The management of patients with peptic ulcer disease is based on the etiology, ulcer characteristics, and anticipated natural history. Peptic ulcer disease in slesinger and fordtrans gastrointestinal and liver disease, 9, 2010. Peptic ulcer disease pud affects 4 million people worldwide annually. With the reduction in frequency of uncomplicated peptic ulcers, the proportion of ulcers not related to h pylori or nsaids has increased. Your doctor will decide the best treatment based on the cause of your peptic ulcer.
Descriptive epidemiology, risk factors, management and prevention. Bland diet peptic ulcer the diet for peptic ulcers should be wellbalanced while eliminating foods that cause you repeated distress. Peptic ulcer disease michigan medicine university of michigan. The most common symptom of a peptic ulcer is burning abdominal pain that extends from the navel to the chest, which can range from mild to severe. Peptic ulcer also is referred to as peptic ulcer disease. The most common causes of peptic ulcer disease pud are helicobacter pylori infection and use of nonsteroidal antiinflammatory drugs nsaids.
Decreased mucosal defense against gastric acid is another cause. Peptic ulcer disease pud is a break in the inner lining of the stomach, the first part of the small intestine, or sometimes the lower esophagus. Peptic ulcer disease is a general term used to describe a breakdown in the lining of either your stomach gastric ulcer or the first part of your small intestine duodenal ulcer. In the 1980s, the number of elective operations for peptic ulcer disease dropped more than 70%, and emergent operations accounted for more than 80%. Peptic ulcer disease is one of several disorders of the upper gastrointestinal tract that is caused, at least partially, by gastric acid. Medications to protect and strengthen the mucous lining of the stomach. Excessive gastric acid secretion is only one factor in the pathogenesis of peptic ulcer disease.
A peptic ulcer differs from an erosion because it extends deeper into the lining and incites more of an inflammatory reaction from the tissues that are involved, occasionally with scaring. Tukak lambung atau peptic ulcer disease pud dapat diartikan sebagai luka pada lambung atau usus duodenum karena ketidakseimbangan antara faktor agresif seperti sekresi asam lambung, pepsin, dan infeksi bakteri helicobacter pylori dengan faktor defensif atau faktor pelindung mukosa seperti produksi prostaglandin, mukus gastrik, bikarbonat, dan aliran darah mukosa misnadiarly, 2009. Peptic ulcer disease usually occurs in the stomach and proximal duodenum. An estimated 15,000 deaths per year occur as a consequence of complication of peptic. To decrease the recurrence rate and to prevent overuse of antacids etiology. The incidence and prevalence of peptic ulcer disease, as well as the rate of hospital admissions and mortality attributed to the disease, are steadily decreasing worldwide, which can in part be explained by a declining prevalence of helicobacter pylori infection and widespread use of potent antisecretory drugs. It extends into the muscularis propria layer of the gastric epithelium. With the success of medical therapy, surgery has a very limited role in the management of peptic ulcer disease. Successful eradication reduces pud recurrence rate from 90% to peptic ulcer disease pud are helicobacter pylori infection and use of nonsteroidal antiinflammatory drugs nsaids.
The reduction in peptic ulcer disease complications might be. Protocol for diagnosis and treatment of peptic ulcer in. Peptic ulcer disease including both gastric and duodenal ulcer form a substantial part of patients seeking surgical opinion worldwide. Peptic ulcer disease treatment johns hopkins medicine. Peptic ulcer disease usually occurs in the stomach and proximal. Acid perfusion of duodenal ulcer craters and ulcer pain. Here are five 5 nursing care plans ncp for peptic ulcer disease. A peptic ulcer is a defect in the gastric or duodenal wall that extends through the muscularis mucosa into the deeper layers of the wall. Treatment of peptic ulcer disease american international health. Elective peptic ulcer surgery has been virtually abandoned. They newly began in around 53 million people in 2014.
Gastritis and peptic ulcer disease nutrition guide for. There are several types of medicines used to treat a peptic ulcer. Hostile factors no gastric acid, no peptic ulcer is a misconception. The nursing goals of a client with a peptic ulcer disease include reducing or eliminating contributing factors, promoting comfort measures, promoting optimal nutrition, decreasing anxiety with increased knowledge of disease, management, and prevention of ulcer recurrence and preventing complications. Foods that are more irritating to the stomach are often avoided for peptic ulcers.
In this seminar, the term peptic ulcer disease refers to peptic ulcers located in the stomach or duodenum. Peptic ulcer disease results from an imbalance between factors that protect the mucosa of the stomach and duodenum, and factors that cause damage to it fig 1. Peptic ulcer disease is common with a lifetime prevalence in the general population of 510% and an incidence of. Protocol for diagnosis and treatment of peptic ulcer in adults. Eradication of hp infection alters the natural history of peptic ulcer disease. Peptic ulcer disease is a condition in which there are painful sores or ulcers in the lining of the stomach or the first part of the small intestine the duodenum. To provide patient with high quality treatment meeting uptodate standards of care 2. Eating guidelines for peptic ulcer disease tips to follow. It is also described as a break, or ulceration, in the protective. Learn more about the symptoms, causes, and treatment of peptic ulcers at webmd.
Malik and others published peptic ulcer disease pud find, read and cite all the research you need on. Ulcers are caused by an infection of a bacterium known as helicobacter pylori or h. Pdf management of nsaidassociated peptic ulcer disease. The ulcer diet should lessen the burden of digestion on the gastrointestinal tract to promote healing of the ulcer. The predominant causes in the united states are infection with helicobacter pylori and use of nonsteroidal anti. Gastrinoma zollingerellison syndrome or multiple endocrine neoplasia type i meni antral g cell hyperplasia.
Peptic ulcer is a hole or open sore in the lining of the stomach, duodenum beginning of the small intestine or oesophagus. Thats a sore on the inside of your stomach or at the upper portion, or beginning. People who take nsaids such as aspirin and ibuprofen longterm or are infected with the bacteria h. Peptic ulcer disease pud is characterized by discontinuation in the inner lining of the gastrointestinal gi tract because of gastric acid secretion or pepsin. The concept of acid in peptic ulcer disease, which was the basis of treatment of peptic ulcer was revolutionized by the discovery of h 2receptor antagonists, that led to the principle of acid suppression therapy for duodenal ulcer which followed decades of. Peptic ulcer disease pud is a term used to describe a group of ulcerative disorders that occurs in areas of the gastrointestinal tract that are exposed to acidpepsin secretion. Antrectomy including the ulcer with a billroth i anastomosis is the treatment of choice for an antral ulcer. If youre seeing this message, that means javascript has been disabled on your browser, please enable js to make this app work. Peptic ulcers, also known as gastric ulcers or stomach ulcers, can cause abdominal discomfort and pain.
Besides knowing what foods to eat, the patients of peptic ulcer disease must also follow certain eating guidelines. Individuals currently experiencing ulcers should be encouraged to avoid foods that exacerbate symptoms and. Peptic ulcer disease is common condition throughout the world. Individuals currently experiencing ulcers should be encouraged to. An ulcer in the stomach is called a gastric ulcer, while one in the first part of the intestines is a duodenal ulcer. The following are among hypersecretory states that may, uncommonly, cause peptic ulcer disease. A peptic ulcer stomach ulcer is a sore on the lining of your stomach or duodenum. Ulcers located near the esophagogastric junction require subtotal gastrectomy with a rouxeny esophagogastrojejunostomy csendes procedure. Peptic ulcer disease pud is one of the most common human ailments, affecting approximately 50% of the world population1.
Normally, a thick layer of mucus protects the stomach lining from the effect of its digestive juices. Ulcers are caused by acid eroding the lining of the gastrointestinal tract. The diagnosis is suspected when a patient presents with signs and symptoms suggestive of peptic ulcer disease or gastritis and especially in the setting of nsaid use andor h. The three major complications of peptic ulcer disease treatment are. In united states alone around 4 million individuals are affected. Pud also known as peptic ulcer or stomach ulcer, is a break in the lining of the stomach, first part of the small intestine, or occasionally the. Peptic ulcer is a break like a sore in the lining of the stomach or the upper part of the small intestine 1, with a diameter of at least 0. Perforated peptic ulcer ppu is a serious complication of pud and patients with ppu often present with acute abdomen that carries high risk for morbidity and mortality. Diagnosis and treatment of peptic ulcer disease and h. Risk factors,diagnosis, and management of peptic ulcer.
Pdf on may 30, 2019, monjur ahmed and others published peptic ulcer disease find, read and cite all the research you need on. Clinical study of peptic ulcer disease allied academies. Helicobacter pylori hp in patients with suspected peptic ulcer disease pud. The incidence of pud has been estimated at around 1. Peptic ulcers are present in around 4% of the population. If nsaids are causing your peptic ulcer and you don. If you have a burning pain in your stomach that keeps coming back, a peptic ulcer is one possible reason for it. Peptic ulcer disease refers to painful sores or ulcers in the lining of the stomach or first part of the small intestine, called the duodenum.