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Treatment of Angular Ulcer in the Stomach

The angular ulcer of the stomach is a type of gastric ulcer, and its treatment follows similar principles as general gastric ulcer management. Below are the key approaches to effectively treat this condition:

1. Elimination of Underlying or Triggering Factors

If a gastric ulcer persists or recurs, it's important to identify and eliminate contributing factors. Medications such as aspirin or other nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen can contribute to ulcer formation and should be discontinued if possible. Additionally, lifestyle habits including overeating, consuming hard-to-digest foods, or suffering from coexisting conditions such as malnutrition or ischemic diseases may contribute to the development of an angular ulcer. Addressing these issues is essential for healing.

2. Acid Suppression Therapy – A Crucial Step

Acid suppression plays a central role in treating gastric ulcers. The standard course of treatment lasts between 4 to 8 weeks. Proton pump inhibitors (PPIs), such as omeprazole or esomeprazole, are typically the first-line medications prescribed due to their effectiveness in reducing stomach acid production. Once endoscopic evaluation confirms that the ulcer has healed, acid suppression therapy can usually be stopped unless otherwise advised by a physician.

3. Eradication of Helicobacter pylori Infection

Although gastric ulcers, including angular ulcers, have a weaker association with Helicobacter pylori compared to duodenal ulcers, many cases are still linked to this bacterial infection. For patients who test positive for H. pylori, eradication therapy is highly recommended to prevent recurrence. This typically involves a combination of antibiotics and a PPI over a specific period, based on local resistance patterns and medical guidelines.

In summary, successful treatment of an angular ulcer involves identifying and removing triggers, managing stomach acid effectively, and addressing any underlying infections. Patients are encouraged to follow up with a healthcare provider to ensure proper healing and long-term digestive health.

TinyParticle2025-07-10 12:15:30
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