Peptic ulcer among rural population in a selected region of south-eastern Poland.

Department of Clinical Diagnostic, Institute of Agricultural Medicine, Jaczewskiego2, PO Box 185, 20-950 Lublin, Poland. schabow@galen.imw.lublin.pl
Ann Agric Environ Med 2004;11(2):323–327
Environmental conditioning of peptic ulcer, territorial variations in theoccurrence of this disease, as well as reports indicating changes in the natural history of peptic ulcerprovided incentives to undertake the present study. The aim of the study was to determine whether theabove-mentioned changes in the course of peptic ulcer also concerned rural population from the agriculturalregion of south-eastern Poland. The study covered 1,647 patients with peptic ulcer treated in the GeneralSurgery Ward at the Specialist Hospital in Brzozów (Rzeszów Region) between 1980-1999. The analysiswas conducted based on data obtained from the documentation of the General Surgery Ward. In order todetermine changes in the parameters examined taking place during the 20 year period, it was divided into4 sub-periods of 5 years each. The total number of patients treated due for peptic ulcer was 1,647, including470 patients with gastric ulcer (28.5%), 1,137 patients with duodenal ulcer (69.0%) and 40 with gastricand duodenal ulcer (2.5%). A decrease was noted in the number of patients treated for peptic ulcer duringPeriod I of observation (1980-1984) and Period IV (1995-1999) - from 460 down to 348 patients p < 0.0001.Peptic ulcer more often affected males than females (70.2% and 29.8% respectively), most frequently inthe age groups 41-50 (20.9%) and 51-60 (20.0%). Gastric ulcer was most often noted in the age groups51-60 (24.4%) and 61-70 (23.8 %), whereas duodenal ulcer in the age groups 42-50 (22.4%) and 31-40 (20.6%).During the study period (1980-1999), a decrease was observed in the number of patients treated for pepticulcer. Hospitalization due to peptic ulcer decreased, mainly in patients with duodenal ulcer, and toa smaller degree among those with gastric ulcer. The relationship was observed between the incidenceof peptic ulcer and the site of ulcer, sex and age of patients. Changes observed in hospitalization dueto peptic ulcer among rural population in the south-eastern region of Poland was similar to those observedin other regions of Poland and the majority of European countries.