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