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Asymptomatic ulcer

Introduction
Cause
Examine
Diagnosis

Introduction

Introduction Most patients with gastric ulcer diagnosed by our doctors have certain symptoms, such as abdominal pain, acid reflux, and heating. However, patients with a small number of gastric ulcers do not have various symptoms of discomfort, and there is no manifestation of indigestion, which is often caused by sudden gastric bleeding or gastric perforation. Others are found by other diseases when they are taking a meal or a gastroscopy. There is also ulcer disease. These ulcers, which usually have no symptoms, are called asymptomatic ulcers.

Cause

Cause

Causes: Sudden gastric bleeding, gastric perforation was discovered; and some were found to have ulcer disease at the time of barium meal or gastroscopy for other diseases.

Examine

an examination

Related inspection

Fiber endoscopy

diagnosis:

(1) After symptomatic gastric ulcer is cured by taking anti-ulcer drugs (such as cimetidine), some patients have no obvious symptoms when they relapse. Some people have treated methicillin and placebo for 1 year after treatment, and then compared them. It was found that 30% of patients who had recurrence in the placebo group were asymptomatic, while those who took methicillin maintenance group had recurrence. 20% asymptomatic.

(2) It is more common to take non-anti-inflammatory drugs: in clinical practice, we often find patients who have no other symptoms due to bleeding after taking aspirin or other antipyretic analgesics. In foreign countries, 82 patients with long-term use of aspirin were found to have gastric ulcers, 4 of which were completely asymptomatic, accounting for 28.6%. After further observation, some anti-inflammatory drugs were found not only to cause ulcers, but also It may also mask the symptoms of ulcers. It is for this reason that when we apply some anti-inflammatory drugs, we often take it after eating rice, and take long-term use to check for stomach ulcers.

(3) There are relatively many asymptomatic ulcers in the elderly: when some elderly people suffer from ulcer disease, the symptoms are often atypical or no symptoms, or complications such as bleeding and perforation are the first symptoms. This is related to the fact that the pain threshold of the elderly is higher than that of the young and middle-aged, and is not sensitive enough to the pain. It may also be related to the feeling of slowness of the gastric nerve endings in the elderly.

Diagnosis

Differential diagnosis

Because the pathogenesis and pathogenesis of different ulcer diseases are different, the type of ulcer disease caused is different:

(1) Compound ulcer: The presence of ulcers in the stomach and duodenum is called a compound ulcer. More often due to duodenal ulcer, causing pyloric emptying disorder and gastric sinus retention, followed by gastric ulcer. Compound ulcers have a longer course, more severe symptoms, and are prone to bleeding or pyloric obstruction.

(2) multiple ulcers: there is only one ulcer in the general ulcer case. If there are 2 to 3 simultaneous cases, it is called multiple ulcer.

(3) Huge ulcer: If the ulcer is larger than 2.0 cm in diameter, it is called a huge ulcer. Huge ulcers can be complicated by perforation of the posterior wall of the stomach, involvement of the pancreas, and often misdiagnosed as pancreatic cancer.

(4) Stress ulcers, ulcers formed by acute injury, bleeding, erosion and necrosis of the gastrointestinal mucosa caused by trauma, major surgery, craniocerebral diseases, severe infection or drugs. The disease is more than 10 days after stress, and can occur at any age, without gender differences. Before the onset, there were many medical history such as trauma, major surgery and serious infection. Often there is massive upper gastrointestinal bleeding, hematemesis, melena, sudden onset, often no signs of prodromal and difficult to stop bleeding. In addition, there may be symptoms of digestive system such as upper abdominal pain, bloating, nausea, vomiting, medical education, net collection, and acid reflux, but it is milder than general stomach and duodenal ulcer disease. It can be diagnosed by gastroscopy or discouragement. In the treatment of Xu symptomatic treatment, the primary disease should be actively treated;

(5) anastomotic ulcer: also known as marginal ulcer, easy to occur after surgery in the stomach or duodenum, mostly located in the anastomosis, rounded to form an oval ulcer, or single or multiple, usually 2-3 years after surgery occur.

(6) Pancreatic ulcer: also known as gastrinoma or Zhuo-Ai syndrome, is a pancreatic -cell tumor. Mainly because of the proliferation of G cells in the antrum and duodenum, and the secretion of a large amount of gastrin, causing multiple, refractory peptic ulcer. The main symptoms are the symptoms of refractory peptic ulcer, which lasts for several years to several decades, and can also have fulminant hair. Ulcers are multiple, often occurring in the twelve-pointed, and can also be found in the stomach, esophagus, and ileum. It can be confirmed by gastric acid measurement, serum gastrin measurement, imaging examination, and the like. The preferred treatment for a clear diagnosis is surgical resection.