Expert discusses changing face of ulcer disease

11/9/2009 | NYTimes.com

The U.S. has seen a significant drop in Helicobacter pylori infection and H. pylori-related ulcers due in part to cleaner water, better sanitation, and improved detection and treatment, gastroenterologist Dr. Nimish Vakil told The New York Times. Vakil, who helped write the ACG guidelines for managing upper abdominal pain, said the most important cause of ulcer disease in the U.S. is from the use of nonsteroidal anti-inflammatory drugs, though immigrant populations still face high rates of peptic ulcer disease linked to H. pylori.

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