Gastric ulcer and 12 duodenal ulcer: diagnosis and treatment

Gastric ulcer and 12 duodenal ulcer: diagnosis and treatment.  Photo from www.sciencephoto.com

Diagnose and treat peptic disease gastroenterologist.

To confirm the diagnosis of peptic ulcer is necessary to conduct esophagogastroduodenoscopy (EGD). This is often referred to simply study gastroscopy.

Gastroscopy is performed on an outpatient basis on an empty stomach. In this case, through the mouthstomach introduced an endoscope — a narrow, flexible tube with an optical device on the end. With it, the doctor examines the esophagus, stomach and12 duodenal intestine from the inside, and if necessary, a biopsy ("pinch off" a little piece of the gastric mucosa for cytological and histological study in the laboratory).

This procedure is very informative, since the entire mucosa and its damage can be seen "at a glance". Gastroscopy can not be called a pleasant procedure, but it is completely painless, and on time takes only about 5 minutes.

In order to clarify the diagnosis may be appointed as ultrasound and x-ray of the stomach.

Treatment

Opening Helicobacter Pylori role in the occurrence of ulcers significantly easier approach to the treatment of this disease. Now peptic disease is not perceived as a life sentence.

There are special three-and four-component treatment regimen that can help you get rid of the cause peptic ulcer disease— The bacteria Helicobacter Pylori, which means fully recover from ulcers, avoiding subsequent exacerbations.

Essential components of all medical schemes are antibiotics (both two), which are taken as a rule within 7-10 days. In addition, patients prescribed drugs, the main component of neutralizing gastric acid — hydrochloric acid (eg, omeprazole, pantoprazole, ranitidine, etc.), and also preparations which form a protective film on the surface of the gastric mucosa (e.g., De-Nol).

All ulcer should observe the correct mode of the day, follow a special diet, and, if possible, do not be nervous. It is desirable for the treatment to stop smoking and alcoholic beverages.

Active course of treatment takes an average of 2 weeks, after which the need to continue supporting treatment and comply with diet. To monitor the healing of the ulcer re-appointed esophagogastroduodenoscopy.

Surgical intervention is rarely necessary — only with nonhealing ulcers of the stomach, as well as complications peptic ulcer disease. During surgery for peptic ulcer disease often remove the affected area of the stomach or intestines, as well as some cutting the nerve branches, thereby reducing gastric acidity.

Prophylaxis

People suffering from peptic ulcer disease, it is recommended to follow a diet and nutrition, limit alcohol consumption, smoking. Furthermore,1-2 once a year should attend a gastroenterologist.

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