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Etiological factors and peculiarities of diff erential diagnosis of multiple gastric ulcers

https://doi.org/10.30629/0023-2149-2025-103-3-223-227

Abstract

The present article discusses the risk factors for acute and chronic multiple gastric ulcers. Acute multiple ulcers are often stress ulcers that occur in critically ill patients, as well as ulcers that occur when taking medications (fi rst of all nonsteroidal anti-infl ammatory drugs). Acute multiple ulcers are often manifested by gastrointestinal bleeding (hematemesis, melena). Prevention of acute multiple gastric ulcers involves the timely appointment of proton pump inhibitors in the presence of risk factors for their occurrence. In cases of chronic multiple gastric ulcers, the exclusion infi ltrative ulcerative gastric cancer, MALT-lymphoma, B-cell lymphoma, stenosis of the abdominal trunk and other diseases is of great importance

About the Authors

A. A. Sheptulin
I.M. Sechenov First Moscow State Medical University (Sechenov University)
Russian Federation

Arkadiy A. Sheptulin — Doctor of Medical Sciences, Professor of the Department of Internal Diseases Propedeutics, Gastroenterology and Hepatology, N.V. Sklifosovsky Institute of Clinical Medicine

Moscow



Y. S. Rabotyagova
V.V. Vernadsky Crimean Federal University, Medical Institute named after S.I. Georgievsky
Russian Federation

Yuliya S. Rabotyagova — Candidate of Medical Sciences, Teaching Assistant at the Department of Therapy, Gastroenterology, Cardiology and General Medical Practice (Family Medicine), Faculty of Training

Simferopol



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Review

For citations:


Sheptulin A.A., Rabotyagova Y.S. Etiological factors and peculiarities of diff erential diagnosis of multiple gastric ulcers. Clinical Medicine (Russian Journal). 2025;103(3):223-227. (In Russ.) https://doi.org/10.30629/0023-2149-2025-103-3-223-227

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ISSN 0023-2149 (Print)
ISSN 2412-1339 (Online)