to these issues, including the application of eradication.
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