How is anastomotic ulcer treated?
Many therapies, including sulfasalazine, sucralfate, 5-aminosalicylic acid (5-ASA), antacid therapy such as ranitidine and protein pump inhibitors have been described for management of anastomotic ulcers with variable success.
How is gastric perforation treated?
Treatment most often involves emergency surgery to repair the hole. Sometimes, a small part of the intestine must be removed. One end of the intestine may be brought out through an opening (stoma) made in the abdominal wall. This is called a colostomy or ileostomy.
What is a perforated ulcer and how is it treated?
Treatment for a perforated ulcer starts with fixing the hole in your digestive tract. This may be done with surgery. Other treatments are aimed at easing pain and removing the cause of the ulcer.
What causes anastomotic ulcer?
Conclusions: Ulcers can develop at sites of ileocolonic anastomoses. The commonest presentation is with iron deficiency anemia due to occult blood loss. The etiology of the ulcer, in most patients, remains speculative.
What is Gastrojejunal ulcer?
Gastrojejunal ulcer is an iatrogenic disease of man, a by-product of the surgical treatment of peptic ulcer. The site is usually in the jejunum, within a few centimeters of a gastrojejunal anastomosis, in which event one may speak of a jejunal ulcer.
What does free air in abdomen mean?
The presence of free intra-abdominal gas usually indicates a perforated abdominal viscus. The most common cause is perforation of a peptic ulcer. Patients with such conditions need urgent surgery.
What is the best treatment for ulcers?
Proton pump inhibitors (PPIs) PPIs work by reducing the amount of acid your stomach produces, preventing further damage to the ulcer as it heals naturally. They’re usually prescribed for 4 to 8 weeks. Omeprazole, pantoprazole and lansoprazole are the PPIs most commonly used to treat stomach ulcers.
Is an anastomotic ulcer a complication?
A: Anastomotic ulceration is a common complication following gastric bypass, occurring in up to 16 percent of patients. 1 Most ulcers present within the first three months of surgery; however, they can occur any time. Common causes include gastric acid, Helicobacter pylori infection, medications and ischemia.