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Letters
July 21, 1999

Stressful Events and Peptic Ulcer Disease

Author Affiliations
 

Margaret A.WinkerMD, Deputy EditorIndividualAuthorPhil B.FontanarosaMD, Interim CoeditorIndividualAuthor

JAMA. 1999;282(3):237. doi:10-1001/pubs.JAMA-ISSN-0098-7484-282-3-jac90006

Stress and the psychosomatic model have indeed been "out of fashion" as a cause of peptic ulcer since the discovery of the pathogenic role of Helicobacter pylori in this disease.1 It is not unusual in the history of medicine for new discoveries to push previous evidence into the background.

The role of H pylori and the "need" to eradicate it from the gastric-duodenal tract with appropriate medical treatment have, in fact, obscured the well-documented importance of psychological stress in the genesis of peptic ulcer.

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