Pathophysiology

A. Helicobacter pylori (HP), a spiral-shaped, flagellated organism, is the most frequent cause of peptic ulcer disease (PUD). Nonsteroidal anti-inflammatory drugs (NSAIDs) and pathologically high acid-secreting states (ZollingerEllison syndrome) are less common causes. More than 90% of ulcers are associated with H. pylori. Eradication of the organism cures and prevents relapses of gastroduodenal ulcers.

B. Complications of peptic ulcer disease include bleeding, duodenal or gastric perforation, and gastric outlet obstruction (due to inflammation or strictures).

Breaking Bulimia

Breaking Bulimia

We have all been there: turning to the refrigerator if feeling lonely or bored or indulging in seconds or thirds if strained. But if you suffer from bulimia, the from time to time urge to overeat is more like an obsession.

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