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Peptic ulcer disease: Difference between revisions

Peptic ulcer disease (view source)

Revision as of 15:20, 13 August 2023

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(Created page with "Peptic ulcer disease (PUD) refers to the presence of peptic ulcers in the stomach and/or duodenum. Duodenal ulcers are approx 3 times more common than gastric ulcers. In virtually all cases, patients with PUD either have H. pylori infection and/or use NSAIDs long-term. Few people develop PUD without either of these risk factors. In addition to H. pylori and NSAIDs, there are multiple other “supportive” risk factors. These include smoking, alcohol, steroid use, and s...")
 
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We distinguish between acute and chronic ulcers. Let’s take a look at their differences:
We distinguish between acute and chronic ulcers. Let’s take a look at their differences:
{| class="wikitable"
{| class="wikitable"
!Characteristic
!Acute ulcer
!Acute ulcer
!Chronic ulcer
!Chronic ulcer
|-
|-
!Size
|Mostly smaller than 1 cm
|Mostly smaller than 1 cm
|2 – 4 cm
|2 – 4 cm
|-
|-
!Number
|Often multiple
|Often multiple
|Often just one
|Often just one
|-
|-
!Morphology
|Round or oval
|Round or oval
|Radiating mucosal folds around it
|Radiating mucosal folds around it
|-
|-
!Level
|At the level of the mucosa
|At the level of the mucosa
| -
| -
|-
|-
|Ulcer base: covered by fibrin or hematin
!Ulcer base
|Ulcer base: clear
|Covered by fibrin or hematin
|Clear
|-
|-
|Ulcer edge: grayish, yellow and flat
!Ulcer edge
|Ulcer edge: Hyperemic and straight walls
|Grayish, yellow and flat
|Hyperemic and straight walls
|-
|-
|Complications: bleeding, perforation, peritonitis
!Most common complications
|Complications: Bleeding, perforation, penetration, scarring formation
|Bleeding, perforation, peritonitis
|Bleeding, perforation, penetration, scarring formation
|}
|}