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Updated: Aug 10, 2026

Establishment and Evaluation of a Risk Prediction Model for Pathological Escalation of Gastric Low-Grade Intraepithelial Neoplasia
Published on: February 16, 2024
What has happened to perforated peptic ulcer?
The incidence of perforated peptic ulcers has decreased, with fewer men and more women experiencing this complication. Most perforations now involve acute ulcers, limiting prevention by chronic ulcer treatments.
Area of Science:
- Gastroenterology
- Surgical Epidemiology
Background:
- Elective surgeries for chronic peptic ulceration have declined due to H2-receptor antagonist use.
- This study investigates trends in perforated peptic ulcer incidence, a major complication.
Purpose of the Study:
- To assess changes in the incidence of perforated peptic ulcer over an 18-year period.
- To analyze demographic shifts and mortality rates associated with perforated peptic ulcers.
Main Methods:
- Retrospective review of all perforated peptic ulcer cases in Oxford from 1965 to 1982.
- Detailed analysis of 166 patients treated between 1977 and 1982.
Main Results:
- Perforated peptic ulcer incidence fell from 8.7 to 6.9 per 100,000 population annually since 1976.
- The male to female ratio of perforation decreased from 4.9:1 to 1.9:1.
- The majority (65%) of perforations involved acute ulcers, not preventable by chronic ulcer therapies.
Conclusions:
- While overall incidence has decreased, perforated peptic ulcer remains a significant concern.
- Shifting demographics indicate a need for updated prevention and treatment strategies.
- The rise in acute ulcer perforations suggests limitations of current medical therapies for this complication.
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