Diagnosis

• clinical symptoms and signs

•Fibroesophagogastroscopy – «gold standard» biopsy of gastric ulcer before and after treatment!

•X-ray with barium

•detection of H.pylori

•The sensitivity of barium radiography for the diagnosis of gastric ulcer is approximately 65% to 90%; the sensitivity increases with the size of the lesion.

Ulcer at endoscopy.

Complications of peptic ulcer

Complications of peptic ulcer

Gastric cancer

FACTORS PREDISPOSING TO GASTRIC CANCER

SMOKING

ALCOHOL

H.PYLORI

DIETARY ASSOSIATIONS

AUTOIMMUNE GASTRITIS

ADENOMATOUS GASTRIC POLYPS

PREVIOUS PARTIAL GASTRECTOMY

MENETRIER’S DISEASE

FAMILIAL ADENOMATOUS POLYPS