Duodenal ulcers come and go, but the duodenal ulcer disease persist.
Scars in the duodenal bulb is a definite sign of duodenal ulcer disease, although no actual ulcer is seen. The clinical significance of a finding like this is most often the need for eradication of Helicobacter pylori. Scarring sometimes produces diverticulum-like changes in the bulb. These are not however real diverticulas. Typical small scars caused by duodenal ulcers.