It is a combination of gastric acid and Helicobacter pylori together with other factors which is responsible for peptic ulcer disease. Urease test may be rapidly positive but requires review the following morning. This interesting condition is only a problem in Latin America.
Early diagnosis is the only effective way to plan management.
The ideal is 20-25. Over 30 is obese and over 40 is morbidly obese. E. Usually requires IV sedation which may be reversed with flumazenil Video and fibre-optic gastroscopy yields equivalent results and are more reliable than barium meal examination overall. Procedures may be conducted without sedation and this is often safer. Complications and deaths often relate to cardio-respiratory problems in the elderly.