Management of G.I. Disorders
G.I. DISEASES
•
•
•
•
•
•
•

Peptic ulcer
Gastric cancer
Gastritis
Pancreatitis
Chronic benign gastric ulcer
Zollinger-ell...
PEPTIC ULCER
 What?
• Characterized by ulcerating mucosal lesions in upper
G.I tract due to acid & pepsin attack
• Chroni...
ETIOLOGY
•
•
•
•
•
•
•

H.pylori infection
Hyperacidity
Drugs (NSAIDS & Corticosteroids)
Cigarette smoking
Alcohol
Stress
...
SIGN & SYMPTOM
•
•
•
•
•
•
•
•
•
•
•

Stomach ulcer
Anorexia
Heartburn
Epigastric pain
Nausea
Vomiting
Duodenal ulcer
Tend...
• HELICOBACTER
PYLORI
•Most common
infection in world
(20%)
•10% men, 4%
women

•Positive in 70100% PUD patients
DIAGNOSIS
• Endoscopy
• Barium meal (contrast xray)
• Biopsy (bacteria &
malignancy)
• Culture (h.pylori)
COMPLICATIONS
 Hemorrhage
Due to ulcers eroding blood vessels
 Penetration into adjacent structures
Pancrease, biliary t...
DRUG THERAPY/TREATMENT
 Provide pain relief
(antacid + mucosal protector)
 Eradicate H.Pylori infection
(2 antibiotics +...
MANAGEMENT
•
•
•
•

Avoid taking spicy, oily food intake
Stop smoking
Regular diet
Avoid NSAIDS
GASTRIC ULCER vs PEPTIC
ULCER
• Clinical features
1. Peptic Ulcer (most common)
• Burning right epigastric pain 90 min to ...
Presented by:

Jayesh Raut: 23
Dhruvit Kalathiya: 22
Shrutee Acharya: 21
Submitted to:
Dr. Sheetal madam
Upcoming SlideShare
Loading in …5
×

Gi management final

305 views
214 views

Published on

Published in: Education, Health & Medicine
0 Comments
0 Likes
Statistics
Notes
  • Be the first to comment

  • Be the first to like this

No Downloads
Views
Total views
305
On SlideShare
0
From Embeds
0
Number of Embeds
0
Actions
Shares
0
Downloads
12
Comments
0
Likes
0
Embeds 0
No embeds

No notes for slide

Gi management final

  1. 1. Management of G.I. Disorders
  2. 2. G.I. DISEASES • • • • • • • Peptic ulcer Gastric cancer Gastritis Pancreatitis Chronic benign gastric ulcer Zollinger-ellison syndrome Post gastrectomy syndrome
  3. 3. PEPTIC ULCER  What? • Characterized by ulcerating mucosal lesions in upper G.I tract due to acid & pepsin attack • Chronic inflammatory condition  Where? • Stomach, duodenum
  4. 4. ETIOLOGY • • • • • • • H.pylori infection Hyperacidity Drugs (NSAIDS & Corticosteroids) Cigarette smoking Alcohol Stress Rapid gastric emptying
  5. 5. SIGN & SYMPTOM • • • • • • • • • • • Stomach ulcer Anorexia Heartburn Epigastric pain Nausea Vomiting Duodenal ulcer Tenderness Burning Aching at belly button Relieved by food intake & antacid
  6. 6. • HELICOBACTER PYLORI •Most common infection in world (20%) •10% men, 4% women •Positive in 70100% PUD patients
  7. 7. DIAGNOSIS • Endoscopy • Barium meal (contrast xray) • Biopsy (bacteria & malignancy) • Culture (h.pylori)
  8. 8. COMPLICATIONS  Hemorrhage Due to ulcers eroding blood vessels  Penetration into adjacent structures Pancrease, biliary tract, liver colon  Perforation
  9. 9. DRUG THERAPY/TREATMENT  Provide pain relief (antacid + mucosal protector)  Eradicate H.Pylori infection (2 antibiotics + acid suppressor)  Surgery if, Perforated and overflowed in abdomen Obstruction because of swelling Non responsive to medication
  10. 10. MANAGEMENT • • • • Avoid taking spicy, oily food intake Stop smoking Regular diet Avoid NSAIDS
  11. 11. GASTRIC ULCER vs PEPTIC ULCER • Clinical features 1. Peptic Ulcer (most common) • Burning right epigastric pain 90 min to 3 hrs. after meal • Often nocturnal • Relieved by food intake (as pyloric antrum closes, preventing the gastric juice from passing to duo.) 2. Gastric Ulcer • Burning left epigastric pain within 1 hr of food intake • Anorexia, food aversion, • Weight loss in 40% • Unrelated to food
  12. 12. Presented by: Jayesh Raut: 23 Dhruvit Kalathiya: 22 Shrutee Acharya: 21 Submitted to: Dr. Sheetal madam

×