Ulcer disease known with many names such as peptic ulcer disease, gastric ulcer, stomach ulcer, etc., is a breach in the lining of any part of the gastrointestinal tract. When ulcers form in the stomach, they are known as gastric ulcers and when they form in the proximal parts of the small intestines, they are called duodenal ulcers. For both types of ulcers epigastric pain is a common symptom. Dietary changes do not necessarily prevent PUD (peptic ulcer disease).
Physical examination reveals:
The treatment for peptic ulcer disease depends on the clinical presentation of the patient. Most of the peptic ulcers can be treated with medications. Surgery is indicated when some complications arise. Perforation and bleeding are the most common life-threatening complications. Acute ulcer perforation is a surgical emergency. It causes severe inflammation of the peritoneum causing peritonitis. If treatment is delayed, it can lead to sepsis and can even cause death. The ulcer perforation is usually closed with keyhole surgery.
Bleeding is less common and can many a time tackled with endoscopy. Surgery is indicated if endoscopy fails, and bleeding persists.
Another complication of ulcer disease is obstruction. Obstruction cannot usually be treated without surgery. Laparoscopic surgery is often feasible to relieve the obstruction. We offer laparoscopic treatment for ulcer disease and its complications.Authored by Dr. Deepak Varma, MBBS, MS (General Surgery)
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