title: Duodenal ulcer and recurrent dyspepsia.
abstract: A survey of recurrent indigestion in four general practices (19,619 patients) showed a wide range of dyspeptic complaints. Of these 82 (4.2 per 1,000) already had a proved ulcer and 144 (7.3 per 1,000) had symptoms suggesting a duodenal ulcer and had either not been investigated or had previously had a normal barium meal. A duodenal ulcer was found radiologically in half the men (46 out of 95) but in only 16% of the women (8 out of 49). In 11 (25%) of the 46 men shown to have an ulcer a barium meal had been previously reported as normal. Evidence is put forward that ulcer symptoms in the large residue of patients with a normal barium meal (38 men, 29 women) were produced by a primary duodenal condition (duodenitis) of which ulcer was one complication.
mesh_terms: D000328:Adult; D000368:Aged; D001466:Barium Sulfate; D004378:Duodenal Diseases / Q000150:complications; D004381:Duodenal Ulcer / Q000150:complications* / Q000000981:diagnostic imaging / Q000201:enzymology; D004415:Dyspepsia / Q000201:enzymology / Q000453:epidemiology / Q000209:etiology*; D004792:Enzyme Precursors / Q000097:blood; D005194:Family Practice; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010434:Pepsin A / Q000097:blood; D011859:Radiography; D012737:Sex Factors
chemical_list: D004792:Enzyme Precursors; D001466:Barium Sulfate; D010434:Pepsin A