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IAH AC Gastrointestinal Disease

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Peptic ulcer disease<br />

• Duodenal ulceration<br />

• Related to hyperacidity<br />

• Helicobacter pylori infection often present<br />

• Both can be caused by NSAIDs like aspirin, ibuprofen,<br />

diclofenac (mostly Cox-1-inhibitors, more than Cox-2)<br />

© <strong>IAH</strong> 2007<br />

44<br />

Duodenal ulceration on the other hand, is almost always associated with a high<br />

acid secretion and also with a high incidence of Helicobacter Pylori.<br />

Both the gastric as well as the duodenal ulceration can contributed to by the use<br />

of NSAIDS.<br />

These, as we mentioned above regarding the leaky gut, can in fact directly<br />

damage the mucosa, but also interfere with the metabolism of the mucosal cells,<br />

and therefore can cause tissue breakdown, and subsequently ulceration.<br />

44

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