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Ulcers disease stomach and duodenal ulcer

In the world community, according to various authors, peptic ulcer disease suffers from 3 to 18 persons on 1000 population. In the USSR the figure is USD 5.76 per 1000. The disease often affects people of working age (25-30 years). Among the population of developed countries duodenal ulcer occurs in 3-4 times more often than a stomach ulcer. In persons of young age is the prevalence is expressed even more clearly, especially among men, and may reach a ratio of 13: 1. Women at a young age peptic ulcer disease is a rare phenomenon.
It is known that peptic ulcer disease in athletes is a significant proportion of diseases of digestive organs. Of some interest is the work of M. Andreevich, in which the comparative analysis of ulcer disease among athletes and persons not involved in sports, at the age of 20-30 years. Athletes group consisted of 80 existing and 40 stopped training violence. M. A. revealed ulcers disease duodenal ulcer in persons not involved in sports, 4 %, and among athletes - in 11 % of cases. We stopped sports activities it is detected in 7 times more often than those of the same age, the sport is not engaged.
Long-term observations N. Century of Elstein (1984), and give them the data of the Republican medical-sports clinic Estonian SSR confirm the high percentage of peptic ulcer disease among diseases of internal organs in athletes (6,5%), which is approximately 1/5 part of all diseases of the digestive system they (18,7%). The latest methods (esophagogastroduodenoscopy) used O. P. Zhukov (1987) for examination of patients of the therapeutic Department of the Moscow medical exercises dispensary № 1. He also revealed a high percentage of peptic ulcer disease among athletes with "abdominal" complaints (12,3%).
Because mass epidemiological studies among athletes to identify ulcer disease was not carried out, the true prevalence among involved in sports unknown. However, the above information must direct the attention of sports physicians to identify this serious disease.
Peptic ulcer disease is a chronic relapsing disease in which due to disorders of General and local mechanisms of neural and humoral regulation of the basic functions of gastroduodenal system are digesting the mucous membrane of the stomach. Disrupted normal homeostasis, resulting in a natural outgrowth of external secretion - active peptic, gastric juice begins to affect the mucous membrane of the stomach, forming an ulcer. The mechanism of occurrence of peptic ulcers complicated. It is based on the combined effect of many pathogenic factors are closely related and interdependent. This is a violation of the functional state of cerebral cortex (anxiety), involvement in the system, the pituitary - adrenal cortex and varying degrees of secretory and motor, trophic changes of the stomach and duodenum. Factors that play an important role in the emergence and healing of ulcers, many researchers are divided into protective and aggressive, part of which is genetically determined. Ulcers are formed only if the total prevalence of aggressive factors over protective.
Modern scientific data highlight the following as "starting" risk factors for peptic ulcer disease: a long and often repeated nervous and emotional stress (stress), irregular, and to some extent the poor in proteins and vitamins nutrition, alcohol, nicotine, the use of certain medicines (acetylsalicylic acid, phenylbutazone, glucocorticoid hormones), the presence of chronic gastritis with increased secretion, etc. In persons of young age, the combination of the above risk factors for peptic ulcer disease occurs in 80-90 % of cases.