Incidence Of Stomach Carcinoma In Patients With Acid Peptic Disease In Rural Hospital

Abstract

Background: Gastric cancer is the second most common cause of cancer-related death in the world. Many Asian countries, including Korea, China, Taiwan, and Japan, have very high rates of gastric cancer. Gastric cancer was the leading cause of cancer deaths in men and the third leading cause of cancer deaths in women in the early 1940s. Gastric cancer remains a difficult disease to cure in Western countries, primarily because most patients present with advanced disease. Hence detecting early will decrease the mortality and morbidity Objectives: To identify the incidence of carcinoma stomach in patients presenting with acid peptic ulcer disease. Methods: To examine all the patients attending the OPD with dyspeptic/ acid peptic ulcer disease symptoms and the other causes of dyspepsia/peptic ulcer symptoms has been ruled out by other radiological/biochemical investigations and then they are subjected to upper GI scopy and biopsy. Results: The incidence of carcinoma of stomach is around 44% in patients presenting with acid peptic ulcer disease symptoms. The incidence of carcinoma stomach is more towards old age people. There is strong association between smoking and carcinoma stomach. There is less percentage of relation between carcinoma of stomach and alcohol. Conclusion: patients attending hospital with acid peptic ulcer disease symptoms have high incidence of carcinoma of stomach mainly in old age group. Hence patients attending hospital with peptic ulcer disease symptoms should be subjected to routine upper gastro intestinal endoscopy & endoscopic biopsy.