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Jan 19, 2008

Diseases of the stomach

Common conditions

Helicobacter pylori gastritis, chronic active gastritis, peptic ulcer, gastric cancer, gastric lymphoma.


  • Dyspepsia, upper abdominal discomfort and/or pain, bloating, belching

  • Vomiting of blood, passage of altered blood

  • Anaemia, weight loss, inability to eat


    Endoscopy and biopsy of stomach tissue


  • Helicobacter pylori eradication in cases of H. pylori associated gastritis and peptic ulcer

  • Surgery for gastric cancer cases.


  • Chronic active gastritis has a risk of malignancy.

  • Peptic ulcers may bleed and perforate.

    Gastric cancer

  • Common cancer among Asians, especially males.

  • Surgery is the only form of cure.

  • Easy to detect by endoscopy and biopsy.

  • High chance of cure if surgery is done at early stage.

    Problems in Malaysia

    Patients present with advanced stomach cancer as symptoms of early stomach cancer are often mistaken as “gastritis” and treated with oral medication instead of referring for endoscopy.

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