Estudio comparativo clínico y endoscópico entre úlcera gástrica y úlcera duodenal en el hospital Vicente Corral Moscoso 1993-1994

Abstract

Peptic ulcers occur in areas of the gastrointestinal tract exposed to acid and pepsin. The most common sites are the duodenal bulb and the stomach but also can be seen in the distal opening of the esophagus. Ulcer disease in recent years but declined to tell his often due to modern treatments, is a disease of high frequency of occurrence in the world becoming a very common disease that occurs in various population groups, why which it has developed numerous studies to try to get a better understanding of both their production mechanism to the knowledge of evolution and especially as regards their treatment and early diagnosis. Although some morphological, clinical and treatment response characters may be similar between the two ulcers are supported, which have certain differences based on a different gastric pathophysiology it is also necessary to make a differential diagnosis of gastric cancer mainly type III or excavated. Generally gastric ulcers are rare in patients under 40 years of age. The gastric ulcer management requires close scrutiny diagnosed patients should consult a gastroenterologist for an endoscopic and histological monitoring, with approximately 2% of persistent gastric ulcers are eventually malignant. The primary study is upper gastrointestinal endoscopy, which differentiated gastric ulcers and duodenal ulcers not attributed to dyspepsia, when endoscopy is not available, a reasonable alternative is radiological examination using barium studies