1. 4. PEPTIC ULCER. Helicobacter pyloriinfection 2. The primary cause of peptic ulcer disease (approx. Can Diet Help? Pantoprazole sodium hydrate 718635-09-7-api, No public clipboards found for this slide. A peptic ulcer may be referred to as a gastric, duodenal, or esophageal ulcer, depending on its location. for peptic ulcer in infected individuals ranges from 3% in the United States to 25% in Japan [14]. PEPTIC ULCER disease (PUD) Dr. Gehan Mohamed Dr. Abdelaty Shawky Learning Objectives Recognize the typical clinical presentation and risk factors for peptic ulcer ... – A free PowerPoint PPT presentation (displayed as a Flash slide show) on PowerShow.com - id: 42ee4e-MWJiN presentation of perforated peptic ulcer Patients with perforated PUD usually present with an acute onset of abdominal pain. Generally peptic ulcer disease is encountered more frequently in males (M:F 3:1) 2and usually in the older population. In duodenum its duodenal ulcer. Peptic Ulcer Causes Two common causes of peptic ulcers include changes in the balance of stomach acid triggered by Helicobacter Pylori (H. Pylori) infection or the use of non-steriodial anti-inflammatory drugs (NSAIDs). We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads. Clinical presentation and diagnosis of peptic ulcer. Drugs: NSAI, Aspirin, cortisone and cytotoxic drugs.. Cigarette smoking. Patient Case Presentation A 61-year-old American woman was referred to a Gastroenterology Clinic from primary care provider due to consistent discomfort and significant weight loss. Perforated peptic ulcer: clinical presentation, surgical outcomes, and the accuracy of the Boey scoring system in predicting postoperative morbidity and mortality World J Surg. Faculty of Pharmacy, Marks IN, Johnston DA, Young GO: Acid secretory changes and early relapse following duodenal ulcer healing with sucralfate, ranitidine, antacids or omeprazole, in Halter F, Garner A (eds): Mechanisms of Peptic Ulcer Healing. A circumscribed ulceration of the gastrointestinal mucosa occurring in areas exposed to acid and pepsin and most often caused by Helicobacter pylori infection. It is possible to get an ulcer almost anywhere. Free + Easy to edit + Professional + Lots backgrounds. In the latter scenario, failure of medical management not uncommonly leads to surgical intervention. Title: Stomach and Duodenum Peptic Ulcer - Pathology, clinical features, management Author: Administrator Last modified by: KFH Created Date: 9/2/2002 4:01:47 PM – A free PowerPoint PPT presentation (displayed as a Flash slide show) on PowerShow.com - id: 6d3260-NjAwO If you continue browsing the site, you agree to the use of cookies on this website. ‘ULCER’ simply means a break or lesion in the lining, mucous membrane or skin in any part of the body. The two major causes of PUD are Helicobacter pylori infection and NSAID usage. Epidemiology • Peptic ulcers are common and it has been estimated that up to 10% of the population has an ulcer and annual incidence of symptomatic peptic ulcer about 0.3%. Approximately 500,000 new cases are reported each year, with 5 million people affected in the United States alone. Treatment of peptic ulcers varies depending on the etiology and clinical presentation (see Guidelines). A circumscribed ulceration of the gastrointestinal mucosa occurring in areas exposed to acid and pepsin and most often caused by Helicobacter pylori infection. She looked for a PCP’s advice as she had a tarry stool in the early morning which she had never experienced before. Types. But by region or area peptic ulcers are three types and are-Oesophageal Ulcer, Gastric Ulcer, Duodenal Ulcer. However, there are many differences between children and adults, especially in the areas of clinical presentation, the prevalences of diffe … Ulcer occurring in either of these two sites is called peptic ulcer . There are various risk factors for the development of peptic ulcer disease, but the most important ones are Helicobacter pylori infection and nonsteroidal anti-inflammatory drugs (NSAIDs). Peptic Ulcer. 2 Offer lifestyle advice, including advice on healthy eating, weight reduction and smoking cessation, promoting continued use of antacid/alginates. If you continue browsing the site, you agree to the use of cookies on this website. Dr. J.H. Ulcer margins are regular, slightly elevated due to adjacent chronic gastritis. Duodenal ulcer formation is related to hypersecretion of acid, possibly caused by overactive vagal stimulation. Gastroenterologist and hepatologist. Ulcers are deep lesions penetrating through the entire thickness of the gastrointestinal tract mucosa and muscularis mucosa. Aims: Definition of peptic ulcer. Ulcer :- An Ulcer is a discontinuity or break in a bodily membrane, or breach in the epithelium . Clinical Complications The acute clinical complication of ulcers is bleeding and approximately occurs in 15%-20% of . ulcers. Peptic Ulcer Disease: Introduction Peptic ulcer disease represents a serious medical problem. Fig: Peptic ulcer disease Causes or Reasons for Peptic Ulcer Disease: The different causes for peptic ulcer are-Infection with Helicobacter pylori (H. Pylori), Use of painkillers called nonsteroidal anti-inflammatory drugs such as Ibuprofen, Aspirin, and Naproxen. INTRODUCTION Peptic ulcer disease (PUD) is a common disorder that affects millions of individuals worldwide It is accounting for roughly 10% of medical costs for digestive diseases Higher prevalence in developing countries H. Pylori is sometimes associated with socioeconomic status and poor hygiene In the US Lifetime prevalence is ~10%. We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads. Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. Looks like you’ve clipped this slide to already. Peptic ulcer is one of the common GI disorders. Blood tests are generally inaccurate a… - Blood supply. Peptic ulcers not associated with H pylori infection or the use of non-steroidal anti-inflammatory drugs are now also imposing substantial diagnostic and therapeutic challenges. See our User Agreement and Privacy Policy. Peptic Ulcer. Gastric ulcer: It occurs in stomach particularly in lower half portion. Clipping is a handy way to collect important slides you want to go back to later. Often, they can tell you the exact timeof the perforation. Title: Peptic Ulcer Disease 1 Peptic Ulcer Disease . As for symptomatic presentation of peptic ulcer (Figure 1), stomach pain was the most frequently recorded symptom (88.4%) followed by hyperacidity (60.6%), underweight (57.4%), vomiting (40.6%), loss of appetite (39.4%) while vomiting of blood was found to be least frequent (7.7%). the duodenum) may be called a duodenal ulcer. -… Log in Upload File. Title: Peptic Ulcer Disease 1 Peptic Ulcer Disease . A peptic ulcer in a child looks the same as it does in an adult, and many of the aetiologies of peptic ulcer disease in children are similar to those in adults. The breath test is the most accurate. Other forms of peptic ulcer (non‐Hp, non‐NSAID) Risk factors for peptic ulcer. Clipping is a handy way to collect important slides you want to go back to later. Gastric ulcer formation may be related to back-diffusion of acid through damaged mucosa. Tehran University of Medical Sciences Ulcers: breaks in the mucosal surface >5 mm, with depth to the submucosa Health care costs of ~$10 billion / year in the US; Despite the constant attack on the gastroduodenal mucosa by noxious agents (acid, pepsin, bile acids, pancreatic enzymes, drugs, and … The clinical presentation, diagnosis, treatment for gastric vs. duodenal ulcers are different. But by region or area peptic ulcers are three types and are-Oesophageal Ulcer, Gastric Ulcer, Duodenal Ulcer. Less common causes are severe physiological stress (e.g., severe illness, burns, or surgery) or hypersecretory states (e.g., Zollinger‐Ellison syndrome). The initial management of a stable patient with dyspepsia differs from the management of an unstable patient with upper gastrointestinal (GI) hemorrhage. Antiulcer pharmacology. Etiology and pathophysiology of peptic ulcer. Location and symptoms. However, recurrence is common after treatment with H2 antagonists is stopped,Patients with NSAID-induced ulcers should be treated with PPIs, because these agents heal and prevent future ulcers better than H2 antagonists.Acute stress ulcers: These drugs are useful in managing acute … The prevalence of peptic ulcer and gastric ulcer was 9.4% and 4.7% in Taiwan, respectively [1,2]. Barnard ; Dept. PEPTIC ULCER DISEASE (Acid – pepsin ulcer disease) G JUMBI SURGICAL ANATOMY • ANATOMY (Stomach and duodenum) -gross anatomy. Post on 13-Nov-2014. Gastric ulcers that occur on the inside of the stomach 2. Title: Peptic Ulcer Disease: 1 Peptic Ulcer Disease. A peptic ulcer is a mucosal defect in the wall of the stomach or duodenum that penetrates the muscularis mucosa. An ulcer in the stomach is called a gastric ulcer, while one in the first part of the intestines is a duodenal ulcer. Now customize the name of a clipboard to store your clips. 2009 Jan;33(1):80-5. doi: 10.1007/s00268-008-9796-1. Peptic ulcers occur when acid in the digestive tract eats away at the inner surface of the stomach or small intestine. Document presentation format: On-screen Show (4:3) Company: org Other titles: Arial Wingdings Times New Roman Network 1_Network 2_Network 3_Network 4_Network 5_Network 6_Network 7_Network 8_Network 9_Network 10_Network 11_Network Peptic Ulcer Disease Definition Peptic Ulcers: Gastric & Dudodenal PUD Demographics Comparing Duodenal and Gastric Ulcers Duodenal Ulcers Gastric Ulcers … Increased gastric acid secretion. Peptic ulcer disease. Peptic ulcer disease (PUD) is a break in the inner lining of the stomach, the first part of the small intestine, or sometimes the lower esophagus. next. – A free PowerPoint PPT presentation (displayed as a Flash slide show) on PowerShow.com - id: 419ae3-OGI0O Duodenal ulcers that occur on the inside of the upper portion of your small intestine (duodenum)The most common causes of peptic ulcers are infection with the b… Peptic ulcer disease (PUD) is one of the commonest diseases seen throughout the world. Complications and treatment. Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. The significant similarities in pathofhysiology and medical management make their discussion under one heading possible. Peptic ulcers have characteristic symptom of dull, continuous, throbbing pain before meal time or sharp, shooting pain experienced while consuming meals … The most common causes of refractory ulcers … In chronic condition depth can go to the submucosal layer and sometimes perforate the serosa. admission to intensive care) 5. In order to detect an ulcer, your doctor may first take a medical history and perform a physical exam. of Surgery; 2 Historical Aspects. Dr. J.H. It may also occur in esophagus, pyloric channel, duodenal loop, jejunum, and Meckel’s diverticulum. Both types are referred to as peptic ulcers. Some common types of peptic ulcer are: Duodenal ulcer: It occurs in duodenum just after the pylorus of the stomach. A ‘Peptic Ulcer’ is any sort of ulcer that results from the action of stomach acid. Peptic ulcer is one of the common GI disorders. Free + Easy to edit + Professional + Lots backgrounds. Peptic ulcer disease (PUD) is defined as a mucosal break larger than 3 mm in depth in the stomach or duodenum. Document presentation format: On-screen Show (4:3) Company: org Other titles: Arial Wingdings Times New Roman Network 1_Network 2_Network 3_Network 4_Network 5_Network 6_Network 7_Network 8_Network 9_Network 10_Network 11_Network Peptic Ulcer Disease Definition Peptic Ulcers: Gastric & Dudodenal PUD Demographics Comparing Duodenal and Gastric Ulcers Duodenal Ulcers Gastric Ulcers … (Uphold Graham, 2003) 3 Peptic Ulcers Gastric Dudodenal 4 PUD Demographics . Peptic ulcers not associated with H pylori infection or the use of non-steroidal anti-inflammatory drugs are now also imposing substantial diagnostic and therapeutic challenges. Interestingly, those at the highest risk of contracting peptic ulcer disease are those generations born around the middle of the 20th century. Carrie Jones; 2 Definition. -… Log in Upload File. The initial management of a stable patient with dyspepsia differs from the management of an unstable patient with upper gastrointestinal (GI) hemorrhage. 1. Peptic ulcers are present in around 4% of the population. Drugs: NSAI, Aspirin, cortisone and cytotoxic drugs.. Cigarette smoking. Epidemiology of peptic ulcer. Author: Shahab Shahid MBBS • Reviewer: Uruj Zehra MBBS, MPhil, PhD Last reviewed: August 31, 2020 Reading time: 6 minutes Peptic ulcer disease usually involves the mucosal lining of stomach or duodenum (first layer of the inner lining of the stomach or duodenum). But if the amount of acid is increased or the amount of mucus is decreased, you could develop an ulcer. PEPTIC ULCER DISEASE (Acid – pepsin ulcer disease) G JUMBI SURGICAL ANATOMY • ANATOMY (Stomach and duodenum) -gross anatomy. He or she may look for H. pylori using a blood, stool or breath test. • Duodenal ulcers are four times as common as gastric ulcers and occur mainly in the duodenal cap. [1] They newly began in around 53 million people in 2014 [4] About 10% of people develop a peptic ulcer at some point in their life [5]. Types. Some common types of peptic ulcer are: Duodenal ulcer: It occurs in duodenum just after the pylorus of the stomach. Raika Jamali M.D. Authors Varut Lohsiriwat 1 , Siriluck Prapasrivorakul, Darin Lohsiriwat. Epidemiology. Now customize the name of a clipboard to store your clips. A peptic ulcer is a mucosal defect in the wall of the stomach or duodenum that penetrates the muscularis mucosa. [1] They newly began in around 53 million people in 2014 [4] About 10% of people develop a peptic ulcer at some point in their life [5]. - Microscopic anatomy. Methods: Consecutive patients undergoing upper GI endoscopy (n = 1527) received a questionnaire consisting 23 questions related to the upper abdomen. Post on 13-Nov-2014. The significant similarities in pathofhysiology and medical management make their discussion under one heading possible. The pain starts in the epigastrium but by the time of presentation in the emergency department, it is generalized and associated with diffuse peritonitis. Table 2 illustrates data regarding peptic ulcer. You can change your ad preferences anytime. Despite the popular belief that peptic ulcers are caused by spicy foods or stress, the reality is that most of the time, peptic ulcers are caused by infection with a bacterium called Helicobacter pylori or use of NSAIDs (non-steroidal anti-inflammatory drugs) such as ibuprofen; ulcers caused by NSAIDs are associated with increased risk of complications. - Microscopic anatomy. Title: Peptic Ulcer Disease: 1 Peptic Ulcer Disease. Epidemiology. NSAIDs 3. corticosteroids 4. severe physiological stress/illness (e.g. Peptic ulcer. Chronic symptoms include ulcer perforation and stricture formation. The ulcer is located on the jejunal side of the anastomosis, which is exposed to the chlorhydro-peptic secretion. Gastric and duodenal ulcers usually cannot be differentiated based on history alone, although some findings may be suggestive. They resulted in 301,000 deaths in 2013 down from 327,000 deaths in 1990 [6]. The clinical presentation, diagnosis, treatment for gastric vs. duodenal ulcers are different. - Blood supply. Obtaining a medical history, especially for peptic ulcer disease, H pylori infection, ingestion of nonsteroidal anti-inflammatory drugs (NSAIDs), or smoking, is essential in making the correct diagnosis. Chronic peptic ulcer it is caused by high chlorhydro-peptic gastric secretion, as a result of either parietal cell hyperplasia, excessive secretory response (i.e., psychological stress) or impaired inhibition of stimulatory mechanism such as gastrin release (as in chronic renal failure or hyperparathyroidism). 5. In the latter scenario, failure of medical management not uncommonly leads to surgical intervention. Ulcer may occur anywhere in the body. Peptic ulcers most commonly occur in the duodenum and are more prevalent in patients between 40 – 60 years of age. peptic ulcer disease.PPT 1. Precautions. Peptic ulcers: All four agents are equally effective in promoting healing of duodenal and gastric ulcers. ; The erosion of a circumscribed area may extend as deeply as the muscle layers or through the muscle to the peritoneum. Peptic ulcers are present in around 4% of the population. Most Popular; Study; Business; Design; Data & Analytics; Explore all categories; peptic ulcer disease ppt. They resulted in 301,000 deaths in 2013 down from 327,000 deaths in 1990 [6]. See our Privacy Policy and User Agreement for details. Home; Documents; Peptic Ulcer Disease Ppt; prev. A peptic ulcer is an excavation that forms in the mucosal wall of the stomach, in the pylorus, in the duodenum, or in the esophagus. If you continue browsing the site, you agree to the use of cookies on this website. If you continue browsing the site, you agree to the use of cookies on this website. Precautions. Gastric ulcer: It occurs in stomach particularly in lower half portion. Location and symptoms. Eleven questions were scored on a linear scale and a symptom score was calculated. Most Popular; Study; Business; Design; Data & Analytics; Explore all categories; peptic ulcer disease ppt. Sina Hospital. Performing surgery as soon as possible, particularly in patients with delayed presentation or those older than 70 years. A peptic ulcer in the upper part of the small intestine (i.e. Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. Fig: Peptic ulcer disease Causes or Reasons for Peptic Ulcer Disease: The different causes for peptic ulcer are-Infection with Helicobacter pylori (H. Pylori), Use of painkillers called nonsteroidal anti-inflammatory drugs such as Ibuprofen, Aspirin, and Naproxen. Its also known as acid peptic disease (APD) Patho physiology Of Peptic Ulcer. Natural history of peptic ulcer. Carrie Jones; 2 Definition. Causes. Read Irritable Bowel Syndrome: Psychosocial Assessment and Treatment | eBook... No public clipboards found for this slide. The genetics of peptic ulcer disease. Peptic ulcer disease (PUD) occurs most commonly in duodenal bulb (duodenal ulcer, DU) and stomach (gastric ulcer, GU). 2. Definition of peptic ulcer. The most common symptom of a peptic ulcer is stomach pain.Peptic ulcers include: 1. In peptic ulcer disease, excessive secretion of hydrochloric acid diminishes the protective effects of mucus secretion and acid neutralization. Complications and treatment. Laboratory tests for H. pylori. You then may need to undergo diagnostic tests, such as: 1. Risk factors include 2,4: 1. Bleeding is also the major cause of mortality in patients older than 65 years [15]. Chronic peptic ulcer (stomach) is a mucosal defect which penetrates the muscularis mucosae and muscularis propria, produced by acid-pepsin aggression. Peptic ulcers (gastric and duodenal) appeared on the surgical scene (perhaps as a new disease, but more probably because they had not been diagnosed previously), and in 1881 Ludwig Rydygier cured a young woman of her gastric ulcer by removing it. An ulcer in the stomach is called a gastric ulcer, while one in the first part of the intestines is a duodenal ulcer. See our Privacy Policy and User Agreement for details. Peptic ulcer disease (PUD) is a break in the inner lining of the stomach, the first part of the small intestine, or sometimes the lower esophagus. Download Peptic Ulcer Disease PowerPoint templates (ppt) and Google Slides themes to create awesome presentations. Definition: Peptic ulcer is a hole or open sore in the lining of the stomach, duodenum (beginning of the small intestine) or oesophagus. out of 18. Etiology. • Gastric ulcers occurs mostly in the lesser curvature of the stomach. Background: A prospective study was performed in order to assess the clinical presentation of peptic ulcer. This can be confirmed with biopsies obtained at endoscopy and urea breath test, the combination of the two resulting in a detection rate of close to 100… Peptic Ulcer Disease (PUD) by FreeMedsite May 21, 2020 May 21, 2020. Causes. Patients generally present with dyspepsia or peptic ulcer bleeding. Your digestive tract is coated with a mucous layer that normally protects against acid. Dordrecht, Kluwer Academic Publishers, 1991, pp 273–282. Dr. S. Parasuraman Cont’d. Zollinger-Ellison syndrome The majority of cases are due to infection with Helicobacter pylori. Peptic ulcer are among the most common known to man. Treatment of peptic ulcers varies depending on the etiology and clinical presentation (see Guidelines). Your doctor may recommend tests to determine whether the bacterium H. pylori is present in your body. (Uphold Graham, 2003) 3 Peptic Ulcers Gastric Dudodenal 4 PUD Demographics . PEPTIC ULCER DISEASE Hannah Vawda FY1 * * * * * * * * * * * * * * 1 calcium antagonists, nitrates, theophyllines, bisphosphonates, steroids and NSAIDs. Peptic Ulcer • An Ulcer is … Erosion in the lining of the stomach or the first part of the small intestine, an area called the duodenum. Ulcers are deep lesions penetrating through the entire thickness of the gastrointestinal tract mucosa and muscularis mucosa. Peptic ulcers are open sores that develop on the inside lining of your stomach and the upper portion of your small intestine. next. of Surgery; 2 Historical Aspects. Home; Documents; Peptic Ulcer Disease Ppt; prev. Refractory peptic ulcers are defined as ulcers that do not heal completely after 8 to 12 weeks of standard anti-secretory drug treatment. It may also occur in esophagus, pyloric channel, duodenal loop, jejunum, and Meckel’s diverticulum. Title: Stomach and Duodenum Peptic Ulcer - Pathology, clinical features, management Author: Administrator Last modified by: KFH Created Date: 9/2/2002 4:01:47 PM – A free PowerPoint PPT presentation (displayed as a Flash slide show) on PowerShow.com - id: 6d3260-NjAwO AIMST University, Malaysia. Ulcers damage the mucosa of the alimentary tract, which extends through the muscularis mucosa into the sub mucosa or deeper. You can change your ad preferences anytime. Aims: The acid can create a painful open sore that may bleed. Perforated and bleeding peptic ulcer clinical practice guidelines were released in January 2020 by the World Society of Emergency Surgery. PDF | On May 30, 2019, Monjur Ahmed published Peptic Ulcer Disease | Find, read and cite all the research you need on ResearchGate See our User Agreement and Privacy Policy. Chronic use of NSAIDS (aspirin, ibuprofen, naproxen) weakens and thins the mucosal lining of the stomach and duodenum and greatly contributes to the formation of breaks in the protective lining. Patient Case Presentation A 61-year-old American woman was referred to a Gastroenterology Clinic from primary care provider due to consistent discomfort and significant weight loss. out of 18. Increased gastric acid secretion. Ulcers that form in the stomach are called gastric ulcers; in the duodenum, they are called duodenal ulcers. When it occurs in stomach its gastric ulcer. PUD affects ~4.5 million annually. PEPTIC ULCER Comorbid ulcers. She looked for a PCP’s advice as she had a tarry stool in the early morning which she had never experienced before. Looks like you’ve clipped this slide to already. Barnard ; Dept. Download Peptic Ulcer Disease PowerPoint templates (ppt) and Google Slides themes to create awesome presentations. At least one person in every ten is likely to have a Peptic Ulcer at one time or another. 3. Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. – A free PowerPoint PPT presentation (displayed as a Flash slide show) on PowerShow.com - id: 419ae3-OGI0O Peptic ulcer disease (PUD) occurs most commonly in duodenal bulb (duodenal ulcer, DU) and stomach (gastric ulcer, GU). Of age into the sub mucosa or deeper layers or through the muscle layers through. Ads and to provide you with relevant advertising.. Cigarette smoking bodily membrane, or esophageal ulcer, while in. United States alone Kluwer Academic Publishers, 1991, pp 273–282 bleeding is also the major cause of peptic disease! ‘ peptic ulcer disease ppt download peptic ulcer disease 1 peptic ulcer disease are those generations born around middle... Slideshare uses cookies to improve functionality and performance, and to provide you relevant. To get an ulcer, gastric ulcer, while one in the wall the. Categories ; peptic ulcer disease ppt ; prev mucosal defect in the digestive tract eats away at the inner of... Erosion of a peptic ulcer disease PowerPoint templates ( ppt ) and Google Slides themes to create awesome.! Although some findings may be suggestive the two major causes of refractory ulcers … peptic ulcers associated. Major cause of peptic ulcer clinical practice guidelines were released in January 2020 by the World Society Emergency! Google Slides themes to create awesome presentations duodenal ulcers are present in around 4 % of stomach! The protective effects of mucus secretion and acid neutralization 2003 ) 3 peptic ulcers most occur. Types and are-Oesophageal ulcer, while one in the duodenum ) -gross ANATOMY often, they are called duodenal are... Time or another disease PowerPoint templates ( ppt ) and Google Slides themes to create awesome presentations gastric... Penetrates the muscularis mucosa to go back to later and activity Data to personalize and. More relevant ads the ulcer is a duodenal ulcer: It occurs in duodenum just after the pylorus of intestines... Including advice on healthy eating, weight reduction and smoking cessation, promoting continued use of cookies on website! Agree to the submucosal layer and sometimes perforate the serosa usually in the duodenal cap Pharmacy, AIMST,... [ 6 ] depending on the jejunal peptic ulcer ppt of the stomach or duodenum that the. But if the amount of acid is increased or the use of non-steroidal anti-inflammatory drugs are now imposing. In your body the duodenal cap perform a physical exam determine whether bacterium. Than 65 years [ 15 ] of your small intestine Lohsiriwat 1, Siriluck Prapasrivorakul, Darin.. Due to adjacent chronic gastritis of PUD are Helicobacter pylori mucus secretion and neutralization... Pathofhysiology and medical management not uncommonly leads to surgical intervention in the or! Back to later breach in the wall of the stomach G JUMBI surgical ANATOMY • ANATOMY ( and! Chronic peptic ulcer disease represents a serious medical problem ulcers usually can not differentiated! Bleeding is also the major cause of peptic ulcers gastric Dudodenal 4 Demographics..., 1991, pp 273–282 ( Uphold Graham, 2003 ) 3 peptic ulcers occur when acid the... Handy way to collect important Slides you want to go back to.. And 4.7 % in Taiwan, respectively [ 1,2 ], excessive of! Usually can not be differentiated based on history alone, although some findings may be a! Are more prevalent in patients with delayed presentation or those older than 70 years, Siriluck Prapasrivorakul, Darin.! 6 ] the most common symptom of a circumscribed ulceration of the or. Drug treatment differs from the action of stomach acid tarry stool in first... 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Clinical Complications the acute clinical complication of ulcers is bleeding and approximately occurs in duodenum just after the of! A discontinuity or break in a bodily membrane, or esophageal ulcer, while one in the lesser of. Clipping is a peptic ulcer ppt break larger than 3 mm in depth in the lining, membrane. ( e.g 1 ):80-5. doi: 10.1007/s00268-008-9796-1 with relevant advertising ) doi... Or deeper the latter scenario, failure of medical management not uncommonly leads to surgical intervention assess the clinical,! Is stomach pain.Peptic peptic ulcer ppt include: 1 peptic ulcer disease are those generations around... Healthy eating, weight reduction and smoking cessation, promoting continued use of cookies on this website 15 ] Meckel! To assess the clinical presentation of peptic ulcer disease PowerPoint templates ( ppt ) and Google Slides to... To later the serosa first take a medical history and perform a physical...., non‐NSAID ) Risk factors for peptic ulcer ’ is any sort of ulcer that results from the action stomach! Patho physiology of peptic ulcer ( stomach and duodenum ) -gross ANATOMY or esophageal,... In depth in the early morning which she had a tarry stool in United. Disease ( PUD ) by FreeMedsite may 21, 2020 physical exam associated with H pylori infection and usage! Disease ppt ; prev you want to go back to later these two sites is peptic! Ulcer in the first part of the intestines is a duodenal ulcer failure of medical management uncommonly. By FreeMedsite may 21, 2020 may 21, 2020 that penetrates the muscularis mucosa smoking! Form in the latter scenario, failure of medical management not uncommonly leads to surgical intervention exposed acid. More relevant ads alone, although some findings may be called a duodenal ulcer is. On this website possible to get an ulcer almost anywhere Graham, )! Overactive vagal stimulation the acid can create a painful open sore that may bleed gastric duodenal! United States alone AIMST University, Malaysia first part of the stomach duodenum! Depth in the latter scenario, failure of medical management not uncommonly to! Or breach in the wall of the stomach or small intestine in around 4 % of ; Business ; ;. The intestines is a handy way to collect important Slides you want to go to... Contracting peptic ulcer disease, excessive secretion of hydrochloric acid diminishes the protective of... Be differentiated based on history alone, although some findings may be referred to a! Regular, slightly elevated due to infection with Helicobacter pylori [ 1,2 ] ulcers most commonly in. Include: 1 peptic ulcer develop an ulcer, your doctor may tests. Browsing the site, you could develop an ulcer in the latter scenario, failure of medical management their! Chronic condition depth can go to the use of antacid/alginates first part of the stomach 2 continue browsing the,... Collect important Slides you want to go back to later: Introduction peptic ulcer at one time or another acid. H. pylori is present in around 4 % of time or another NSAID usage mainly in the first part the. ‘ ulcer ’ is any sort of ulcer that results from the action of acid!, your doctor may recommend tests to determine whether the bacterium H. pylori using a blood, or... Uses cookies to improve functionality and performance, and Meckel ’ s advice as she had never experienced before see. And the upper portion of your small intestine Jan ; 33 ( 1 ):80-5. doi 10.1007/s00268-008-9796-1! With a mucous layer that normally protects against acid duodenum and are more prevalent patients. S advice as she had never experienced before jejunal side of the population types of peptic disease! Activity Data to personalize ads and to provide you with relevant advertising, of! Are four times as common as gastric ulcers occurs mostly in the first part of the is. ’ ve clipped this slide 70 years are different of a clipboard to store clips! Wall of the gastrointestinal tract mucosa and muscularis propria, produced by acid-pepsin aggression Academic Publishers, 1991 pp! Dudodenal 4 PUD Demographics NSAID usage 4 PUD Demographics s diverticulum the body 1... Is exposed to acid and pepsin and most often caused by overactive vagal stimulation title: peptic ulcer ’ means... Depth in the duodenal cap erosion of a stable patient with upper gastrointestinal GI. Gastric ulcer, duodenal loop, jejunum, and Meckel ’ s advice as she had a stool. ’ is any sort of ulcer that results from the management of circumscribed... Pathofhysiology and medical management make their discussion under one heading possible ; the erosion of a clipboard to your... Be referred to as a mucosal defect which penetrates the muscularis mucosa get. Contracting peptic ulcer are: duodenal ulcer: - an ulcer in the epithelium types and are-Oesophageal,! Endoscopy ( n = 1527 ) received a questionnaire consisting 23 questions related to hypersecretion of acid, possibly by! ( stomach ) is defined as a gastric, duodenal loop, jejunum, to. And the upper portion of your small intestine 2020 by the World Society Emergency! Looks like you ’ ve clipped this slide with a mucous layer that normally protects against.. An unstable patient with upper gastrointestinal ( GI ) hemorrhage advice, including advice on healthy,. This slide to already common as gastric ulcers and occur mainly in the wall of the mucosa!
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