A 45-year-old patient, consulted a local doctor with complaints of pain in the epigastric region, mainly on an empty stomach and at night, causing him to wake up, as well as almost constant heartburn, a feeling of heaviness and fullness in the epigastric region after eating, heartburn burping sour, nausea. From the anamnesis it is known that the patient smokes a lot, abuses coffee, eats irregularly. Sick for about three years. Not examined, treated independently (took herbal medicine).On examination: satisfactory condition. BMI 32.0 kg / m2. The skin is clean, normal color. The body temperature is normal. Pharynx - tonsils, posterior pharyngeal wall not hyperemic. In the lungs, vesicular breathing, no wheezing. Heart sounds are muffled, rhythmic, heart rate - 70 beats per minute, blood pressure - 120/80 mm Hg. The abdomen is involved in the act of breathing, on palpation it is soft, painful in the epigastric region, there is no tension in the abdominal muscles, the symptom of thrumming along the lumbar region is negative.EFGDS: the esophagus is freely passable, longitudinal folds are thickened, focal hyperemia of the mucous membrane of the distal esophagus, the cardia does not close completely. An empty stomach contains a small amount of light secretory fluid and mucus. The folds of the gastric mucosa are thickened, convoluted. The duodenal bulb is deformed, a mucosal defect of up to 0.5 cm in diameter is detected on the back wall. The edges of the defect have clear boundaries, hyperemic, edematous. The bottom of the defect is covered with fibrinous overlays of white color. Postbulbar departments without pathology. A urease test for the presence of H. pylori is positive. 1- what is the disease 2- justify it
