医学
耐火材料(行星科学)
病因学
疾病
消化性溃疡
重症监护医学
多学科团队
药物治疗
多学科方法
医疗
管理策略
外科
普通外科
内科学
社会学
工商管理
护理部
业务
物理
天体生物学
社会科学
标识
DOI:10.1016/j.gtc.2009.03.011
摘要
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.
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