61. A patient with chronic gastritis is found to have Helicobacter pylori infection. What is the technical pathophysiological mechanism by which H. pylori contributes to peptic ulcer disease?

  • Direct invasion of gastric cells.
  • Production of urease, leading to ammonia formation and gastric mucosal damage, and inflammation.
  • Induction of autoimmune reaction.
  • Impaired gastric emptying.
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