Endoscopy: An Effective Method To Diagnose Duodenal Ulcers

Endoscopy is a highly effective diagnostic tool for identifying duodenal ulcers. During the procedure, a gastroscope is inserted through the esophagus and advanced to the descending portion of the duodenum, allowing doctors to examine the mucosal surfaces of the esophagus, stomach, and duodenum in detail. This enables the detection of ulcers or other abnormalities in the upper gastrointestinal tract.

Common Locations For Duodenal Ulcers

Duodenal ulcers most commonly occur in the duodenal bulb, particularly on the anterior wall. These ulcers can appear as single or multiple lesions and are typically smaller in size compared to gastric ulcers. The visual clarity provided by endoscopy allows for accurate identification and assessment of the ulcer's size, depth, and location.

Post-Diagnosis Treatment Options

Once a duodenal ulcer is diagnosed via endoscopy, it is important to follow up with a specialist for appropriate treatment. Standard therapy usually includes a combination of acid-suppressing medications and gastric mucosal protectants to promote healing. Proton pump inhibitors (PPIs) are commonly prescribed to reduce stomach acid production, while agents like sucralfate help protect the lining of the digestive tract.

The Role Of H. pylori Testing

In addition to medication, it is crucial to test for the presence of Helicobacter pylori (H. pylori), a bacterium commonly associated with peptic ulcers. A breath test or biopsy during endoscopy can confirm infection. If H. pylori is detected, a targeted eradication regimen—often consisting of two antibiotics, a proton pump inhibitor, and a bismuth compound (known as quadruple therapy)—is typically prescribed.

Long-Term Management And Prevention

Successful treatment not only helps heal the ulcer but also reduces the risk of recurrence. Lifestyle modifications such as avoiding nonsteroidal anti-inflammatory drugs (NSAIDs), limiting alcohol consumption, and managing stress can further support gastrointestinal health. Regular follow-up with a gastroenterologist ensures long-term management and early detection of any complications.