Influence of cigarette smoking on healing and relapse in duodenal ulcer disease.

Abstract:

:There are conflicting reports on the influence of cigarette smoking on healing in patients with duodenal ulcer; some studies show an adverse effect on healing rate and others no effect. This study reports the influence of smoking on short-term healing and relapse rate in 135 patients with duodenal ulcer who were treated with cimetidine (90), ranitidine (25), and oxmetidine (20), all powerful H2-receptor antagonists. Ulcer healing and relapse were documented endoscopically and all studies were performed in a double-blind manner. In the short term, 95% of nonsmokers healed compared with 63% smokers (p less than 0.01) and there was a positive correlation between failure to heal and number of cigarettes smoked. During a 12-mo follow-up examination after healing and on no treatment, 53% of nonsmokers and 84% of smokers relapsed (p less than 0.01). These results show that smoking adversely affects healing of duodenal ulcer with H2-receptor antagonists and that continued smoking leads to a higher relapse rate.

journal_name

Gastroenterology

journal_title

Gastroenterology

authors

Korman MG,Hansky J,Eaves ER,Schmidt GT

subject

Has Abstract

pub_date

1983-10-01 00:00:00

pages

871-4

issue

4

eissn

0016-5085

issn

1528-0012

pii

S0016508583002371

journal_volume

85

pub_type

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