Before the 21st century, proton pump inhibitors (such as omeprazole and other drugs) have not entered the Chinese market, peptic ulcer is a nightmare for many people. Once they were not cured, they had to undergo surgery to remove part of their stomach. However, after the stomach is removed, the ulcer will reoccur and even increase the risk of cancer. The great thing about proton pump inhibitors is that they have saved more than 90% of peptic ulcer patients from falling under the surgeon’s knife in this “battle for the stomach”. Partial gastrectomy However, in this new age of medical advances, a small number of people, especially young people, are still successfully captured by surgeons. It is a pity that the stomach is cut off at such a young age, so why is it such a tragedy? The reasons are as follows: peptic ulcer favors young people and is prevalent in young people; peptic ulcer symptoms are atypical, and young people are more likely to neglect treatment; treatment is not standardized Peptic ulcer should be taken regularly by mouth for 6-8 weeks with PPIs and mucosal protectants. Many people do not follow the doctor’s instructions, take a few days of medication to relieve the symptoms and then stop, or eat with symptoms, no symptoms do not eat; there are also some people do not believe in Western medicine, take their own traditional Chinese medicine; refused to review the gastroscope after treatment, it is not clear whether to achieve endoscopic healing. Irregular life Especially during the treatment period, still drink, smoke, stay up late, eat barbecue seafood and other spicy and stimulating food, thus resulting in incomplete treatment. The above irregular treatment leads to the four major complications of peptic ulcer: bleeding, obstruction, perforation, and cancer, signaling that you are getting closer to the scalpel. A 21-year-old patient in the general surgery department had a gastroscopy suggesting duodenal bulb ulcer a month ago, which was not treated regularly, and a current repeat gastroscopy suggests obstruction. Most ulcers with bleeding are curable with PPI treatment, but only a few patients have recalcitrant bleeding and have no choice but to undergo surgical intervention. Pyloric obstruction or duodenal obstruction is caused by repeated non-healing or scar healing of the ulcer, which prevents food from leaving the stomach and reaching the small intestine, and can only be relieved by surgical operation. Gastric ulcers have the risk of becoming cancerous, and if cancerous, surgery is the first choice. Therefore, the treatment of gastric ulcers should be standardized, and it is very important to have gastroscopy on a regular basis. Perforated ulcers are mainly caused by untimely diagnosis and treatment, as well as drinking and eating spicy food to stimulate the stomach during treatment. Perforation is an acute abdominal condition that requires emergency surgery to save a life.