Refractory peptic ulcer disease.

Link to article at PubMed

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Refractory peptic ulcer disease.

Gastroenterol Clin North Am. 2009 Jun;38(2):267-88

Authors: Napolitano L

Refractory PUD is a diagnostic and therapeutic challenge. Optimal management of severe or refractory PUD requires a multidisciplinary team approach, using primary care providers, gastroenterologists, and general surgeons. Medical management has become the cornerstone of therapy. Identification and eradication of H pylori infection combined with acid reduction regimens can heal ulceration and also prevent recurrence. Severe, intractable or recurrent PUD and associated complications mandates a careful and methodical evaluation and management strategy to determine the potential etiologies and necessary treatment (medical or surgical) required.

PMID: 19446258 [PubMed - indexed for MEDLINE]

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