Table 2 illustrates data regarding peptic ulcer. Some common types of peptic ulcer are: Duodenal ulcer: It occurs in duodenum just after the pylorus of the stomach. In peptic ulcer disease, excessive secretion of hydrochloric acid diminishes the protective effects of mucus secretion and acid neutralization. See our User Agreement and Privacy Policy. A peptic ulcer is a mucosal defect in the wall of the stomach or duodenum that penetrates the muscularis mucosa. 5. 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 … Chronic peptic ulcer (stomach) is a mucosal defect which penetrates the muscularis mucosae and muscularis propria, produced by acid-pepsin aggression. 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 … 2009 Jan;33(1):80-5. doi: 10.1007/s00268-008-9796-1. Carrie Jones; 2 Definition. 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. In duodenum its duodenal ulcer. A ‘Peptic Ulcer’ is any sort of ulcer that results from the action of stomach acid. Often, they can tell you the exact timeof the perforation. 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 ulcer disease (PUD) occurs most commonly in duodenal bulb (duodenal ulcer, DU) and stomach (gastric ulcer, GU). Definition: Peptic ulcer is a hole or open sore in the lining of the stomach, duodenum (beginning of the small intestine) or oesophagus. Location and symptoms. We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads. The ulcer is located on the jejunal side of the anastomosis, which is exposed to the chlorhydro-peptic secretion. ulcers. Peptic ulcer disease (PUD) is one of the commonest diseases seen throughout the world. - Microscopic anatomy. Peptic ulcers have characteristic symptom of dull, continuous, throbbing pain before meal time or sharp, shooting pain experienced while consuming meals … 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 Can Diet Help? Download Peptic Ulcer Disease PowerPoint templates (ppt) and Google Slides themes to create awesome presentations. An ulcer in the stomach is called a gastric ulcer, while one in the first part of the intestines is a duodenal ulcer. The most common symptom of a peptic ulcer is stomach pain.Peptic ulcers include: 1. Looks like you’ve clipped this slide to already. See our Privacy Policy and User Agreement for details. Gastroenterologist and hepatologist. 1. Chronic symptoms include ulcer perforation and stricture formation. Dr. S. Parasuraman Looks like you’ve clipped this slide to already. Some common types of peptic ulcer are: Duodenal ulcer: It occurs in duodenum just after the pylorus of the stomach. Peptic ulcers are present in around 4% of the population. We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads. The clinical presentation, diagnosis, treatment for gastric vs. duodenal ulcers are different. 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 Hannah Vawda FY1 * * * * * * * * * * * * * * 1 calcium antagonists, nitrates, theophyllines, bisphosphonates, steroids and NSAIDs. Dr. J.H. - Microscopic anatomy. Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. 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. Complications and treatment. Comorbid ulcers. Peptic ulcer is one of the common GI disorders. Patients generally present with dyspepsia or peptic ulcer bleeding. Peptic ulcer are among the most common known to man. Both types are referred to as peptic ulcers. See our Privacy Policy and User Agreement for details. Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. 2 Offer lifestyle advice, including advice on healthy eating, weight reduction and smoking cessation, promoting continued use of antacid/alginates. Peptic ulcers most commonly occur in the duodenum and are more prevalent in patients between 40 – 60 years of age. (Uphold Graham, 2003) 3 Peptic Ulcers Gastric Dudodenal 4 PUD Demographics . Peptic ulcer. PUD affects ~4.5 million annually. When it occurs in stomach its gastric ulcer. An ulcer in the stomach is called a gastric ulcer, while one in the first part of the intestines is a duodenal ulcer. Read Irritable Bowel Syndrome: Psychosocial Assessment and Treatment | eBook... No public clipboards found for this slide. - Blood supply. The significant similarities in pathofhysiology and medical management make their discussion under one heading possible. If you continue browsing the site, you agree to the use of cookies on this website. The genetics of peptic ulcer disease. They resulted in 301,000 deaths in 2013 down from 327,000 deaths in 1990 [6]. Download Peptic Ulcer Disease PowerPoint templates (ppt) and Google Slides themes to create awesome presentations. for peptic ulcer in infected individuals ranges from 3% in the United States to 25% in Japan [14]. The pain starts in the epigastrium but by the time of presentation in the emergency department, it is generalized and associated with diffuse peritonitis. Gastric ulcer formation may be related to back-diffusion of acid through damaged mucosa. Performing surgery as soon as possible, particularly in patients with delayed presentation or those older than 70 years. The prevalence of peptic ulcer and gastric ulcer was 9.4% and 4.7% in Taiwan, respectively [1,2]. A peptic ulcer in the upper part of the small intestine (i.e. Precautions. Barnard ; Dept. They resulted in 301,000 deaths in 2013 down from 327,000 deaths in 1990 [6]. It is possible to get an ulcer almost anywhere. 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. Title: Peptic Ulcer Disease: 1 Peptic Ulcer Disease. 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). Types. Epidemiology of peptic ulcer. It may also occur in esophagus, pyloric channel, duodenal loop, jejunum, and Meckel’s diverticulum. 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. In chronic condition depth can go to the submucosal layer and sometimes perforate the serosa. Ulcers that form in the stomach are called gastric ulcers; in the duodenum, they are called duodenal ulcers. The most common causes of refractory ulcers … • Duodenal ulcers are four times as common as gastric ulcers and occur mainly in the duodenal cap. Home; Documents; Peptic Ulcer Disease Ppt; prev. 4. Epidemiology. ‘ULCER’ simply means a break or lesion in the lining, mucous membrane or skin in any part of the body. - Blood supply. Peptic Ulcer. The clinical presentation, diagnosis, treatment for gastric vs. duodenal ulcers are different. Peptic ulcers are present in around 4% of the population. Dr. J.H. Background: A prospective study was performed in order to assess the clinical presentation of peptic ulcer. Treatment of peptic ulcers varies depending on the etiology and clinical presentation (see Guidelines). Free + Easy to edit + Professional + Lots backgrounds. In the latter scenario, failure of medical management not uncommonly leads to surgical intervention. Dordrecht, Kluwer Academic Publishers, 1991, pp 273–282. Peptic Ulcer Disease (PUD) by FreeMedsite May 21, 2020 May 21, 2020. 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. PDF | On May 30, 2019, Monjur Ahmed published Peptic Ulcer Disease | Find, read and cite all the research you need on ResearchGate Post on 13-Nov-2014. Etiology. PEPTIC ULCER Peptic Ulcer. 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%). A circumscribed ulceration of the gastrointestinal mucosa occurring in areas exposed to acid and pepsin and most often caused by Helicobacter pylori infection. 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. Location and symptoms. Barnard ; Dept. But by region or area peptic ulcers are three types and are-Oesophageal Ulcer, Gastric Ulcer, Duodenal Ulcer. The two major causes of PUD are Helicobacter pylori infection and NSAID usage. Interestingly, those at the highest risk of contracting peptic ulcer disease are those generations born around the middle of the 20th century. Antiulcer pharmacology. See our User Agreement and Privacy Policy. The initial management of a stable patient with dyspepsia differs from the management of an unstable patient with upper gastrointestinal (GI) hemorrhage. However, there are many differences between children and adults, especially in the areas of clinical presentation, the prevalences of diffe … out of 18. Free + Easy to edit + Professional + Lots backgrounds. Eleven questions were scored on a linear scale and a symptom score was calculated. Ulcers damage the mucosa of the alimentary tract, which extends through the muscularis mucosa into the sub mucosa or deeper. Pantoprazole sodium hydrate 718635-09-7-api, No public clipboards found for this slide. In order to detect an ulcer, your doctor may first take a medical history and perform a physical exam. Most Popular; Study; Business; Design; Data & Analytics; Explore all categories; peptic ulcer disease ppt. She looked for a PCP’s advice as she had a tarry stool in the early morning which she had never experienced before. Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. [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]. He or she may look for H. pylori using a blood, stool or breath test. Gastric ulcers that occur on the inside of the stomach 2. Peptic ulcer is one of the common GI disorders. Gastric ulcer: It occurs in stomach particularly in lower half portion. You can change your ad preferences anytime. 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… 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 … Perforated peptic ulcer: clinical presentation, surgical outcomes, and the accuracy of the Boey scoring system in predicting postoperative morbidity and mortality World J Surg. 2. 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. Epidemiology. Gastric and duodenal ulcers usually cannot be differentiated based on history alone, although some findings may be suggestive. Perforated and bleeding peptic ulcer clinical practice guidelines were released in January 2020 by the World Society of Emergency Surgery. 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. Title: Peptic Ulcer Disease 1 Peptic Ulcer Disease . You then may need to undergo diagnostic tests, such as: 1. Your doctor may recommend tests to determine whether the bacterium H. pylori is present in your body. 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 She looked for a PCP’s advice as she had a tarry stool in the early morning which she had never experienced before. Bleeding is also the major cause of mortality in patients older than 65 years [15]. of Surgery; 2 Historical Aspects. Zollinger-Ellison syndrome The majority of cases are due to infection with Helicobacter pylori. – A free PowerPoint PPT presentation (displayed as a Flash slide show) on PowerShow.com - id: 419ae3-OGI0O Aims: Definition of peptic ulcer. Clinical presentation and diagnosis of peptic ulcer. This can be confirmed with biopsies obtained at endoscopy and urea breath test, the combination of the two resulting in a detection rate of close to 100… Causes. A peptic ulcer may be referred to as a gastric, duodenal, or esophageal ulcer, depending on its location. PEPTIC ULCER. Peptic ulcer disease (PUD) occurs most commonly in duodenal bulb (duodenal ulcer, DU) and stomach (gastric ulcer, GU). 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. 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%. Increased gastric acid secretion. It may also occur in esophagus, pyloric channel, duodenal loop, jejunum, and Meckel’s diverticulum. Increased gastric acid secretion. 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 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). If you continue browsing the site, you agree to the use of cookies on this website. But if the amount of acid is increased or the amount of mucus is decreased, you could develop an ulcer. Clinical Complications The acute clinical complication of ulcers is bleeding and approximately occurs in 15%-20% of . Types. Definition of peptic ulcer. – A free PowerPoint PPT presentation (displayed as a Flash slide show) on PowerShow.com - id: 419ae3-OGI0O Approximately 500,000 new cases are reported each year, with 5 million people affected in the United States alone. PEPTIC ULCER DISEASE (Acid – pepsin ulcer disease) G JUMBI SURGICAL ANATOMY • ANATOMY (Stomach and duodenum) -gross anatomy. Peptic ulcers are open sores that develop on the inside lining of your stomach and the upper portion of your small intestine. Clipping is a handy way to collect important slides you want to go back to later. Peptic ulcers: All four agents are equally effective in promoting healing of duodenal and gastric ulcers. If you continue browsing the site, you agree to the use of cookies on this website. Carrie Jones; 2 Definition. Home; Documents; Peptic Ulcer Disease Ppt; prev. A peptic ulcer is an excavation that forms in the mucosal wall of the stomach, in the pylorus, in the duodenum, or in the esophagus. 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. • Gastric ulcers occurs mostly in the lesser curvature of the stomach. [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]. next. -… Log in Upload File. of Surgery; 2 Historical Aspects. 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. In the latter scenario, failure of medical management not uncommonly leads to surgical intervention. Peptic Ulcer Disease: Introduction Peptic ulcer disease represents a serious medical problem. next. 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). The initial management of a stable patient with dyspepsia differs from the management of an unstable patient with upper gastrointestinal (GI) hemorrhage. Raika Jamali M.D. Risk factors include 2,4: 1. Generally peptic ulcer disease is encountered more frequently in males (M:F 3:1) 2and usually in the older population. Faculty of Pharmacy, The breath test is the most accurate. Ulcer :- An Ulcer is a discontinuity or break in a bodily membrane, or breach in the epithelium . Duodenal ulcer formation is related to hypersecretion of acid, possibly caused by overactive vagal stimulation. Most Popular; Study; Business; Design; Data & Analytics; Explore all categories; peptic ulcer disease ppt. Peptic ulcer disease (PUD) is defined as a mucosal break larger than 3 mm in depth in the stomach or duodenum. AIMST University, Malaysia. Natural history 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. Other forms of peptic ulcer (non‐Hp, non‐NSAID) Risk factors for peptic ulcer. Authors Varut Lohsiriwat 1 , Siriluck Prapasrivorakul, Darin Lohsiriwat. Blood tests are generally inaccurate a… 3. Ulcers are deep lesions penetrating through the entire thickness of the gastrointestinal tract mucosa and muscularis mucosa. the duodenum) may be called a duodenal ulcer. At least one person in every ten is likely to have a Peptic Ulcer at one time or another. Precautions. Drugs: NSAI, Aspirin, cortisone and cytotoxic drugs.. Cigarette smoking. The significant similarities in pathofhysiology and medical management make their discussion under one heading possible. 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. Post on 13-Nov-2014. Laboratory tests for H. pylori. Causes. Methods: Consecutive patients undergoing upper GI endoscopy (n = 1527) received a questionnaire consisting 23 questions related to the upper abdomen. Now customize the name of a clipboard to store your clips. 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. Clipping is a handy way to collect important slides you want to go back to later. But by region or area peptic ulcers are three types and are-Oesophageal Ulcer, Gastric Ulcer, Duodenal Ulcer. Less common causes are severe physiological stress (e.g., severe illness, burns, or surgery) or hypersecretory states (e.g., Zollinger‐Ellison syndrome). Drugs: NSAI, Aspirin, cortisone and cytotoxic drugs.. Cigarette smoking. The primary cause of peptic ulcer disease (approx. Ulcer occurring in either of these two sites is called peptic ulcer . (Uphold Graham, 2003) 3 Peptic Ulcers Gastric Dudodenal 4 PUD Demographics . 1. Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. ; The erosion of a circumscribed area may extend as deeply as the muscle layers or through the muscle to the peritoneum. Aims: 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 disease.PPT 1. Your digestive tract is coated with a mucous layer that normally protects against acid.