70% of peptic ulcers are asymptomatic
Common symptoms: midepigastric pain; gnawing or burning, nonradiating, recurring pain that is often episodic
Duodenal ulcer: often have nocturnal p...
PPIs: higher efficacy; most duodenal ulcers heal within 4 weeks.
Oral: Omeprazole 20mg/day; lansoprazole 30mg/day; rabeprazole 20mg/day; esomeprazole 40mg...
H. pylori eradication is expected in >90% (with double antibiotic regimen); confirm eradication 4 weeks after completing therapy with urea br...
K27.9 Peptic ulc, site unsp, unsp as ac or chr, w/o hemor or perf
K26.9 Duodenal ulcer, unspecified as acute or chronic, without hemorrhage or perforation
K25.9 Gastric ulcer, unspecified as ...
PPIs: higher efficacy than H₂-blockers for healing duodenal ulcers.
Eradicate H. pylori to assist healing and reduce the risk of recurrence.
EGD indications: patients with suspected pept...
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<bold><italic>Figure 15-14</bold> Perforated peptic ulcer of stomach.</bold>
Gastric ulcer. The stomach has been opened to reveal a sharply demarcated, deep peptic ulcer on the lesser curvature.
Duodenal ulcer. A sharply punched-out peptic ulcer of the duodenum is situated immediately below the pylorus.
<bold>Fig GI 10-10 Peptic ulcer disease.</bold> (A) Large incisura (black arrow) simulating a filling defect on the greater curvature. The incisura is incited by a long ulcer (white arrows) on the lesser curvature. (B) Double pylorus. The true pylorus and the accessory channel along the lesser curvature are separated by a bridge, or septum, that produces the appearance of a discrete lucent filling defect (arrow).
<bold>Fig GI 10-10 Peptic ulcer disease.</bold> (A) Large incisura (black arrow) simulating a filling defect on the greater cu...