Surgical_Treatment_of_Ulcers

Surgical_Treatment_of_Ulcers - Surgical Treatment of Ulcers...

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Surgical Treatment of Ulcers Vic V. Vernenkar, D.O. Department of Surgery St. Barnabas Hospital
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Anatomy
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Introduction Number of admissions for uncomplicated disease is falling Incidence of complications related to NSAID use is increasing Incidence has declined by 50% in last 25 years Surgical intervention is rare now for elective treatment
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Medical Treatment Biaxin 500 BID and Amoxacillin 1g BID plus Prilosec BID all for 2 weeks. Flagyl 250 QID and Tetracyclin 500 QID and Prilosec BID all for 2 weeks. 80% heal over 6 weeks. 80% recur after 1 year if H.Pylori not treated at same time.
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Bleeding Ulcer
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Laser Coagulation of Bleeding Ulcer
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Coil Embolization of Bleeding Ulcer
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Pyloroplasty for Bleeding Ulcer
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Indications For Surgery Bleeding Perforation Obstruction Intractability Surgical treatment is aimed at reduction of acid production one way or another Cure with lowest risk of complications
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History of Peptic Ulcer Surgery Harberer 1882- first gastric resection for ulcer
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This note was uploaded on 12/27/2011 for the course STEP 1 taught by Professor Dr.aslam during the Fall '11 term at Montgomery College.

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Surgical_Treatment_of_Ulcers - Surgical Treatment of Ulcers...

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