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Bohomolets 4th year Complications of PUD

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Dr. Rubz
Dr. Rubz

By Teplyy V.V from surgery Department #1

Health & Medicine
1 of 34
COMPLICATIONS OF PEPTIC ULCER Teplyy V.V.
Classification of gastroduodenal peptic ulcer by site
Classification of benign gastric ulcers (after Johnson, 1957)
The classification is important because ulcers differ in their pathogenesis and their management. ,[object Object],[object Object]
Complications of peptic ulcer ,[object Object],[object Object],[object Object]
Complications of peptic ulcer ,[object Object],[object Object],[object Object],[object Object],[object Object]
Perforation ,[object Object]
The classic symptoms and signs often make the diagnosis easy in 80 per cent of patients. ,[object Object],[object Object],[object Object],[object Object]
But perforation is not always so straightforward. ,[object Object],Erect radiograph of abdomen showing air in lesser sac from perforated gastric ulcer.
[object Object]
[object Object],[object Object],[object Object]
Diagnostic algorithm ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Management of the perforated ulcer ,[object Object]
Is there a place for non-operative treatment? ,[object Object],[object Object],[object Object]
Operative techniques—simple suture or patch? ,[object Object],[object Object],[object Object],[object Object]
[object Object]
Laparoscopic repair ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Should an ulcer-curing operation be added? ,[object Object]
[object Object]
Haemorrhage ,[object Object]
[object Object]
The management of haemorrhage consists of five phases: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Bleeding presents as : ,[object Object],[object Object],[object Object]
Resuscitation ,[object Object]
Diagnosis ,[object Object]
Endoscopic signs of recent haemorrhage
Immediate control of bleeding ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Prevention of re-bleeding ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Operation ,[object Object]
Stenosis ,[object Object],[object Object]
Fistulas ,[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object]
Malignant change in peptic ulcers
 

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