4.3 DIAGNOSIS
In
most cases, the history and
examination are sufficient
to
provide a probable diagnosis.
*
A barium meal study may show the
ulcer crater, deformity of
the duodenum or delayed emptying of the stomach.
*
However, in early
cases, there may
be no radiological
findings. Fibroendoscopy provides a firm
diagnosis even in
early cases.
*
Acid studies are required sometimes.
(Petogastric and output)
4.4 TREATMENT
*
With H2 blockers (Ranitidine)
*
Diet and
*
Tranquilizer can be started.
Surgical treatment is required
for patient with recurrence and complications
and include
vagotomy, gastroenterestomy and subtotal gastric resection
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