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  • Title: Common gastroenterological problems. IV.--Duodenal ulcer.
    Author: Salter RH.
    Journal: Practitioner; 1975 Apr; 214(1282):555-60. PubMed ID: 1144269.
    Abstract:
    Duodenal ulcer is a common cause of dyspepsia. The clinical features are non-specific, and suspicion of this lesion requires confirmation with a barium meal, perferably using a double-contrast technique. Duodenoscopy and gastric-acid-secretion studies are helpful in selected cases. Medical treatment is essentially symptomatic but nevertheless remains perfectly acceptable to many ulcer suffers. Surgical intervention is usually necessary in the presence of ulcer complications, but careful assessment is required before recommending operation for a patient with an uncomplicated duodenal ulcer. This decision should be based predominantly on the severity and duration of symptoms.
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