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PEPTIC ULCER DISEASE & H.PYLORI INFECTION Dr. Ammar I. Abdul-Latif

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Page 1: PEPTIC ULCER DISEASE & H.PYLORI INFECTION · PUD PATHOGENESIS -NSAID. PUD PATHOGENESIS. PUD PATHOGENESIS. CLINICAL COURSE PUD Uncomplicated PAIN Epigastric Episodic Related to food

PEPTIC ULCER DISEASE&

H.PYLORI INFECTION

Dr. Ammar I. Abdul-Latif

Page 2: PEPTIC ULCER DISEASE & H.PYLORI INFECTION · PUD PATHOGENESIS -NSAID. PUD PATHOGENESIS. PUD PATHOGENESIS. CLINICAL COURSE PUD Uncomplicated PAIN Epigastric Episodic Related to food

ANATOMY &PHYSIOLOGY

Page 3: PEPTIC ULCER DISEASE & H.PYLORI INFECTION · PUD PATHOGENESIS -NSAID. PUD PATHOGENESIS. PUD PATHOGENESIS. CLINICAL COURSE PUD Uncomplicated PAIN Epigastric Episodic Related to food

ANATOMY &PHYSIOLOGY

Page 4: PEPTIC ULCER DISEASE & H.PYLORI INFECTION · PUD PATHOGENESIS -NSAID. PUD PATHOGENESIS. PUD PATHOGENESIS. CLINICAL COURSE PUD Uncomplicated PAIN Epigastric Episodic Related to food

ANATOMY &PHYSIOLOGY

Page 5: PEPTIC ULCER DISEASE & H.PYLORI INFECTION · PUD PATHOGENESIS -NSAID. PUD PATHOGENESIS. PUD PATHOGENESIS. CLINICAL COURSE PUD Uncomplicated PAIN Epigastric Episodic Related to food

CAUSES & PATHGENESIS

Page 6: PEPTIC ULCER DISEASE & H.PYLORI INFECTION · PUD PATHOGENESIS -NSAID. PUD PATHOGENESIS. PUD PATHOGENESIS. CLINICAL COURSE PUD Uncomplicated PAIN Epigastric Episodic Related to food

H.PYLORI

Page 7: PEPTIC ULCER DISEASE & H.PYLORI INFECTION · PUD PATHOGENESIS -NSAID. PUD PATHOGENESIS. PUD PATHOGENESIS. CLINICAL COURSE PUD Uncomplicated PAIN Epigastric Episodic Related to food

D.U.PATHOGENESIS-H.PYLORI

Page 8: PEPTIC ULCER DISEASE & H.PYLORI INFECTION · PUD PATHOGENESIS -NSAID. PUD PATHOGENESIS. PUD PATHOGENESIS. CLINICAL COURSE PUD Uncomplicated PAIN Epigastric Episodic Related to food

COMPLICATIONS OF H.PYLORI

Page 9: PEPTIC ULCER DISEASE & H.PYLORI INFECTION · PUD PATHOGENESIS -NSAID. PUD PATHOGENESIS. PUD PATHOGENESIS. CLINICAL COURSE PUD Uncomplicated PAIN Epigastric Episodic Related to food

PUD PATHOGENESIS -NSAID

Page 10: PEPTIC ULCER DISEASE & H.PYLORI INFECTION · PUD PATHOGENESIS -NSAID. PUD PATHOGENESIS. PUD PATHOGENESIS. CLINICAL COURSE PUD Uncomplicated PAIN Epigastric Episodic Related to food

PUD PATHOGENESIS

Page 11: PEPTIC ULCER DISEASE & H.PYLORI INFECTION · PUD PATHOGENESIS -NSAID. PUD PATHOGENESIS. PUD PATHOGENESIS. CLINICAL COURSE PUD Uncomplicated PAIN Epigastric Episodic Related to food

PUD PATHOGENESIS

Page 12: PEPTIC ULCER DISEASE & H.PYLORI INFECTION · PUD PATHOGENESIS -NSAID. PUD PATHOGENESIS. PUD PATHOGENESIS. CLINICAL COURSE PUD Uncomplicated PAIN Epigastric Episodic Related to food

CLINICAL COURSE

PUD

Uncomplicated

PAIN

Epigastric

Episodic

Related to food

Complicated

Perforation

penetration

Bleeding

Obstruction

Page 13: PEPTIC ULCER DISEASE & H.PYLORI INFECTION · PUD PATHOGENESIS -NSAID. PUD PATHOGENESIS. PUD PATHOGENESIS. CLINICAL COURSE PUD Uncomplicated PAIN Epigastric Episodic Related to food

DIAGNOSIS-UPPER ENDOSCOPY

Chronic D.U. Acute ulcer

Page 14: PEPTIC ULCER DISEASE & H.PYLORI INFECTION · PUD PATHOGENESIS -NSAID. PUD PATHOGENESIS. PUD PATHOGENESIS. CLINICAL COURSE PUD Uncomplicated PAIN Epigastric Episodic Related to food

UPPER ENDOSCOPY-INDICATIONS

Page 15: PEPTIC ULCER DISEASE & H.PYLORI INFECTION · PUD PATHOGENESIS -NSAID. PUD PATHOGENESIS. PUD PATHOGENESIS. CLINICAL COURSE PUD Uncomplicated PAIN Epigastric Episodic Related to food
Page 16: PEPTIC ULCER DISEASE & H.PYLORI INFECTION · PUD PATHOGENESIS -NSAID. PUD PATHOGENESIS. PUD PATHOGENESIS. CLINICAL COURSE PUD Uncomplicated PAIN Epigastric Episodic Related to food

HISTOPATHOLOGY-H.PYLORI INFECTION

Page 17: PEPTIC ULCER DISEASE & H.PYLORI INFECTION · PUD PATHOGENESIS -NSAID. PUD PATHOGENESIS. PUD PATHOGENESIS. CLINICAL COURSE PUD Uncomplicated PAIN Epigastric Episodic Related to food

TREATMENT-MEDICAL

Page 18: PEPTIC ULCER DISEASE & H.PYLORI INFECTION · PUD PATHOGENESIS -NSAID. PUD PATHOGENESIS. PUD PATHOGENESIS. CLINICAL COURSE PUD Uncomplicated PAIN Epigastric Episodic Related to food
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Page 20: PEPTIC ULCER DISEASE & H.PYLORI INFECTION · PUD PATHOGENESIS -NSAID. PUD PATHOGENESIS. PUD PATHOGENESIS. CLINICAL COURSE PUD Uncomplicated PAIN Epigastric Episodic Related to food
Page 21: PEPTIC ULCER DISEASE & H.PYLORI INFECTION · PUD PATHOGENESIS -NSAID. PUD PATHOGENESIS. PUD PATHOGENESIS. CLINICAL COURSE PUD Uncomplicated PAIN Epigastric Episodic Related to food

TREATMENT-SURGICAL

Page 22: PEPTIC ULCER DISEASE & H.PYLORI INFECTION · PUD PATHOGENESIS -NSAID. PUD PATHOGENESIS. PUD PATHOGENESIS. CLINICAL COURSE PUD Uncomplicated PAIN Epigastric Episodic Related to food

SURGICAL Tx-VAGATOMY

Page 23: PEPTIC ULCER DISEASE & H.PYLORI INFECTION · PUD PATHOGENESIS -NSAID. PUD PATHOGENESIS. PUD PATHOGENESIS. CLINICAL COURSE PUD Uncomplicated PAIN Epigastric Episodic Related to food

TYPES OF VAGATOMY

Page 24: PEPTIC ULCER DISEASE & H.PYLORI INFECTION · PUD PATHOGENESIS -NSAID. PUD PATHOGENESIS. PUD PATHOGENESIS. CLINICAL COURSE PUD Uncomplicated PAIN Epigastric Episodic Related to food

SURGICAL Tx-BILLROTH 1

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SURGICAL Tx-BILLROTH 1&2

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SURGICAL Tx-COMPLICATIONS

Dumping syndrom

Bile reflux gastritis

Diarrhoea and maldigestion

Weight loss

Anaemia

Metabolic bone disease

Gastric cancer

Page 27: PEPTIC ULCER DISEASE & H.PYLORI INFECTION · PUD PATHOGENESIS -NSAID. PUD PATHOGENESIS. PUD PATHOGENESIS. CLINICAL COURSE PUD Uncomplicated PAIN Epigastric Episodic Related to food