Relationship between onset of peptic ulcer and meteorological factors

Da-Yun Liu1, An-Ning Gao, Guo-Du Tang

  • 1Department of Gastroenterology, Nanning First People's Hospital, Nannig 530022, Guangxi Zhuang Autonomous Region, China. liudayun2002@163.com

Abstract

Insights

Peptic ulcer (PU) onset is closely linked to meteorological factors (MFs), particularly temperature and air pressure. This study establishes a predictive model for PU onset based on these MFs, aiding in medical forecasting.

Area of Science:

  • Medical Meteorology
  • Gastroenterology
  • Environmental Health

Background:

  • Peptic ulcer (PU) is a common gastrointestinal condition.
  • Understanding environmental influences on PU onset is crucial for public health.
  • Meteorological factors (MFs) may play a significant role in PU development.

Purpose of the Study:

  • To investigate the correlation between peptic ulcer (PU) onset and meteorological factors (MFs).
  • To develop a predictive model for PU onset based on MFs.
  • To enhance medical meteorological forecasting for PU.

Main Methods:

  • Analysis of 24,252 active PU cases from 104,121 gastroscopic examinations (1992-1997).
  • Calculation of monthly, ten-day, and five-day detectable rates of PU (DRPU).
  • Statistical analysis of DRPU against MFs and development of a forecast model using prior month's MFs.

Main Results:

  • DRPU was higher from November to April (24.4-28.8%) with a peak in January, and lower from May to October (20.0-22.6%).
  • Significant negative correlations were found between DRPU and temperature-related MFs (average, highest, lowest, dew point).
  • Positive correlations were observed between DRPU and average air pressure; a forecast model achieved 66.6-71.8% accuracy.

Conclusions:

  • DRPU demonstrates a strong relationship with average temperature, highest/lowest temperatures, air pressure, and dew point temperature.
  • Changes in MFs trigger physiological stress responses potentially influencing PU onset.
  • A medical meteorological forecast model for PU onset can be accurately developed using MFs.

Related Concept Videos

Peptic Ulcer Disease I: Introduction01:30

Peptic Ulcer Disease I: Introduction

Peptic Ulcer Disease (PUD) is characterized by mucosal excavation in the esophagus, stomach, pylorus, or duodenum. It can manifest as acute or chronic based on the extent and duration of mucosal involvement.
An acute ulcer, marked by superficial erosion and minimal inflammation, swiftly resolves upon identifying and addressing the underlying cause. In contrast, a chronic ulcer persists, potentially eroding through the muscular wall and forming fibrous tissue.
Peptic ulcers can also be...
Peptic Ulcer Disease I: Introduction01:25

Peptic Ulcer Disease I: Introduction

Peptic ulcer disease (PUD) involves breaks in the gastrointestinal tract's mucosal lining, primarily in the stomach and duodenum, with less frequent occurrences in the lower esophagus or near the pylorus.Ulcers can be acute or chronic. Acute ulcers are short-lived with minimal inflammation and heal quickly after the irritant is removed. Chronic ulcers persist, may recur, and often cause scarring due to ongoing tissue damage. Superficial erosions affect only the mucosal layer and are called...
Pathophysiology of Peptic Ulcer Disease: Injurious Factors01:22

Pathophysiology of Peptic Ulcer Disease: Injurious Factors

Peptic ulcers are sores on the stomach's inner lining and the upper small intestine, which are the result of disruptions in the mucosal layer that houses parietal cells which produce gastric acid, and chief cells which secrete pepsinogen.
In the antrum region, G cells secrete the gastrin hormone that binds to gastrin-cholecystokinin-B (CCK2) receptors on parietal and enterochromaffin-like (ECL) cells in the fundic glands. Simultaneously, the vagus nerve releases acetylcholine, which binds to M3...
Pathophysiology of Peptic Ulcer Disease: Mucosal Defense Factors01:24

Pathophysiology of Peptic Ulcer Disease: Mucosal Defense Factors

Peptic ulcer disease, commonly called PUD, represents a multifaceted condition characterized by disruptions in the lining of the gastrointestinal (GI)  tract. Central to the protection of the gastrointestinal lining is the mucosal-bicarbonate barrier. This physiological defense mechanism is a formidable shield against the corrosive effects of gastric acid and pepsin secretion in the stomach. Its role is pivotal in maintaining the structural integrity of the stomach's inner lining. Bicarbonate,...
Peptic Ulcer01:27

Peptic Ulcer

Peptic ulcers are erosive lesions of the gastric or duodenal lining, most commonly caused by Helicobacter pylori infection. This Gram-negative, helical bacterium has adapted to survive the stomach’s acidic environment by producing urease, which converts urea into ammonia and carbon dioxide. The ammonia neutralizes gastric acid in the bacterium’s immediate environment, allowing colonization of the gastric mucosa. H. pylori attaches to mucus-secreting epithelial cells, penetrates the mucus...
Peptic Ulcer Disease II: Pathophysiology01:24

Peptic Ulcer Disease II: Pathophysiology

Peptic ulcer disease develops when protective mechanisms of the gastrointestinal mucosa are overwhelmed by harmful factors, leading to localized erosions in the stomach or proximal duodenum. The main causes are Helicobacter pylori infection and chronic use of nonsteroidal anti-inflammatory drugs (NSAIDs).Helicobacter pylori–Induced InjuryBacterial Adaptation and Colonization:H. pylori is a spiral, Gram-negative bacterium adapted to the acidic stomach. and transmitted through oral-oral or...