Treatment of Gastroduodenal Ulcer: How is a Perforated Ulcer?
How is a perforated ulcer?
A perforated ulcer is also a serious situation that requires urgent treatment. To reach a precise diagnosis is radiography of the stomach area (for air under the diaphragm). A perforated ulcer requiring emergency surgery.
How is the obstruction of the duodenum?
To heal, a chronic ulcer may cause obstruction of the pylorus (the outlet of the stomach) and duodenal ulcers, gastric emptying difficult. Symptoms include vomiting and weight loss.
This situation, called pyloric stenosis is usually treated by surgery, creating a short cut or shorted to the duodenum obstructed or narrowed (“gastro-entero-anastomosis”). This facilitates the emptying of the stomach.When to treat a chronic ulcer surgery?
Today it is rare for chronic ulcer treated surgically, except in case of bleeding, perforation, and narrowing of the outlet of the stomach or duodenum because of the scar.
Some years ago the surgical treatment of chronic ulcer was common. Then there were still no medications that suppress acid effectively, and Helicobacter pylori had not been discovered.
The surgical procedure depended on the location of the ulcer.
They used to use three different techniques:
- Nerves were sectioned stomach bearing the stimulation of gastric secretion in the stomach (vagotomy).
- It is resected or amputated part of the stomach (partial gastrectomy).
- Are spliced (anastomosis) the stomach to the duodenum in different ways.
Side effects or collateral were frequent gastric reflux, abdominal pain, fatigue, diarrhea and weight loss.
These interventions were carried out in this way as no other available treatment options.
Currently, very few cases need any of these surgical procedures, only when medical treatment has failed.
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