Gastric Antrum Ulcer Causes and Management

The exact causes of gastric antrum ulcers have not been fully understood yet. Unlike typical peptic ulcers, which are often linked to excessive acid secretion, gastric antrum ulcers may actually occur in individuals with low gastric acid levels. Ulcer formation generally results from either increased acid production or a weakened mucosal defense system. However, since this type of ulcer is not associated with high acid levels, it is considered to be primarily due to a compromised protective barrier in the stomach lining.

The antrum is one of the most common sites for gastric ulcers and is also closely associated with the development of stomach cancer. Most gastric cancers occur at the junction between the gastric antrum and the gastric body, making early detection and diagnosis of ulcers in this area especially critical. If an ulcer is detected during endoscopy, especially if malignancy is suspected, a biopsy should always be performed.

If tests confirm the ulcer is benign, treatment follows standard protocols for non-cancerous ulcers. However, recurrence after three complete medical treatments can indicate the need for surgical intervention. In such cases, surgical removal may be recommended to prevent complications or potential malignant transformation. Prompt and accurate diagnosis is essential for effective management and prevention of serious outcomes.