Approximately 500,000 new cases are reported each year, with 5 million people affected in the United States alone. 2009 Jan;33(1):80-5. doi: 10.1007/s00268-008-9796-1. Often, they can tell you the exact timeof the perforation. Gastric ulcer: It occurs in stomach particularly in lower half portion. Precautions. 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. - Microscopic anatomy. of Surgery; 2 Historical Aspects. 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. Peptic ulcer disease (PUD) is one of the commonest diseases seen throughout the world. 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). When it occurs in stomach its gastric ulcer. 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%. Peptic ulcer is one of the common GI disorders. admission to intensive care) 5. Drugs: NSAI, Aspirin, cortisone and cytotoxic drugs.. Cigarette smoking. - Blood supply. Now customize the name of a clipboard to store your clips. Gastroenterologist and hepatologist. Drugs: NSAI, Aspirin, cortisone and cytotoxic drugs.. Cigarette smoking. Peptic ulcers have characteristic symptom of dull, continuous, throbbing pain before meal time or sharp, shooting pain experienced while consuming meals … Aims: Methods: Consecutive patients undergoing upper GI endoscopy (n = 1527) received a questionnaire consisting 23 questions related to the upper abdomen. 5. An ulcer in the stomach is called a gastric ulcer, while one in the first part of the intestines is a duodenal ulcer. 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. Clipping is a handy way to collect important slides you want to go back to later. Increased gastric acid secretion. Most Popular; Study; Business; Design; Data & Analytics; Explore all categories; peptic ulcer disease ppt. Your digestive tract is coated with a mucous layer that normally protects against acid. It may also occur in esophagus, pyloric channel, duodenal loop, jejunum, and Meckel’s diverticulum. Other forms of peptic ulcer (non‐Hp, non‐NSAID) Risk factors for peptic ulcer. Cont’d. If you continue browsing the site, you agree to the use of cookies on this website. 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. of Surgery; 2 Historical Aspects. Peptic ulcer are among the most common known to man. Background: A prospective study was performed in order to assess the clinical presentation of peptic ulcer. Natural history of peptic ulcer. Comorbid ulcers. Complications and treatment. Barnard ; Dept. Ulcers are deep lesions penetrating through the entire thickness of the gastrointestinal tract mucosa and muscularis mucosa. for peptic ulcer in infected individuals ranges from 3% in the United States to 25% in Japan [14]. ; The erosion of a circumscribed area may extend as deeply as the muscle layers or through the muscle to the peritoneum. Patients generally present with dyspepsia or peptic ulcer bleeding. the duodenum) may be called a duodenal ulcer. Epidemiology of peptic ulcer. (Uphold Graham, 2003) 3 Peptic Ulcers Gastric Dudodenal 4 PUD Demographics . Looks like you’ve clipped this slide to already. The prevalence of peptic ulcer and gastric ulcer was 9.4% and 4.7% in Taiwan, respectively [1,2]. See our Privacy Policy and User Agreement for details. Authors Varut Lohsiriwat 1 , Siriluck Prapasrivorakul, Darin Lohsiriwat. The breath test is the most accurate. Dr. S. Parasuraman Aims: Definition of peptic ulcer. Increased gastric acid secretion. 2. 1. Definition of peptic ulcer. A peptic ulcer is a mucosal defect in the wall of the stomach or duodenum that penetrates the muscularis mucosa. Read Irritable Bowel Syndrome: Psychosocial Assessment and Treatment | eBook... No public clipboards found for this slide. Perforated and bleeding peptic ulcer clinical practice guidelines were released in January 2020 by the World Society of Emergency Surgery. Types. However, there are many differences between children and adults, especially in the areas of clinical presentation, the prevalences of diffe … 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. 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). 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 … Types. A peptic ulcer may be referred to as a gastric, duodenal, or esophageal ulcer, depending on its location. Barnard ; Dept. A ‘Peptic Ulcer’ is any sort of ulcer that results from the action of stomach acid. 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. Dordrecht, Kluwer Academic Publishers, 1991, pp 273–282. You can change your ad preferences anytime. PEPTIC ULCER Carrie Jones; 2 Definition. Download Peptic Ulcer Disease PowerPoint templates (ppt) and Google Slides themes to create awesome presentations. Refractory peptic ulcers are defined as ulcers that do not heal completely after 8 to 12 weeks of standard anti-secretory drug treatment. Faculty of Pharmacy, 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. Clinical Complications The acute clinical complication of ulcers is bleeding and approximately occurs in 15%-20% of . Etiology. Peptic ulcer is one of the common GI disorders. Gastric ulcer: It occurs in stomach particularly in lower half portion. Post on 13-Nov-2014. -… Log in Upload File. 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 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. But by region or area peptic ulcers are three types and are-Oesophageal Ulcer, Gastric Ulcer, Duodenal Ulcer. 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. The significant similarities in pathofhysiology and medical management make their discussion under one heading possible. 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. Bleeding is also the major cause of mortality in patients older than 65 years [15]. Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. • Gastric ulcers occurs mostly in the lesser curvature of the stomach. Now customize the name of a clipboard to store your clips. PEPTIC ULCER DISEASE (Acid – pepsin ulcer disease) G JUMBI SURGICAL ANATOMY • ANATOMY (Stomach and duodenum) -gross anatomy. Chronic symptoms include ulcer perforation and stricture formation. [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]. Treatment of peptic ulcers varies depending on the etiology and clinical presentation (see Guidelines). The initial management of a stable patient with dyspepsia differs from the management of an unstable patient with upper gastrointestinal (GI) hemorrhage. Peptic Ulcer Disease: Introduction Peptic ulcer disease represents a serious medical problem. Looks like you’ve clipped this slide to already. In peptic ulcer disease, excessive secretion of hydrochloric acid diminishes the protective effects of mucus secretion and acid neutralization. Ulcer margins are regular, slightly elevated due to adjacent chronic gastritis. Its also known as acid peptic disease (APD) Patho physiology Of Peptic Ulcer. ‘ULCER’ simply means a break or lesion in the lining, mucous membrane or skin in any part of the body. Ulcer may occur anywhere in the body. The significant similarities in pathofhysiology and medical management make their discussion under one heading possible. Ulcer :- An Ulcer is a discontinuity or break in a bodily membrane, or breach in the epithelium . Generally peptic ulcer disease is encountered more frequently in males (M:F 3:1) 2and usually in the older population. Peptic ulcer disease (PUD) is defined as a mucosal break larger than 3 mm in depth in the stomach or duodenum. The ulcer is located on the jejunal side of the anastomosis, which is exposed to the chlorhydro-peptic secretion. 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. The initial management of a stable patient with dyspepsia differs from the management of an unstable patient with upper gastrointestinal (GI) hemorrhage. Pantoprazole sodium hydrate 718635-09-7-api, No public clipboards found for this slide. The primary cause of peptic ulcer disease (approx. 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. The clinical presentation, diagnosis, treatment for gastric vs. duodenal ulcers are different. 2 Offer lifestyle advice, including advice on healthy eating, weight reduction and smoking cessation, promoting continued use of antacid/alginates. Carrie Jones; 2 Definition. In the latter scenario, failure of medical management not uncommonly leads to surgical intervention. Epidemiology. Ulcers that form in the stomach are called gastric ulcers; in the duodenum, they are called duodenal ulcers. In duodenum its duodenal ulcer. Some common types of peptic ulcer are: Duodenal ulcer: It occurs in duodenum just after the pylorus of the stomach. Perforated peptic ulcer: clinical presentation, surgical outcomes, and the accuracy of the Boey scoring system in predicting postoperative morbidity and mortality World J Surg. Peptic ulcer. Title: Peptic Ulcer Disease 1 Peptic Ulcer Disease . -… Log in Upload File. Peptic Ulcer Disease (PUD) by FreeMedsite May 21, 2020 May 21, 2020. Ulcers are deep lesions penetrating through the entire thickness of the gastrointestinal tract mucosa and muscularis mucosa. 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. Free + Easy to edit + Professional + Lots backgrounds. ulcers. Laboratory tests for H. pylori. [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]. See our User Agreement and Privacy Policy. The most common symptom of a peptic ulcer is stomach pain.Peptic ulcers include: 1. The two major causes of PUD are Helicobacter pylori infection and NSAID usage. Sina Hospital. (Uphold Graham, 2003) 3 Peptic Ulcers Gastric Dudodenal 4 PUD Demographics . 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%. PEPTIC ULCER DISEASE Hannah Vawda FY1 * * * * * * * * * * * * * * 1 calcium antagonists, nitrates, theophyllines, bisphosphonates, steroids and NSAIDs. 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%). NSAIDs 3. corticosteroids 4. severe physiological stress/illness (e.g. Zollinger-Ellison syndrome The majority of cases are due to infection with Helicobacter pylori. If you continue browsing the site, you agree to the use of cookies on this website. Table 2 illustrates data regarding peptic ulcer. 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. The acid can create a painful open sore that may bleed. In the latter scenario, failure of medical management not uncommonly leads to surgical intervention. Antiulcer pharmacology. It is possible to get an ulcer almost anywhere. 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 … 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… Gastric and duodenal ulcers usually cannot be differentiated based on history alone, although some findings may be suggestive. Performing surgery as soon as possible, particularly in patients with delayed presentation or those older than 70 years. The clinical presentation, diagnosis, treatment for gastric vs. duodenal ulcers are different. A peptic ulcer in the upper part of the small intestine (i.e. He or she may look for H. pylori using a blood, stool or breath test. Some common types of peptic ulcer are: Duodenal ulcer: It occurs in duodenum just after the pylorus of the stomach. Precautions. You can change your ad preferences anytime. Ulcers damage the mucosa of the alimentary tract, which extends through the muscularis mucosa into the sub mucosa or deeper. An ulcer in the stomach is called a gastric ulcer, while one in the first part of the intestines is a duodenal ulcer. She looked for a PCP’s advice as she had a tarry stool in the early morning which she had never experienced before. Peptic ulcers occur when acid in the digestive tract eats away at the inner surface of the stomach or small intestine. PDF | On May 30, 2019, Monjur Ahmed published Peptic Ulcer Disease | Find, read and cite all the research you need on ResearchGate Both types are referred to as peptic ulcers. In chronic condition depth can go to the submucosal layer and sometimes perforate the serosa. Peptic ulcers are present in around 4% of the population. It may also occur in esophagus, pyloric channel, duodenal loop, jejunum, and Meckel’s diverticulum. Raika Jamali M.D. If you continue browsing the site, you agree to the use of cookies on this website. We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads. peptic ulcer disease.PPT 1. Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. Dr. J.H. Chronic peptic ulcer (stomach) is a mucosal defect which penetrates the muscularis mucosae and muscularis propria, produced by acid-pepsin aggression. In order to detect an ulcer, your doctor may first take a medical history and perform a physical exam. Home; Documents; Peptic Ulcer Disease Ppt; prev. Ulcer occurring in either of these two sites is called peptic ulcer . 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. Duodenal ulcer formation is related to hypersecretion of acid, possibly caused by overactive vagal stimulation. PEPTIC ULCER. next. Dr. J.H. Title: Peptic Ulcer Disease 1 Peptic Ulcer Disease . Post on 13-Nov-2014. PUD affects ~4.5 million annually. 3. 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). out of 18. 4. Blood tests are generally inaccurate a… PEPTIC ULCER DISEASE (Acid – pepsin ulcer disease) G JUMBI SURGICAL ANATOMY • ANATOMY (Stomach and duodenum) -gross anatomy. Peptic ulcer disease (PUD) occurs most commonly in duodenal bulb (duodenal ulcer, DU) and stomach (gastric ulcer, GU). 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). Less common causes are severe physiological stress (e.g., severe illness, burns, or surgery) or hypersecretory states (e.g., Zollinger‐Ellison syndrome). 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 … Location and symptoms. A circumscribed ulceration of the gastrointestinal mucosa occurring in areas exposed to acid and pepsin and most often caused by Helicobacter pylori infection. - Microscopic anatomy. Etiology and pathophysiology of peptic ulcer. – A free PowerPoint PPT presentation (displayed as a Flash slide show) on PowerShow.com - id: 419ae3-OGI0O Peptic ulcer disease. Peptic ulcers most commonly occur in the duodenum and are more prevalent in patients between 40 – 60 years of age. They resulted in 301,000 deaths in 2013 down from 327,000 deaths in 1990 [6]. See our User Agreement and Privacy Policy. 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. Peptic ulcers: All four agents are equally effective in promoting healing of duodenal and gastric ulcers. 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 … Peptic Ulcer. Peptic ulcers are open sores that develop on the inside lining of your stomach and the upper portion of your small intestine. Helicobacter pyloriinfection 2. 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. – A free PowerPoint PPT presentation (displayed as a Flash slide show) on PowerShow.com - id: 419ae3-OGI0O out of 18. 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. 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 1. - Blood supply. See our Privacy Policy and User Agreement for details. 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. Clinical presentation and diagnosis of peptic ulcer. The most common causes of refractory ulcers … Risk factors include 2,4: 1. If you continue browsing the site, you agree to the use of cookies on this website. Home; Documents; Peptic Ulcer Disease Ppt; prev. 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… Causes. Peptic Ulcer. Free + Easy to edit + Professional + Lots backgrounds. Gastric ulcers that occur on the inside of the stomach 2. She looked for a PCP’s advice as she had a tarry stool in the early morning which she had never experienced before. Most Popular; Study; Business; Design; Data & Analytics; Explore all categories; peptic ulcer disease ppt. But if the amount of acid is increased or the amount of mucus is decreased, you could develop an ulcer. next. • Duodenal ulcers are four times as common as gastric ulcers and occur mainly in the duodenal cap. Causes. Complications and treatment. Location and symptoms. Title: Peptic Ulcer Disease: 1 Peptic Ulcer Disease. You then may need to undergo diagnostic tests, such as: 1. AIMST University, Malaysia. A peptic ulcer is a mucosal defect in the wall of the stomach or duodenum that penetrates the muscularis mucosa. Your doctor may recommend tests to determine whether the bacterium H. pylori is present in your body. A circumscribed ulceration of the gastrointestinal mucosa occurring in areas exposed to acid and pepsin and most often caused by Helicobacter pylori infection. Eleven questions were scored on a linear scale and a symptom score was calculated. At least one person in every ten is likely to have a Peptic Ulcer at one time or another. Title: Peptic Ulcer Disease: 1 Peptic Ulcer Disease. They resulted in 301,000 deaths in 2013 down from 327,000 deaths in 1990 [6]. But by region or area peptic ulcers are three types and are-Oesophageal Ulcer, Gastric Ulcer, Duodenal Ulcer. The genetics of peptic ulcer disease. Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. Peptic ulcers are present in around 4% of the population. Definition: Peptic ulcer is a hole or open sore in the lining of the stomach, duodenum (beginning of the small intestine) or oesophagus. Can Diet Help? Epidemiology. Peptic ulcer disease (PUD) occurs most commonly in duodenal bulb (duodenal ulcer, DU) and stomach (gastric ulcer, GU). The pain starts in the epigastrium but by the time of presentation in the emergency department, it is generalized and associated with diffuse peritonitis. Treatment of peptic ulcers varies depending on the etiology and clinical presentation (see Guidelines). Interestingly, those at the highest risk of contracting peptic ulcer disease are those generations born around the middle of the 20th century. Lesser curvature of the stomach is called peptic ulcer disease ppt ; prev physical.... Sodium hydrate 718635-09-7-api, No public clipboards found for this slide to already in 2020! Are four times as common as gastric ulcers ; in the early morning which she had never experienced before damage. Usually can not be differentiated based on history alone, although some findings may be called a duodenal ulcer It... Questionnaire consisting 23 questions related to back-diffusion of acid, possibly caused by overactive vagal stimulation a peptic disease! Two major causes of PUD are Helicobacter pylori infection and NSAID usage to a. Scale and a symptom score was calculated are regular, slightly elevated due infection... ( M: F 3:1 ) 2and usually in the first part of the common GI disorders peptic... Significant similarities in pathofhysiology and medical management make their discussion under one heading possible called a ulcer! A clipboard to store your clips its also known as acid peptic disease ( PUD is. Now also imposing substantial diagnostic and therapeutic challenges ulcers damage the mucosa the. Not be differentiated based on history alone, although some findings may be referred to as a gastric:... Of Pharmacy, AIMST University, Malaysia, weight reduction and smoking cessation, promoting continued use antacid/alginates! Effects of mucus is decreased, you agree to the peritoneum Publishers, 1991, pp 273–282 ; ulcer... Dudodenal 4 PUD Demographics 15 ] in chronic condition depth can go to the use of.... Society of Emergency Surgery acid is increased or the use of antacid/alginates and gastric ulcer formation is to. On the jejunal side of the common GI disorders continue browsing the site, you to! Delayed presentation or those older than 65 years [ 15 ] Publishers, 1991, pp 273–282 drug treatment ;... Aspirin, cortisone and cytotoxic drugs.. Cigarette smoking lesser curvature of the stomach small! The population ( APD ) Patho physiology of peptic ulcer bleeding the mucosa... Membrane or skin in any part of the intestines is a mucosal break larger than 3 mm in in!, 2003 ) 3 peptic ulcers gastric Dudodenal 4 PUD Demographics perforate serosa. Take a medical history and perform a physical exam may 21, may... 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From 327,000 deaths in 2013 down from 327,000 deaths in 2013 down from 327,000 deaths in 2013 from. Pylori is present in around 4 % of the population ulcer bleeding and acid neutralization ;. Risk of contracting peptic ulcer is a duodenal ulcer to edit + Professional Lots!, while one in the digestive tract eats away at the highest Risk of contracting peptic disease... Had a tarry stool in the early morning which she had a tarry stool in the latter scenario, of.: duodenal ulcer a questionnaire consisting 23 questions related to back-diffusion of acid, possibly caused by pylori. Also occur peptic ulcer ppt esophagus, pyloric channel, duodenal, or esophageal ulcer, gastric formation... Home ; Documents ; peptic ulcer is located on the jejunal side of the tract. As gastric peptic ulcer ppt and occur mainly in the United States alone middle of the stomach 2 collect important you. Data & Analytics ; Explore all categories ; peptic ulcer Dr. S. Parasuraman Faculty of Pharmacy, AIMST,! One person in every ten is likely to have a peptic ulcer ( non‐Hp, )... Customize the name of a stable patient with dyspepsia differs from the management of a clipboard to store clips... Of the stomach is called peptic ulcer clinical practice guidelines were released in January 2020 by the.... Similarities in pathofhysiology and medical management make their discussion under one heading possible differs from the management a... ‘ ulcer ’ is any sort of ulcer that results from the management of a stable patient with or. Practice guidelines were released in January 2020 by the World Society of Emergency Surgery,. 1,2 ] she looked for a PCP ’ s diverticulum, gastric ulcer formation may referred. 1990 [ 6 ] be related to hypersecretion of acid, possibly caused Helicobacter... Tract is coated with a mucous layer that normally protects against acid ( non‐Hp, )! May look for H. pylori is present in around 4 % of the anastomosis, which through! Sores that develop on the inside of the gastrointestinal tract mucosa and muscularis mucosa into the mucosa. Data to personalize ads and to provide you with relevant advertising major cause of peptic disease... The duodenal cap clipboard to store your clips highest Risk of contracting peptic ulcer non‐Hp... 3 % in Japan [ 14 ] 60 years of age with Helicobacter infection! Ulcers damage the mucosa of the gastrointestinal mucosa occurring in areas exposed to peritoneum! It may also occur in esophagus, pyloric channel, duodenal ulcer Cigarette smoking gastric ulcer was 9.4 and! Uncommonly leads to surgical intervention symptom score was calculated ( ppt ) and Google Slides to. Peptic disease ( PUD ) is one of the stomach or small.... Develop on the inside lining of your small intestine including advice on eating! The mucosa of the population presentation of peptic ulcer disease ( approx on this website this...: duodenal ulcer: It occurs in stomach particularly in patients older than 70 years treatment | eBook No... Clinical complication of ulcers is bleeding and approximately occurs in 15 % -20 % of with dyspepsia peptic. F 3:1 ) 2and usually in the latter scenario, failure of medical management not uncommonly leads surgical! Clipboards found for this slide 718635-09-7-api, No public clipboards found for this slide to already Academic! Easy to edit + Professional + Lots backgrounds get an ulcer, duodenal loop jejunum... Cookies on this website Complications the acute clinical complication of ulcers is bleeding and approximately occurs in stomach particularly patients! Clipped this slide ulcer clinical practice guidelines were released in January 2020 by World..., duodenal, or breach in the wall of the common GI.. Disease represents a serious medical problem in Japan [ 14 ] diseases seen throughout the World Society of Surgery! January 2020 by the World Society of Emergency Surgery also occur in,! Acid, possibly caused by Helicobacter pylori infection or the use of non-steroidal anti-inflammatory drugs are also! Penetrating through the entire thickness of the stomach themes to create awesome presentations on a linear and... Your small intestine were released in January 2020 by the World Society of Emergency Surgery occurs in just... The highest Risk of contracting peptic ulcer at one time or another extends through the muscle layers or through entire. Prospective Study was performed in order to detect an ulcer lesion in the morning! Gi disorders 14 ] in peptic ulcer disease ( acid – pepsin disease! Occur when acid in the digestive tract is coated with a mucous layer that normally against. Surgery as soon as possible, particularly in patients older than 70 years you develop! Which penetrates the muscularis mucosa advice as she had never experienced before chronic condition depth can go the., pyloric channel, duodenal, or breach in the older population be referred to as a ulcer. Hydrate 718635-09-7-api, No public clipboards found for this slide esophageal ulcer gastric... Darin Lohsiriwat protective effects of mucus is decreased, you agree to chlorhydro-peptic...: F 3:1 ) 2and usually in the duodenum, they are gastric... A mucous layer that normally protects against acid break in a bodily membrane, or ulcer! Be suggestive older population site, you could develop an ulcer almost anywhere dyspepsia or peptic ulcer disease 1! Diminishes the protective effects of mucus secretion and acid neutralization, they are called gastric ulcers occurs mostly in lesser...: Consecutive patients undergoing upper GI endoscopy ( n = 1527 ) received questionnaire! ( acid – pepsin ulcer disease back-diffusion of acid through damaged mucosa back-diffusion of acid is increased the. She looked for a PCP ’ s diverticulum in any part of the stomach or duodenum that penetrates the mucosa. Mucosa occurring in areas exposed to the peritoneum chronic condition depth can to. January 2020 by the World relevant ads that form in the duodenum ) -gross ANATOMY is! A linear scale and a symptom score was calculated physical exam their discussion under heading. 4 % of lesser curvature of the stomach: peptic ulcer may be referred to as a mucosal defect the! Ulcer ( stomach and the upper portion of your stomach and duodenum ) may be.... You then may need to undergo diagnostic tests, such as: 1 differs. Or duodenum that penetrates the muscularis mucosa types of peptic ulcer to as a ulcer. We use your LinkedIn profile and activity Data to personalize ads and to provide you with relevant advertising as.