Medindia » Medical Education » Distance Education » Chronic peptic ulcers
 Acid Peptic Disease
.Acute Peptic Ulcers
.Stress Ulcers: Constitute A Special Group Of Acute Ulcers
.Chronic peptic ulcers
.Gastric Ulcers
.Treatment Of Uncomplicated Duodenal And Gastric Ulcers
.Operations for Duodenal Ulcer
 Pharma
 CME Lessons
Acid Peptic Disease

Chronic peptic ulcers

Etiology: 1. Genetic and blood groups: Blood group O three times common than other groups.


2. Neurogenic: stress and anxiety through Vagus nerve.

3. Endocrine: There are specific endocrine disorders which may be associated with severe or intractable ulceration.

a) Zollinger - ellison syndrome.

b) Multiple adenoma syndrome.

c) Hyperparathyroidism.

4. Infection: Helicobacter Pylori.

5. Accessory causes: inadequate mastications, alcohol, irregular meals, smoking, vitamin deficiency.

Pathology:
  • Occurs in alkaline mucosa.
  • Invades muscle coats.
  • Fibrosis from recurrent ulcers causes deformities.
  • Nearly always situated in first part.
  • Anterior ulcer carries risk of perforation while posterior ulcer may cause hemorrhage due to erosion of gastroduodenal artery.



Comment & Contribute
Comments should be on the topic and should not be abusive. Comments are normally moderated and are reviewed after they are posted.
* Your comment can be maximum of 2500 characters
I agree to the terms and conditions
If you have a question about health related issues, you can now post it in our Ask An Expert section on our community website Medwonders.com and get answers from our panel of experts.
Member Comments ( 11 )
useful information
(Posted by sivakumar99, India Date : 9/5/2011 )
i am suffering a stomach ache and the doctor told me that i have acid peptic deasease. what kind of food should i take? thank you so much nikki from philippines
(Posted by nikkay_28, Philippines Date : 3/28/2011 )
i want to feel 1.5 years suffer burning in my stomuch but it is not right. i check endoscopy. answare is amtal gastritis/duodenal erosions. also biopsy that report is "Mild chronic antral gastritis, negative for H-pylori, gastric antral(endoscopic)biopsy." it is hapend 6 month ago. medicin doctor has been given nekfiune,zentel, nultivite gold. for 2 month but it is not work properly
(Posted by LaltuSarkar, N/A Date : 3/22/2011 )
hi i've just been diagnosed with acid peptic disease and i was wondering what we can and cannot eat
(Posted by jforkner_013, United States Date : 12/2/2010 )
Good Day,iam Roly currently working in dubai. Last 2 days i was suffering from a severe stomach & chest pain, i'm running out of breath and was directly rush to hospital. I was diagnose of having an Acid Peptic Disease, the doctor gave me 2 types of Antibiotics, hyoscine, & omeprazole 20mg. Lots of food restrictions was given to me and i'm totally confused of what kind/types of foods should i take. Please give me some tips on how to properly treat this kind of Disease & what are the foods should i take?
(Posted by Roly75, United Arab Emirates Date : 11/26/2010 )
View All Comments (11)