Duodenal ulcer is most commonly caused by: March 2013 (c, d, e): (A) GERD, (B) NSAID therapy, (C) Stress ulcer, (D) H. pylori
Answer is D. Ans. D i.e. H. pylori Peptic ulcer/Peptic ulcer disease It is defined as mucosal erosions equal to or greater than 0.5 cm. As many as 70-90% of such ulcers are associated with Helicobacter pylori, a helical-shaped bacterium that lives in the acidic environment of the stomach. Four times as many peptic ulcers arise in the duodenum--the first pa of the small intestine, just after the stomach--as in the stomach itself. About 4% of gastric ulcers are caused by a malignant tumor, so multiple biopsies are needed to exclude cancer. Duodenal ulcers are generally benign.