Gastric and duodenal ulcers
Definition
Peptic ulcer disease is a chronic condition characterized by spontaneous attacks followed by healing phases. It is caused by the presence of acid and is almost always the result of a gastric infection by Helicobacter pylori.
Taking aspirin or anti-inflammatory drugs can cause multiple iatrogenic ulcers that often remain superficial.
Epidemiological data
This condition has a prevalence of about 10% and 3 new cases per 1 inhabitants appear each year. A family history is present in 000% of cases.
Duodenal ulcer is 3-5 times more common than gastric ulcer. A double localization (gastric and duodenal), simultaneously or not, occurs in 10 to 20% of cases.
This condition is not very common before 40 years of age, it grows after that, with a peak between 55 and 65 years of age. It affects both men and women equally..
Symptoms
The symptoms of gastric and duodenal ulcers are more or less the same:
pain in the epigastric and hypochondrium;
• dorsal irradiation;
• anorexia;
• weight loss;
• nausea:
• vomiting;
• heartburn (a burning sensation extending from the epigastrium to the throat, often accompanied by the discharge of acidic liquid);
• bloating;
• belching.
Treatments
• Medical treatment, which aims to relieve the painful syndrome and heal the ulcer, recommends the use of gastric antisecretors (proton pump inhibitors, anti-H2), mucoprotectants and antacids, antibiotics to eradicate Helicobacter pylori.
• Surgical treatment of gastric ulcer is very rare. It is recommended in the event of a complication that is not related to medical treatment. As for duodenal ulcers, interventions have almost disappeared due to advances in medical treatment.