What diseases and gastric ulcer should be differentiated from

Gastric ulcer is a common disease, as medical diagnosis and screening of the means of progress, the current diagnosis is not very difficult, but it should be noted with the following types of the disease were identified:
(1) of gastric cancer: a benign gastric ulcer and malignant ulcer identification is very important, the differential between sometimes very difficult, in order to avoid mistakenly malignant ulcer thwarted as benign ulcer surgery time, the typical manifestations of age over 45 years of age, low acid patients, even once the X-ray and endoscopic examination for cancer and could not confirm when, in the medical treatment should be carried out under regular observation until complete healing ulcers. In addition, the part of patients, gastric biopsy showed a change as, even if endoscopic ulcer has healed, but also to maintain contact with patients, regular follow-up and repeat the necessary inspection, as has been mentioned earlier, some early gastric cancer can be as benign as ulcer repair.
In the X-ray and endoscopic, benign and malignant ulcer identification points are as follows: ① benign ulcer for more than round or oval-shaped, smooth edge, tidy; malignant ulcers more irregular shape. ② more benign ulcer bottom smooth, white or yellow-white moss covered moss; malignant ulcers can be at the bottom of a nodular, rugged, the surface contamination. ② most benign ulcers in the stomach outside contours; malignant ulcers are contrary. ④ benign ulcer mucosal edema of the surrounding small and not deep into the stomach cavity, a smooth and symmetrical edge of the filling. ⑤ benign gastric ulcer wrinkle wall radiotherapy to mouth ulcers; malignant ulcers no radial wrinkle wall, or mucosal wall wrinkle interruption. Biopsy can improve diagnosis.
(2) chronic gastritis: chronic gastritis gastric ulcer patients can have similar performance, such as the rhythm of the upper abdominal pain, often confused with canker. Gastroscopy is the primary means of identification of the two.
(3) of the gastric mucosa prolapse: As antral mucosa from all Helicobacter pylori is often intermittent, and the disease is not the pain of acid is easing, no lasting obvious rhythm, and the pain and posture, often left Lateral Position reduce pain, and pain when it is right decubitus increase. Subject to regular X-ray diagnosis or gastroscopy.
(4) gastrointestinal neurosis: the patients except for the kind of gastrointestinal tract disease, with, at the same time functional existence of the other symptoms such as lightheadedness, heart palpitations, dream, sweating, Zhenfa of facial flushing, emotional instability, X-ray confirmed the diagnosis depends on barium meal examination and gastroscopy.
(5) gastrinoma: gastrinoma patients often multiple gastrointestinal tract ulcers, and stubborn ulcers, the acid treatment generally ineffective. Through the determination of serum gastrin level and regular analysis of gastric juice diagnosis can be made.