She looked for a PCP’s advice as she had a tarry stool in the early morning which she had never experienced before. The significant similarities in pathofhysiology and medical management make their discussion under one heading possible. Clinical presentation and diagnosis of peptic ulcer. They resulted in 301,000 deaths in 2013 down from 327,000 deaths in 1990 [6]. PDF | On May 30, 2019, Monjur Ahmed published Peptic Ulcer Disease | Find, read and cite all the research you need on ResearchGate 4. Definition: Peptic ulcer is a hole or open sore in the lining of the stomach, duodenum (beginning of the small intestine) or oesophagus. Etiology and pathophysiology of peptic ulcer. The acid can create a painful open sore that may bleed. Peptic ulcer disease (PUD) occurs most commonly in duodenal bulb (duodenal ulcer, DU) and stomach (gastric ulcer, GU). The most common causes of refractory ulcers … The two major causes of PUD are Helicobacter pylori infection and NSAID usage. next. Dr. J.H. Gastric and duodenal ulcers usually cannot be differentiated based on history alone, although some findings may be suggestive. Gastric ulcers that occur on the inside of the stomach 2. 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. Less common causes are severe physiological stress (e.g., severe illness, burns, or surgery) or hypersecretory states (e.g., Zollinger‐Ellison syndrome). 1. He or she may look for H. pylori using a blood, stool or breath test. -… Log in Upload File. The ulcer is located on the jejunal side of the anastomosis, which is exposed to the chlorhydro-peptic secretion. the duodenum) may be called a duodenal ulcer. Peptic Ulcer. An ulcer in the stomach is called a gastric ulcer, while one in the first part of the intestines is a duodenal ulcer. - Microscopic anatomy. The breath test is the most accurate. Etiology. Duodenal ulcer formation is related to hypersecretion of acid, possibly caused by overactive vagal stimulation. You then may need to undergo diagnostic tests, such as: 1. See our Privacy Policy and User Agreement for details. of Surgery; 2 Historical Aspects. Location and symptoms. A peptic ulcer may be referred to as a gastric, duodenal, or esophageal ulcer, depending on its location. Clipping is a handy way to collect important slides you want to go back to later. A ‘Peptic Ulcer’ is any sort of ulcer that results from the action of stomach 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 • 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 is one of the common GI disorders. See our User Agreement and Privacy Policy. We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads. The primary cause of peptic ulcer disease (approx. A peptic ulcer in the upper part of the small intestine (i.e. Location and symptoms. 5. Peptic Ulcer Disease (PUD) by FreeMedsite May 21, 2020 May 21, 2020. In chronic condition depth can go to the submucosal layer and sometimes perforate the serosa. Some common types of peptic ulcer are: Duodenal ulcer: It occurs in duodenum just after the pylorus of the stomach. Epidemiology. for peptic ulcer in infected individuals ranges from 3% in the United States to 25% in Japan [14]. Epidemiology of peptic ulcer. Bleeding is also the major cause of mortality in patients older than 65 years [15]. Generally peptic ulcer disease is encountered more frequently in males (M:F 3:1) 2and usually in the older population. Most Popular; Study; Business; Design; Data & Analytics; Explore all categories; peptic ulcer disease ppt. Treatment of peptic ulcers varies depending on the etiology and clinical presentation (see Guidelines). Looks like you’ve clipped this slide to already. Epidemiology. 2009 Jan;33(1):80-5. doi: 10.1007/s00268-008-9796-1. The clinical presentation, diagnosis, treatment for gastric vs. duodenal ulcers are different. 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 ulcers are present in around 4% of the population. 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. Your doctor may recommend tests to determine whether the bacterium H. pylori is present in your body. 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 … PEPTIC ULCER. Types. In the latter scenario, failure of medical management not uncommonly leads to surgical intervention. The clinical presentation, diagnosis, treatment for gastric vs. duodenal ulcers are different. Clipping is a handy way to collect important slides you want to go back to later. In the latter scenario, failure of medical management not uncommonly leads to surgical intervention. (Uphold Graham, 2003) 3 Peptic Ulcers Gastric Dudodenal 4 PUD Demographics . Post on 13-Nov-2014. An ulcer in the stomach is called a gastric ulcer, while one in the first part of the intestines is a duodenal ulcer. Sina Hospital. The genetics of 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. 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]. 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 Table 2 illustrates data regarding peptic ulcer. Home; Documents; Peptic Ulcer Disease Ppt; prev. 1. Ulcers that form in the stomach are called gastric ulcers; in the duodenum, they are called duodenal ulcers. 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 The most common symptom of a peptic ulcer is stomach pain.Peptic ulcers include: 1. 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). You can change your ad preferences anytime. Chronic symptoms include ulcer perforation and stricture formation. 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. Raika Jamali M.D. Background: A prospective study was performed in order to assess the clinical presentation of peptic ulcer. 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. Drugs: NSAI, Aspirin, cortisone and cytotoxic drugs.. Cigarette smoking. 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… Both types are referred to as peptic ulcers. Eleven questions were scored on a linear scale and a symptom score was calculated. PEPTIC ULCER DISEASE (Acid – pepsin ulcer disease) G JUMBI SURGICAL ANATOMY • ANATOMY (Stomach and duodenum) -gross anatomy. Treatment of peptic ulcers varies depending on the etiology and clinical presentation (see Guidelines). PUD affects ~4.5 million annually. When it occurs in stomach its gastric ulcer. Title: Peptic Ulcer Disease: 1 Peptic Ulcer Disease. 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). Peptic ulcers are open sores that develop on the inside lining of your stomach and the upper portion of your small intestine. Title: Peptic Ulcer Disease 1 Peptic Ulcer Disease . (Uphold Graham, 2003) 3 Peptic Ulcers Gastric Dudodenal 4 PUD Demographics . 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. Use your LinkedIn profile and activity Data to personalize ads and to show you more ads... Common causes of refractory ulcers … peptic ulcers are four times as common as gastric ulcers and occur in. Times as common as gastric ulcers ; in the stomach as gastric and... With 5 million people affected in the stomach or small intestine, duodenal ulcer physiological stress/illness ( e.g related! Duodenum just after the pylorus of the commonest diseases seen throughout the World ( Uphold Graham 2003! 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