From 1982, The Abdominal Surgery Department of the Hospital 103 had applied gastropneumography to diagnose suspected gastroduodenal perforation in patients without subphrenic sickle-air. Air was pumped through nasogastric tube with a volume of 700 ml to 1000 ml. By this technique, definite diagnosis of perforation was made and the surgery was indicated early. Sensitivity of the technique was 82.6%. This technique should be recommended in medical units, where emergency abdominal operation can be performed early to restrict potential complications.
Peptic Ulcer Perforation ; Diagnosis

From 1982, the abdominal surgery department of Hospital No 103 had applied Gastropneumography to diagnose suspecting gastroduodenal perforation patients without subphrenic sickle-air. Volume air was pumped into stomach through nasogastrotube from 700 ml to 1000 ml. The technique gave determined diagnosis of perforation and operating indication early which helped to restrict complication of perforation. The sensitivity of technique was 82.6%. There was no noticeable catastrophe that involved in technique in this study
Peptic Ulcer Perforation ; Diagnosis

Investigating the biopsed gastroduodenal specimens collected from patients with gastroduodenal ulcer showed that: the gastroduodenal conditions can occur in all age groups, but they are most likely to be seen in the middle and old people. Gram stain and urease test from biopsed specimens gives result rapidly, especially with Gram stain. Rate of positive result is high (90.6% and 89.5%, respectively). Therefore, it can be based on the result of two these techniques to make diagnosis earlier
Peptic Ulcer ; Helicobacter pylori ; diagnosis

An evaluation on using drugs for patients with peptic ulcer and gastritis in Gastroentrology Department of a central hospital in Hanoi was established. The results showed that: the protocols of treatment were satisfied with diagnosis: patients with H.P nagative -test were not treated with antibiotics and patients with H.P.positive -test were treated with antibiotics. Patients with gastritis and peptics ulcer were treated mainly by H2 histamine antogonist and PPIs, respectively.
Peptic Ulcer ; Helicobacter pylori ; diagnosis

200 patients over 18 years old were diagnosed with peptic ulcer. Two specimens were taken on each patient: from the corpus and 1/3 andral, which were put into each urease test hole. The results were diagnosed with H. pylori infection with urease test by reading biopsyspecimen after 1 hour and 24 hours. With 83.5% patient having used drugs before endoscopy, the percentage of H. pylori (+) from the corpus and the antral specimen is significantly different (65% vs 68.5%) but using specimens from both sites increases significantly the H. pylori positivity from 65% to 78%
Helicobacter pylori ; diagnosis ; peptic ulcer ; Urease

Peptic ulcer disease is one of the most commonly encountered gastrointestinal diseases in Korea. The trend of peptic ulcer disease in Korea has changed in the past decade in regard to increasing age of the population, underlying disease and the use of non-steroidal anti-inflammatory drugs. This article reviews the published literature pertaining to the endoscopic findings and differential diagnosis of peptic ulcer disease.
Diagnosis* ; Diagnosis, Differential ; Endoscopy ; Gastrointestinal Diseases ; Korea ; Peptic Ulcer*

Humans ; Intussusception ; diagnosis ; Male ; Middle Aged ; Peptic Ulcer ; complications

Primary peptic ulcer disease in not known to be the result of underlying illness or trauma. These are most frequently duodenal or prepyloric. Since clinical features of peptic ulcer in children can easily be confused with many other disorders, the diagnosis is usually made when one of the more dramatic presentations, such as perforation, bleeding and obstruction. Recently, we experienced 2 cases of duodenal obstruction due to peptic ulcer in children. So, we report it with review of references.
Child* ; Diagnosis ; Duodenal Obstruction* ; Hemorrhage ; Humans ; Peptic Ulcer*

BACKGROUND/AIMS: Helicobacter pylori eradication promotes healing and prevents recurrence of H. pylori associated peptic ulcer disease (PUD). However it is unclear whether H. pylori eradication therapy commenced on the initial course of treatment is more effective compared to therapy at a later course of treatment. We evaluated the optimal commencement time of eradication of H. pylori in patients with hemorrhagic PUD. MATERIALS AND METHODS: Between June 2002 through July 2013, a total of 486 patients who had hemorrhagic PUD were retrospectively evaluated. After exclusion, 79 patients who received H. pylori eradication therapy were assessed. RESULTS: Thirty patients with duodenal ulcer (38%) and 49 patients with gastric ulcer (62%) were enrolled. The overall eradication rate were 96.2%. The eradication rates of early eradication vs. late eradication (divided by standards of 3 days after diagnosis of PUD) were 94.3% vs. 100%, and was not significantly different (P=0.55). CONCLUSIONS: According to our study, medication commencement time does not have an effect on the eradication rate of H. pylori infection in patients with hemorrhagic PUD.
Diagnosis ; Duodenal Ulcer ; Helicobacter pylori* ; Hemorrhage* ; Humans ; Peptic Ulcer* ; Recurrence ; Retrospective Studies ; Stomach Ulcer

Despite the generally declining trend in the incidence of peptic ulcers, peptic ulcer bleeding remains a prevalent and clinically significant condition. Additionally, despite the development of therapeutic endoscopy and acid-suppressive therapy, the overall mortality associated with peptic ulcer bleeding has remained at about 6% to 14%. Management of acute peptic ulcer bleeding requires prompt resuscitation, risk assessment, early endoscopic evaluation, and early initiation of pharmacotherapy. Advances in therapeutic endoscopic techniques and antisecretory therapies in the past few decades have reduced the incidence of recurrent bleeding and the mortality rate associated with this disease. Strategies to prevent recurrence have been defined for various causes of peptic ulcer bleeding. This article reviews the current diagnosis and management of acute peptic ulcer bleeding.
Diagnosis* ; Disease Management ; Drug Therapy ; Endoscopy ; Hemorrhage* ; Incidence ; Mortality ; Peptic Ulcer Hemorrhage ; Peptic Ulcer* ; Recurrence ; Resuscitation ; Risk Assessment