Gi management final

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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 70- 100% PUD patients
  7. 7. DIAGNOSIS • Endoscopy • Barium meal (contrast x- ray) • 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. Jayesh Raut: 23 Dhruvit Kalathiya: 22 Shrutee Acharya: 21 Submitted to: Dr. Sheetal madam Presented by:

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