See our User Agreement and Privacy Policy. of Surgery; 2 Historical Aspects. Gastric ulcers that occur on the inside of the stomach 2. Background: A prospective study was performed in order to assess the clinical presentation of peptic ulcer. 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. Home; Documents; Peptic Ulcer Disease Ppt; prev. PUD affects ~4.5 million annually. PEPTIC ULCER. Generally peptic ulcer disease is encountered more frequently in males (M:F 3:1) 2and usually in the older population. They resulted in 301,000 deaths in 2013 down from 327,000 deaths in 1990 [6]. Peptic Ulcer Disease: Introduction Peptic ulcer disease represents a serious medical problem. Zollinger-Ellison syndrome The majority of cases are due to infection with Helicobacter pylori. 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. Home; Documents; Peptic Ulcer Disease Ppt; prev. Aims: Definition of peptic ulcer. Authors Varut Lohsiriwat 1 , Siriluck Prapasrivorakul, Darin Lohsiriwat. Etiology and pathophysiology of peptic ulcer. Pantoprazole sodium hydrate 718635-09-7-api, No public clipboards found for this slide. Your doctor may recommend tests to determine whether the bacterium H. pylori is present in your body. Ulcer margins are regular, slightly elevated due to adjacent chronic gastritis. Blood tests are generally inaccurate a… Gastric and duodenal ulcers usually cannot be differentiated based on history alone, although some findings may be suggestive. When it occurs in stomach its gastric ulcer. Definition of peptic ulcer. The initial management of a stable patient with dyspepsia differs from the management of an unstable patient with upper gastrointestinal (GI) hemorrhage. The prevalence of peptic ulcer and gastric ulcer was 9.4% and 4.7% in Taiwan, respectively [1,2]. 1. It may also occur in esophagus, pyloric channel, duodenal loop, jejunum, and Meckel’s diverticulum. Peptic Ulcer. Title: Peptic Ulcer Disease 1 Peptic Ulcer Disease . A circumscribed ulceration of the gastrointestinal mucosa occurring in areas exposed to acid and pepsin and most often caused by Helicobacter pylori infection. Often, they can tell you the exact timeof the perforation. She looked for a PCP’s advice as she had a tarry stool in the early morning which she had never experienced before. Peptic Ulcer. Perforated peptic ulcer: clinical presentation, surgical outcomes, and the accuracy of the Boey scoring system in predicting postoperative morbidity and mortality World J Surg. But if the amount of acid is increased or the amount of mucus is decreased, you could develop an ulcer. Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. 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 … Title: Peptic Ulcer Disease 1 Peptic Ulcer Disease . Refractory peptic ulcers are defined as ulcers that do not heal completely after 8 to 12 weeks of standard anti-secretory drug treatment. Ulcers that form in the stomach are called gastric ulcers; in the duodenum, they are called duodenal ulcers. [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]. 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. Performing surgery as soon as possible, particularly in patients with delayed presentation or those older than 70 years. Gastric ulcer formation may be related to back-diffusion of acid through damaged mucosa. Post on 13-Nov-2014. Post on 13-Nov-2014. 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%. See our Privacy Policy and User Agreement for details. presentation of perforated peptic ulcer Patients with perforated PUD usually present with an acute onset of abdominal pain. They resulted in 301,000 deaths in 2013 down from 327,000 deaths in 1990 [6]. A peptic ulcer may be referred to as a gastric, duodenal, or esophageal ulcer, depending on its location. 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%). Barnard ; Dept. Epidemiology. A circumscribed ulceration of the gastrointestinal mucosa occurring in areas exposed to acid and pepsin and most often caused by Helicobacter pylori infection. Location and symptoms. Clipping is a handy way to collect important slides you want to go back to later. 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. In order to detect an ulcer, your doctor may first take a medical history and perform a physical exam. 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 … Complications and treatment. Less common causes are severe physiological stress (e.g., severe illness, burns, or surgery) or hypersecretory states (e.g., Zollinger‐Ellison syndrome). Ulcers are deep lesions penetrating through the entire thickness of the gastrointestinal tract mucosa and muscularis mucosa. 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. If you continue browsing the site, you agree to the use of cookies on this website. Clinical presentation and diagnosis of peptic ulcer. If you continue browsing the site, you agree to the use of cookies on this website. admission to intensive care) 5. Dr. J.H. • Duodenal ulcers are four times as common as gastric ulcers and occur mainly in the duodenal cap. 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… It is possible to get an ulcer almost anywhere. Chronic symptoms include ulcer perforation and stricture formation. – A free PowerPoint PPT presentation (displayed as a Flash slide show) on PowerShow.com - id: 419ae3-OGI0O A peptic ulcer is a mucosal defect in the wall of the stomach or duodenum that penetrates the muscularis mucosa. It may also occur in esophagus, pyloric channel, duodenal loop, jejunum, and Meckel’s diverticulum. 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). She looked for a PCP’s advice as she had a tarry stool in the early morning which she had never experienced before. If you continue browsing the site, you agree to the use of cookies on this website. -… Log in Upload File. 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 erosion of a circumscribed area may extend as deeply as the muscle layers or through the muscle to the peritoneum. The most common symptom of a peptic ulcer is stomach pain.Peptic ulcers include: 1. Approximately 500,000 new cases are reported each year, with 5 million people affected in the United States alone. Its also known as acid peptic disease (APD) Patho physiology Of Peptic Ulcer. Dr. J.H. Looks like you’ve clipped this slide to already. - Blood supply. Dordrecht, Kluwer Academic Publishers, 1991, pp 273–282. 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. Perforated and bleeding peptic ulcer clinical practice guidelines were released in January 2020 by the World Society of Emergency Surgery. NSAIDs 3. corticosteroids 4. severe physiological stress/illness (e.g. Patients generally present with dyspepsia or peptic ulcer bleeding. Gastric ulcer: It occurs in stomach particularly in lower half portion. Download Peptic Ulcer Disease PowerPoint templates (ppt) and Google Slides themes to create awesome presentations. out of 18. Barnard ; Dept. Risk factors include 2,4: 1. for peptic ulcer in infected individuals ranges from 3% in the United States to 25% in Japan [14]. An ulcer in the stomach is called a gastric ulcer, while one in the first part of the intestines is a duodenal ulcer. Most Popular; Study; Business; Design; Data & Analytics; Explore all categories; peptic ulcer disease ppt. Duodenal ulcer formation is related to hypersecretion of acid, possibly caused by overactive vagal stimulation. The clinical presentation, diagnosis, treatment for gastric vs. duodenal ulcers are different. Raika Jamali M.D. 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. next. 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). See our User Agreement and Privacy Policy. Types. Title: Peptic Ulcer Disease: 1 Peptic Ulcer Disease. PDF | On May 30, 2019, Monjur Ahmed published Peptic Ulcer Disease | Find, read and cite all the research you need on ResearchGate In peptic ulcer disease, excessive secretion of hydrochloric acid diminishes the protective effects of mucus secretion and acid neutralization. AIMST University, Malaysia. Peptic ulcer disease (PUD) is one of the commonest diseases seen throughout the world. Location and symptoms. out of 18. Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. Etiology. The two major causes of PUD are Helicobacter pylori infection and NSAID usage. Some common types of peptic ulcer are: Duodenal ulcer: It occurs in duodenum just after the pylorus of the stomach. At least one person in every ten is likely to have a Peptic Ulcer at one time or another. Your digestive tract is coated with a mucous layer that normally protects against acid. 2 Offer lifestyle advice, including advice on healthy eating, weight reduction and smoking cessation, promoting continued use of antacid/alginates. Download Peptic Ulcer Disease PowerPoint templates (ppt) and Google Slides themes to create awesome presentations. Treatment of peptic ulcers varies depending on the etiology and clinical presentation (see Guidelines). Sina Hospital. You can change your ad preferences anytime. We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads. PEPTIC ULCER DISEASE (Acid – pepsin ulcer disease) G JUMBI SURGICAL ANATOMY • ANATOMY (Stomach and duodenum) -gross anatomy. Precautions. Most Popular; Study; Business; Design; Data & Analytics; Explore all categories; peptic ulcer disease ppt. 5. Helicobacter pyloriinfection 2. Now customize the name of a clipboard to store your clips. 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. 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. But by region or area peptic ulcers are three types and are-Oesophageal Ulcer, Gastric Ulcer, Duodenal Ulcer. Increased gastric acid secretion. (Uphold Graham, 2003) 3 Peptic Ulcers Gastric Dudodenal 4 PUD Demographics . Clipping is a handy way to collect important slides you want to go back to later. 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… 2009 Jan;33(1):80-5. doi: 10.1007/s00268-008-9796-1. A peptic ulcer is a mucosal defect in the wall of the stomach or duodenum that penetrates the muscularis mucosa. Other forms of peptic ulcer (non‐Hp, non‐NSAID) Risk factors for peptic ulcer. 2. See our Privacy Policy and User Agreement for details. Carrie Jones; 2 Definition. Methods: Consecutive patients undergoing upper GI endoscopy (n = 1527) received a questionnaire consisting 23 questions related to the upper abdomen. Peptic ulcers occur when acid in the digestive tract eats away at the inner surface of the stomach or small intestine. 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). Of an unstable patient with dyspepsia or peptic ulcer disease ppt physiology of peptic ulcer located... Stool or breath test of peptic ulcer are among the most common causes of PUD Helicobacter. See guidelines ) protects against acid jejunum, and to show you more relevant ads break or in... ) is a discontinuity or break in a bodily membrane, or esophageal ulcer, while one in early... Gastric ulcer: It occurs in duodenum just after the pylorus of the stomach disease ppt ;.... Under one heading possible located on the jejunal side of the stomach or duodenum that penetrates muscularis. Small intestine peptic ulcers gastric Dudodenal 4 PUD Demographics side of the population in Japan [ 14 ] three and! 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( acid – pepsin ulcer disease ( ppt ) and Google Slides themes to create awesome peptic ulcer ppt.
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