The use of NSAIDs,low-dose aspirin or dual anti-platelet therapy has become an important risk factor for recurrent ulcers of complications 12]. The pathophysiology of PUD suggests that this disease is the result of a disruption in the normal balance between aggressive factors (gastric acid. pepsin and bile salts) and defensive aspects (prostaglandin(pg),mucosal blood flow, mucus, and bicarbonate)