Presentation
All patients presenting with active DU should therefore be investigated for evidence of previous prepyloric ulceration. [ncbi.nlm.nih.gov]
In one third of patients, the presentation is less obvious, resulting in significant delays in diagnosis of peritonitis. [aclr.com.es]
Left: 87 year-old woman taking nonsteroidal antiinflammatory agents, who presented with upper gastrointestinal bleeding. At endoscopy a curved prepyloric ulcer was found. Helicobacter pylori antibody was positive. [endoatlas.com]
Entire Body System
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Weight Loss
Weight Loss or Fatigue A person's body may be unable to absorb necessary nutrients from ingested foods due to the presence of an antral ulcer. Consequently, people can experience symptoms of increased fatigue or weight loss, the UMMC reports. [livestrong.com]
On occasion, the dysphagia can be severe enough to cause debilitation and significant weight loss. Chronic aspiration and repetitive respiratory infection are common associated complaints. [quizlet.com]
Systemic Weight loss Anaemia if dripping Complications Bleed - malaena or haematemesis Perforation Gastric outflow obstruction - suspect if vomiting, esp if old food/ copious/ persistent. [gog.net.nz]
Other symptoms may include: Bloated feeling Burping Lack of appetite or weight loss Nausea Bloody or dark poop Vomiting Small ulcers may not cause any symptoms. But if you notice any of these signs, talk to your doctor. [webmd.com]
• Abdominal discomfort • Pain or nausea (pain is located in the epogastrium; not radiate) Waterbrash • Waterbrash • Loss of appetite and weight loss • Hematemesis (vomiting of blood) Rarely, ulcer lead to a gastric or duodenal perforation. [slideshare.net]
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Splenectomy
[…] and Splenorrhaphy 409 Laparoscopic Splenectomy 420 The Liver Biliary Tract and Pancreas 425 Cholecystectomy Common Bile Duct Exploration and Liver Biopsy 426 [books.google.ro]
Hone and expand your surgical skills by watching videos of minimally invasive procedures for recto urethral fistula, biliary atresia, laparoscopic splenectomy, uterine horn, and more. [books.google.com]
Gastrointestinal
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Vomiting
56 year-old man with hematemesis (vomiting blood) and melena (black, tarry stools). Endoscopy revealed this 1 cm prepyloric ulcer, which was no longer bleeding. [endoatlas.com]
This text then discusses the general symptoms of dyspepsia, including discomfort, pain, heartburn, flatulence, acid eructation, nausea, vomiting, and visceral tenderness. [books.google.ro]
Bloody Stools or Vomit If an antral ulcer begins to bleed, people can notice blood in their stools or vomit. [livestrong.com]
Afferent loop syndrome is associated with postprandial epigastric pain and nonbilious vomiting that is then relieved by projectile bilious vomiting. The detection of distended afferent loop on CT is diagnostic. [gastrotraining.com]
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Nausea
This text then discusses the general symptoms of dyspepsia, including discomfort, pain, heartburn, flatulence, acid eructation, nausea, vomiting, and visceral tenderness. [books.google.ro]
Case report A 19-year-old man presented to the emergency department with a history of abdominal pain, nausea and anorexia from 4- days ago. Abdominal pain was periodic during this period. [aclr.com.es]
Nausea, Vomiting or Belching A person with an antral ulcer can develop upset stomach symptoms, including nausea, vomiting or belching, the University of Maryland Medical Center explains. [livestrong.com]
[…] upper GI bleeding Type 1 (along lesser curvature of stomach) Type 2 (two ulcers, one gastric and the other duodenal) Type 3 (pre-pyloric ulcer) Type 4 (proximal gastroesophageal ulcer) Type 5 (anywhere) History / PE : Melena Abdominal pain Hematemesis Nausea [medlibes.com]
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Epigastric Pain
Abstract A 77 years old man had a sudden onset of an epigastric pain and melena in the course of acute respiratory failure. [jlc.jst.go.jp]
In past medical history, the patient had significant history of epigastric pain from the last 12-months without diagnostic evaluation for its cause. He has no history of smoking or drinking alcohol. Drug history was negative. [aclr.com.es]
Efferent loop syndrome is associated with epigastric pain, distension, and bilious vomiting; operation is the treatment of choice. [gastrotraining.com]
On August 18,1976, he was hospitalized because of severe epigastric pain which developed abruptly. The pain was almost gone in three days. [webview.isho.jp]
The player requires Flash Player plugin Case description This 42 year-old female, who presented severe epigastric pain. A small ulcer is observed at the anterior wall, giving the sensation that this ulcer has been divided in two Satellite ulcers. [medtube.net]
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Eructation
This text then discusses the general symptoms of dyspepsia, including discomfort, pain, heartburn, flatulence, acid eructation, nausea, vomiting, and visceral tenderness. [books.google.ro]
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Early Satiety
Early satiety — early satiety may be due to gastric stasis or resection. Symptoms consist of epigastric fullness with meals, often followed by emesis. Small and frequent meals help besides prokinetic agents. [gastrotraining.com]
Workup
CT workup and en-bloc resection if an occult or obvious malignancy is present. Complications of Surgery Early Duodenal stump leakage, gastric retention, haemorrhage in post-operative period. [gog.net.nz]
Microbiology
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Hemophilus Ducreyi
Ulcerative colitis 溃疡性结肠炎 A soft,highly infectious,nonsyphilitic venereal ulcer of the genital region,caused by the bacillus Hemophilus ducreyi. [hujiang.com]
Treatment
We conclude that a daily dose of 300 mg ranitidine is superior to 200 mg ranitidine in the treatment of duodenal and prepyloric ulcer and that the short-term use of ranitidine seems to be safe for the treatment of these ulcers. [ncbi.nlm.nih.gov]
Prognosis
Treatment and prognosis Treatment depends on the clinical presentation. [radiopaedia.org]
Waquaruddin Ahmed, Huma Qureshi, Syed Ejaz Alarn, Sarwar Jehan Zuberi ( PMRC Research Centre, Jinnah Postgraduate Medical Centre, Karachi-35. ) ABSTRACT Retrospective analysis of 115 cases of perforated duodenal ulcer was done to determine the long term prognosis [jpma.org.pk]
- if hard to distinguish, better prognosis if Ca -- 50-75% cure chance. Biopsy should be taken at the same time for H pylori. - Ideally 7 bx (10 good) and brush biopsy. - False ve rare, false -ve in 5-10%. [gog.net.nz]
The poor prognosis of gastric cancer also makes ascertainment bias an unlikely explanation. [nejm.org]
Etiology
The etiological factors responsible for peptic perforation vary depending upon sociodemographic factors [ 8 - 10 ]. [aclr.com.es]
The etiology is still unclear but previous surgical interventions, such as antireflux procedures or partial gastrectomies, have been recognized as a known risk factor. [wjes.biomedcentral.com]
Burge H: The etiology of benign lower curve gastric ulcer: Vagotomy and pyloroplasty in its treatment. Ann R Coll Surg 38:349–369, 1966 Google Scholar 22. Dragstedt LR, Woodward ER: Gastric stasis, a cause of gastric ulcer. [link.springer.com]
This is the most common etiology of type 3 ulcers, or prepyloric ulcers. Further Reading Peptic Ulcer - What are Peptic Ulcers? Peptic Ulcer Symptoms Peptic Ulcer Diagnosis Living with Peptic Ulcer Disease Peptic Ulcer Treatments [news-medical.net]
Definition, Etiology, Pathogenesis Top Peptic ulcer disease ( PUD ) is a recurring formation of gastric and/or duodenal peptic ulcers. [empendium.com]
Epidemiology
Dig Surg 27: 161-169 Lau JY, Sung J, Hill C, Henderson C, Howden CW, et al. (2011) Systematic review of the epidemiology of complicated peptic ulcer disease: incidence, recurrence, risk factors and mortality. Digestion 84: 102-113. [aclr.com.es]
Kurata JH, Haile BM: Epidemiology of peptic ulcer disease. Clin Gastroenterol 13:289–307, 1984 Google Scholar 2. Thomas JM, Misiewicz G: Histamine H 2 -receptor antagonists in the short- and long-term treatment of duodenal ulcers. [link.springer.com]
E.H.); the Division of Cancer Epidemiology and Genetics, National Cancer Institute, Bethesda, Md. (A.W.H., J.F.F.); the International Epidemiology Institute, Rockville, Md. (W. [nejm.org]
Methods Statistics Trigonometry Medical & Nursing Anatomy Anesthesiology Audiology Bacteriology Biochemistry Bioethics Biomedical Science Cardiology Cardiovascular Childbirth Chiropractic Dentistry Dermatology Diagnostic Imaging Drugs Endocrinology Epidemiology [brainscape.com]
Systematic review of the epidemiology of complicated peptic ulcer disease: incidence, recurrence, risk factors and mortality. Digestion. 2011;84(2):102-13. doi: 10.1159/000323958. Review. PubMed PMID: 21494041. [empendium.com]
Pathophysiology
A second outstanding feature of this volume is its success in balanc ing basic pathophysiology with practical considerations of clinical man agement. [books.google.ro]
Prevention
The negative outcome of psychological counseling raises doubts as to whether duodenal or prepyloric ulcer recurrences can be prevented by such a therapeutic approach. [ncbi.nlm.nih.gov]
J. and Williams, R., H 2 receptor antagonists and antacids in the prevention of acute gastrointestinal hemorrhage in fulminant hepatic failure, Lancet, i, Pagina 88 - 8. [books.google.ro]
J. and Williams, R., H 2 receptor antagonists and antacids in the prevention of acute gastrointestinal hemorrhage in fulminant hepatic failure, Lancet, i, الصفحة 88 - 8. [books.google.com]
Normally, once a paraesophageal hernia is identified, it should be treated surgically with reduction of the herniated stomach with gastropexy to prevent reherniation and herniorraphy (or prosthetic mesh) of the diaphragma [ 13, 14 ]. [wjes.biomedcentral.com]
Prevention Tips There are some great tips you should adhere to if you want to prevent peptic ulcers from developing. [naturalremedies.org]