Surgery Definition – What is gastric ulcer?
Surgery Definition – What is gastric ulcer?
Gastric ulcer is a form of peptic ulcer which affects the individual within the range of 40 – 70 years. The cause of gastric ulcer is helicobacter pylori. The risk factors of developing gastric ulcer are smoking, male, alcohol intake severe illness, advanced age, steroids and NSAIDS
intake.
The symptoms and signs of gastric ulcer may include epigastric pain which is worsen with eating, vomiting, nausea, hematemesis and melaena stool. Gastric ulcer is associated with iron deficiency anemia and loss of weight. Epigastrium tenderness is elicited during examination.
Pathologically, there will be reduction in the secretion of cytoprotein of the lining of the stomach from acid due to reduction in the bicarbonate and production of mucus.
Gastric ulcer is common in on lesser curvature of the stomach and rarely on the greater curvature.
The investigation requires include esophagogastroduodenoscopy which is the gold standard. The biopsy is later performed at the edge of the ulcer. Helicobacter pylori is detected by the detection of the blood for antibodies, urea breath test where the H. pylori producing urease which split the urea and releasing ammonia, clo test on the mucosal biopsy and microscopy analysis of the biopsy taken from the organisms.
The treatment of gastric ulcer may include symptomatic treatment and antibiotic for helicobacter pylori. The treatment may include the CMO regime which include the clarithromycin, metronidazole and omeprazole. In another words two forms of antibiotics and a proton pump inhibitor. This will follow with continuation of the usage of the proton pump inhibitors or H2 blockers.
The surgical treatment may consider in the case of failure in medical therapy, due to the formation of gastric cancer, hemorrhage, gastric outlet obstruction due to scarring or stricture or perforation. The aims of the surgical procedure are to remove the ulcer in the gastrin secreting zone of the antrum. The procedure needed include Billroth I partial gastrectomy, Billroth II polyps gastrectomy vagotomy,pyloroplasty and ulcer excision, antrectomy, vagotomy and Roux en Y reconstruction.
Gastric ulcer is a form of peptic ulcer which affects the individual within the range of 40 – 70 years. The cause of gastric ulcer is helicobacter pylori. The risk factors of developing gastric ulcer are smoking, male, alcohol intake severe illness, advanced age, steroids and NSAIDS
intake.
The symptoms and signs of gastric ulcer may include epigastric pain which is worsen with eating, vomiting, nausea, hematemesis and melaena stool. Gastric ulcer is associated with iron deficiency anemia and loss of weight. Epigastrium tenderness is elicited during examination.
Pathologically, there will be reduction in the secretion of cytoprotein of the lining of the stomach from acid due to reduction in the bicarbonate and production of mucus.
Gastric ulcer is common in on lesser curvature of the stomach and rarely on the greater curvature.
The investigation requires include esophagogastroduodenoscopy which is the gold standard. The biopsy is later performed at the edge of the ulcer. Helicobacter pylori is detected by the detection of the blood for antibodies, urea breath test where the H. pylori producing urease which split the urea and releasing ammonia, clo test on the mucosal biopsy and microscopy analysis of the biopsy taken from the organisms.
The treatment of gastric ulcer may include symptomatic treatment and antibiotic for helicobacter pylori. The treatment may include the CMO regime which include the clarithromycin, metronidazole and omeprazole. In another words two forms of antibiotics and a proton pump inhibitor. This will follow with continuation of the usage of the proton pump inhibitors or H2 blockers.
The surgical treatment may consider in the case of failure in medical therapy, due to the formation of gastric cancer, hemorrhage, gastric outlet obstruction due to scarring or stricture or perforation. The aims of the surgical procedure are to remove the ulcer in the gastrin secreting zone of the antrum. The procedure needed include Billroth I partial gastrectomy, Billroth II polyps gastrectomy vagotomy,pyloroplasty and ulcer excision, antrectomy, vagotomy and Roux en Y reconstruction.
