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. 2011 Jun 29:5:252.
doi: 10.1186/1752-1947-5-252.

Stress-induced hemorrhagic gastric ulcer after successful Helicobacter pylori eradication: two case reports

Mitsuru Moriya  1 , Akira Uehara, Toshikatsu Okumura, Mitsuaki Miyamoto, Yutaka Kohgo
Affiliations

Stress-induced hemorrhagic gastric ulcer after successful Helicobacter pylori eradication: two case reports

Mitsuru Moriya et al. J Med Case Rep. .

Abstract

Introduction: Helicobacter pylori infection is a major cause of gastric ulcers, and Helicobacter pylori eradication drastically reduces ulcer recurrence. It has been reported, however, that severe physical stress is closely associated with gastric ulceration even in Helicobacter pylori -negative patients.

Case presentation: We report the cases of a 47-year-old Japanese man and a 69-year-old Japanese man who developed psychological stress-induced hemorrhagic gastric ulcers, in both of whom Helicobacter pylori had been successfully eradicated.

Conclusion: Our cases strongly suggest that not only physical but also psychological stress is still an important pathogenic factor for peptic ulceration and accordingly that physicians should pay attention to the possible presence of psychological stress in the management of patients with peptic ulcers.

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Figures

Figure 1
Figure 1
Esophagogastroduodenoscopic findings. (A) Case 1: An open gastric ulcer with an exposed vessel. (B) Case 2: A recurrent gastric ulcer without active bleeding.
See this image and copyright information in PMC

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