Gastric Ulce

Gastric Ulcer (Ulcus Ventriculi): Drug Therapy

Therapeutic Targets Improvement of the symptomatology Protection of the duodenum and stomach, i.e., avoidance of complications. If necessary, elimination of Helicobacter pylori. Therapy recommendations Proton pump inhibitors (PPI; acid blockers) [first-line therapy]. Notice: Because of increasing antibiotic resistance, eradication (germ elimination) of Helicobacter pylori should preferably be accomplished with bismuth quadruple therapy Before starting treatment, … Gastric Ulcer (Ulcus Ventriculi): Drug Therapy

Gastric Ulcer (Ulcus Ventriculi): Diagnostic Tests

Obligatory medical device diagnostics. Gastroduodenoscopy (colloquially, “gastroscopy”) with biopsies (tissue sampling) to detect Helicobacter pylori; if an ulcer (ulcer) is present, also take biopsies from the edge and base of the ulcer to rule out gastric carcinoma (stomach cancer): As basic diagnostics for suspected duodenal ulcer. 6-8 weeks after the end of eradication therapy (after … Gastric Ulcer (Ulcus Ventriculi): Diagnostic Tests

Gastric Ulcer (Ulcus Ventriculi): Surgical Therapy

For classification of bleeding activity in ulcer bleeding, see gastrointestinal bleeding (gastrointestinal bleeding)/classification: forrest classification. In gastrointestinal hemorrhage, targeted hemostasis is performed according to the so-called EURO concept: Endoscopy (viewing of the affected organ by means of fiber optics). Injection (with NaCl 0, 9% and/or epinephrine), fibrin glue, clipping (clipping), laser coagulation. Assess risk of … Gastric Ulcer (Ulcus Ventriculi): Surgical Therapy

Gastric Ulcer (Ulcus Ventriculi): Prevention

To prevent gastric ulcer (ventriculi ulcer)), attention must be paid to reducing individual risk factors. Behavioral risk factors Diet High consumption of mono- and disaccharides such as white flour products and confectionery products Infrequent intake of omega-3 and omega-6 fatty acids. Micronutrient deficiency (vital substances) – see Prevention with micronutrients. Consumption of stimulants Coffee (high … Gastric Ulcer (Ulcus Ventriculi): Prevention

Gastric Ulcer (Ulcus Ventriculi): Causes

Pathogenesis (development of disease) In ventriculi ulcer, damage to the gastric mucosa occurs, usually due to infection with Helicobacter pylori (70-80% of cases). In the course of infection, Helicobacter pylori spreads from the antral mucosa (lower area in front of the gastric outlet, the transition to the duodenum) ascending towards the corpus (centrally located body … Gastric Ulcer (Ulcus Ventriculi): Causes

Gastric Ulcer (Ulcus Ventriculi): Therapy

General measures Nicotine restriction (refraining from tobacco use). Limited alcohol consumption (men: max. 25 g alcohol per day; women: max. 12 g alcohol per day). Limited caffeine consumption – Depending on individual tolerance, to avoid additional discomfort and promote ulcer healing (healing of the ulcer), the consumption of coffee and black tea should be limited … Gastric Ulcer (Ulcus Ventriculi): Therapy

Gastric Ulcer (Ulcus Ventriculi): Test and Diagnosis

2nd order laboratory parameters – depending on the results of the medical history, physical examination, etc. – for differential diagnostic clarification Small blood count Differential blood count Inflammatory parameters – CRP (C-reactive protein) or ESR (erythrocyte sedimentation rate). Helicobacter pylori detection* . Invasive methods: Culture [sensitivity 70-90%, specificity 100%] Histology (gold standard) after endoscopic biopsy … Gastric Ulcer (Ulcus Ventriculi): Test and Diagnosis

Gastric Ulcer (Ulcus Ventriculi): Medical History

Medical history (history of illness) is an important component in the diagnosis of gastric ulcer (ventriculi ulcer). Family history Is there a history of frequent gastrointestinal diseases in your family? Social history What is your profession? Do you have night or shift work? Is there any evidence of psychosocial stress or strain due to your … Gastric Ulcer (Ulcus Ventriculi): Medical History

Gastric Ulcer (Ulcus Ventriculi): Or something else? Differential Diagnosis

Liver, gallbladder, and biliary tract-pancreas (pancreas) (K70-K77; K80-K87). Cholelithiasis (gallstones). Pancreatitis (inflammation of the pancreas) Mouth, esophagus (esophagus), stomach, and intestines (K00-K67; K90-K93). Functional dyspepsia (irritable stomach syndrome). Gastritis (gastritis) Gastroesophageal reflux disease (synonyms: GERD, gastroesophageal reflux disease; gastroesophageal reflux disease (GERD); gastroesophageal reflux disease (reflux disease); gastroesophageal reflux; reflux esophagitis; reflux disease; Reflux esophagitis; … Gastric Ulcer (Ulcus Ventriculi): Or something else? Differential Diagnosis

Gastric Ulcer (Ulcus Ventriculi): Complications

The following are the most important diseases or complications that may be contributed to by gastric ulcer (ventriculi ulcer): Blood, blood-forming organs – Immune system (D50-D90). Iron deficiency anemia (anemia due to iron deficiency). Circulatory system (I00-I99) Myocardial infarction (heart attack) due to infection with Helicobacter pylori. Mouth, esophagus (food pipe), stomach, and intestines (K00-K67; … Gastric Ulcer (Ulcus Ventriculi): Complications

Gastric Ulcer (Ulcus Ventriculi): Examination

A comprehensive clinical examination is the basis for selecting further diagnostic steps: General physical examination – including blood pressure, pulse, body weight, height; furthermore: Inspection (viewing). Skin, mucous membranes and sclerae (white part of the eye). Abdomen (abdomen) Shape of the abdomen? Skin color? Skin texture? Efflorescences (skin changes)? Pulsations? Bowel movements? Visible vessels? Scars? … Gastric Ulcer (Ulcus Ventriculi): Examination