Gastric ulcer and should be differentiated from the diseases

Gastric ulcer is a common disease, as medical diagnosis and screening of the means of progress, the current diagnosis is not very difficult, but should pay attention to the following types of diseases and identification: (1) of gastric cancer: a benign stomach ulcer and malignant ulcers in the differential is very important, both the identification sometimes very difficult, in order to avoid mistakenly malignant ulcers as benign ulcer surgery and missed the opportunity, not a typical clinical manifestations of age Over the age of 45, low acid patients, even once the X-ray and endoscopy for cancer and could not confirm when, in medical treatment should be conducted under regular observation until complete healing ulcers. In addition, the part of patients, gastric biopsy showed a change between, even if the endoscopic ulcer has healed, but also to maintain contact with patients, regular follow-up and repeat the necessary checks, as mentioned earlier, some early gastric cancer Can be as benign as ulcer repair. In endoscopy and X-ray, benign and malignant ulcers in the differential points are as follows: ① benign ulcers for more than round or oval-shaped, smooth edges, tidy; malignant ulcers and more irregular shape. ② more benign ulcers at the bottom of smooth, white moss or moss covered huangbai; malignant ulcers can be at the bottom of a nodular, rugged, surface contamination. ② most benign stomach ulcer in the cavity profile outside the contrary is a vicious ulcer. ④ benign ulcers around the mucosal edema of the small, not deep into the stomach cavity, forming the edge of the filling smooth and symmetrical range. ⑤ benign gastric ulcer wrinkle wall radiation to mouth ulcers; malignant ulcers not radiating surface wall, the wall or mucosal surface disruption. Biopsy may improve the diagnosis rate. (2) chronic gastritis: chronic gastritis gastric ulcer patients can have similar performance, such as the rhythm of abdominal pain, and so on, are often confused with canker. Gastroscopy is the primary means of identifying them. (3) of gastric prolapse: As income from gastric mucosa H. pylori is often intermittent, the disease of pain not eased by the acid agent, lasting no clear rhythm, and posture-related pain and often left Lateral position to reduce pain, and the right of lying when pain increased. Confirmed to be subject to regular X-ray or gastroscopy. (4) gastrointestinal neurosis: In addition to the types of patients have gastrointestinal disease, with, at the same time functional existence of the other symptoms, such as palpitations, and more dreams, hyperhidrosis, Zhenfa of facial Chaohong, emotional instability, X-ray confirmed the diagnosis rely on the barium meal and gastroscopy. (5) gastrinoma: gastrinoma patients often have a number of gastrointestinal ulcers and ulcers stubborn, the general acid treatment was not obvious. Through the determination of the level of serum gastrin and analysis of gastric juice to make a diagnosis often