Complications of peptic ulcer disease

Complications of peptic ulcer disease.  Photo from www.sciencephoto.com

Complications of peptic ulcer disease are life-threatening and require immediate surgical intervention.

Perforation (perforation) ulcers

Rupture (Perforation) ulcers — forming a through hole in the wall of the stomach or duodenum. However, their contents into the abdominal cavity, and is inflammation of the peritoneum — peritonitis.

Rupture accompanied by a sudden intense ("dagger"), pain in the abdomen. The patient can not get out of bed — is quiet and motionless on his side with his feet drawn towards the stomach (posture "embryo"), perspiration on his forehead. Increased body temperature. Language becomes dry, stomach— "Doskoobraznym" (tight, flat). With the development of peritonitis, the patient's condition worsens, in the absence of immediate surgical intervention comes death.

If you suspect a ruptured ulcer should immediately call "ambulance." Self-healing action should not be accepted, it is forbidden put a hot water bottle to his stomach.

Treatment of perforation — only emergency surgery. Most often, the gap is sewn up, in some cases, you must also remove the affected part of the body.

Penetration ulcers

It is also the formation of holes in the wall of the stomach or 12 duodenal intestine. However, it does not open into the abdominal cavity, and adjacent organs: the pancreas, colon, liver, small gland, etc.

Manifestations depend on which body was rupture.

Common symptoms are: pain intensified and become permanent. They do not go after meals and use of antacids (almagel, Maalox). Increased body temperature.

Emergency treatment, surgery.

Bleeding

Image ulcers can lead to exposure of the vessel wall of the affected organ, and its "erosion of" acid. There is bleeding. Symptoms depend on the amount of blood loss.

Signs of bleeding:

  • sudden weakness,
  • syncope,
  • drop in blood pressure,
  • vomiting red blood or "coffee grounds" (clotted blood)
  • Liquid black tarry stools (known as melena).

Treatment of bleeding is only in a surgical hospital.

To identify the source of bleeding perform gastroscopy. During this procedure, the bleeding stopped with special solutions or flashing bleeding vessel with special clips. Furthermore, the patient intravenously administered drugs that reduce the production of hydrochloric acid.

If bleeding ceased, the patient3-5 days left in the hospital for observation.

If you stop the bleeding during endoscopy fails, resort to surgical intervention. The type of operation the surgeon chooses, depending on the characteristics of the disease: from the flashing vessel to remove a portion of the organ.

Stenosis of the pylorus and duodenum

Also called "pyloric obstruction of the stomach," ie, difficulty passage of food from the stomach into the intestine as a result of deformation or narrowing space transition stomach12 duodenal intestine. Is the result of scarring ulcers, located in the final part of the stomach or the initial section 12 duodenal intestine.

A slight degree of narrowing of the pylorus is manifested in the weight of the upper abdomen for several hours after eating, regurgitation, vomiting periodic eaten food that brings relief.

As the progression of this condition is a constant delay of the food in the stomach and his hyperextension appears putrid breath, belching rotten, patients complain of intense abdominal pain, persistent vomiting food. Indigestion eventually leads to exhaustion and dehydration of the patient.

Surgical treatment.

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