Successfully reported this slideshow.
We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads. You can change your ad preferences anytime.
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

382 views

Published on

Published in: Education, Health & Medicine
  • Be the first to comment

  • Be the first to like this

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

×