Pitfalls
- NSAID-induced PUD is often asymptomatic until patients present with complications.
- Failure to assess for red flag features in patients presenting with dyspepsia may result in delays in diagnosing malignancy or miss those with serious complications such as UGIB.
- Signs and symptoms of UGIB may be subtle. A thorough history, examination including DRE and review of bloods is required.
- Consider marginal ulcers as a possible cause of dyspepsia in patients who have undergone obesity surgery.