RT Journal Article SR Electronic T1 Current medical management of duodenal ulcer disease JF Canadian Medical Association Journal JO CMAJ FD Canadian Medical Association SP 1192 OP 1195 VO 117 IS 10 A1 Badley, B. W. YR 1977 UL http://www.cmaj.ca/content/117/10/1192.abstract AB Each of three agents used in the treatment of duodenal ulcer--magnesium--aluminum antacids in high doses, cimetidine and carbenoxolone sodium--appears to enhance the rate at which ulcers heal, although their ability to control symptoms has been less clearly demonstrated. Since a large proportion of ulcers heal either without treatment or when the patient is given a placebo, a rational management plan should emphasize the removal of known irritants and the provision of symptomatic relief while spontaneous healing is allowed to occur. Lack of response to such a regimen warrants more specific investigation and therapy. On the basis of current evidence, cimetidine appears to be the preferred therapeutic agent.