Gastric ulcer disease should be differentiated from what

Gastric ulcer is a common disease, as medical diagnosis and screening means progress, the current diagnosis is not very difficult, but it should be noted with the following types of the disease were identified: (1) of gastric cancer: a benign gastric ulcer and malignant ulcer identification is very important, the differential between sometimes very difficult, in order to avoid mistakenly malignant ulcer thwarted as benign ulcer surgery time, atypical clinical manifestations, aged 45 and above, low acid patients, Even once the X-ray and endoscopic examination for cancer and could not confirm when, in the medical treatment should be carried out under regular observation until complete ulcer healing. In addition, the part of patients, gastric biopsy showed a change as, even if endoscopic ulcer has healed, but also to maintain contact with patients, regular follow-up and repeat the necessary inspection, as has been mentioned earlier, some as early gastric cancer can be as benign ulcer repair. In endoscopy and X-ray, benign and malignant ulcer identification points are as follows: ① mostly benign ulcer round or oval, Edge smooth, neat; More irregular shape of malignant ulcers. ② more benign ulcer bottom smooth, white or yellow white Toi Toi coverage; At the bottom of malignant ulcers can be a nodular, rugged, the surface contamination. ② most benign gastric ulcer in the cavity contour outside; In contrast, malignant ulcers. ④ benign ulcer mucosal edema of the surrounding small, not deep into the stomach cavity, a smooth and symmetrical edge of the filling. ⑤ benign gastric ulcer wrinkle wall radiotherapy to mouth ulcers; No malignant ulcers radial wrinkle wall, or mucosa wrinkle wall interrupted. Biopsy can improve diagnosis rates. (2) chronic gastritis: chronic gastritis gastric ulcer patients can have similar performance, such as the rhythm of the abdominal pain, are often confused with canker. Endoscopy is the primary means of identifying the two. (3) of the gastric mucosa prolapse: As from the gastric antrum pylorus is often intermittent nature, the pain of not acid agent is easing, no lasting obvious rhythm, but the pain and posture, and often reduce pain after the left decubitus, and pain when it is right decubitus heavier. Subject to regular X-ray diagnosis or gastroscopy. (4) gastrointestinal Neurosis: Apart from the kinds of patients gastrointestinal disease-like, while the presence of other functional symptoms such as lightheadedness, heart palpitations, and more dreams, hyperhidrosis,of facial flushing, emotional instability, and so on, rely on the X-ray confirmed the diagnosis and barium meal gastroscopy. (5) gastrinoma: gastrinoma patients often have multiple gastrointestinal tract ulcers, and stubborn ulcers, the acid treatment generally not obvious. Through the determination of serum gastrin level analysis and gastric juice can often make the diagnosis.