Treatment of Duodenal Ulcer

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Treatment of Duodenal Ulcer

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Treatment of Duodenal Ulcer

Most common symptom make by duodenal ulceration is pain . bother because of duodenal ulceration is ab initio treat withmedications . seldom ulcer perforate in to palisade peritoneal space . now and again following perforation of ulceration through the duodenal rampart , the track is formed between one of the surrounding pipe organ and duodenal lumen . The track is known as fistula . The pain become highly severe because of fistulous withers and peritonitis . The treatment of such knottiness often needs hospitalization and surgery . The cost of treatment of chronic non healing duodenal ulcer can be substantial . The out of pocket cost because of co - pays and deductible become unbearable for some families when surgical treatment and hospitalization is necessary . The complications of duodenal ulceration can be keep by quit smoking and chronic alcohol consumption . Preventive therapy is essential to prevent complications . Healing of duodenal ulcer is degenerate if individualstops smokingordrinking alcohol . The discourse of duodenal ulcer in most cases includes medication and in few cases invasive procedure is essential . encroaching procedures perform to treat duodenal ulceration and its complications are endoscopy and operating theater .

Conservative Treatment for Duodenal Ulcer

former initiation of antibiotics forestall severe gastric inflammation and duodenal ulceration formation triggered by Helicobacter Pylori bacterium .

Antibiotics- H. Pylori bacteria often causes duodenal ulceration . The presence of H. Pylori infection is diagnosed by urea breath Test . Once the diagnosing is confirm then the contagion is regale with selective antibiotics . The most uncouth antibiotics used are tetracycline , and Augmentin . In few insubordinate suit culture and antibiotic sensitivity test are performed . Then the effective antibiotic choose are metronidazole ( Flagyl ) and levofloxacin ( Levaquin ) .   The course of discussion is 10 to 14 sidereal day .

Duodenal ulcer pain becomes preponderant problem when pain interferes with sleep . In most cases duodenal ulcer pain becomes severe during the middle of eternal sleep and patient is ineffective to log Z’s . Antacids helps to feel straightaway pain relief . prompt infliction relief is observed after taking one to two pills of antacids . The foresighted condition pain respite and healing of duodenal ulcer is achieved by subdue the acid secretion .

Antacids- Antacids are sold over the counter and does not need any prescription . antacid are alkaline in nature and alkaline speck neutralizes the acid subject matter of stomachic succus . The pain get by duodenal ulcers subside when acrid contentedness of stomach juice is neutralized within breadbasket prior to its contact with duodenal mucosa . antacid are taken in limpid figure or chewable oral contraceptive . Antacids are sell as aluminum hydroxide , Mg carbonate and Mg tricilicate . alkalizer also extend the mucosal liner of duodenum result in auspices of mucous membrane . Antacids prescriptions are avoided during first trimester and child under 12 year ’ historic period . Side force observed are bowel cramps , diarrhea or deadening .

The two class of medications , which are in effect in reducing acid secretion are H2 receptor blocker and proton ticker inhibitors . H2 receptor inhibitors reduce the secretion of histamine and thus decreases secretion of hydrochloric pane by proton pump , which lies within the ECL jail cell . minify histamine secernment abbreviate hydrochloric acid secretion . Similarly , proton pump inhibitors quit the proton pump to release hydrochloric acid .

Enterochromaffin - like cells or ECL cells secretes hydrochloric acid using proton pump . ECL cubicle are embedded within gastric ( breadbasket ) mucosal endothelial mobile phone . The histamine is released from the vesicle situated within the stomachic mucosal cells . Histamine then stimulates the ECL cells to release hydrochloric acids . The histamine is also released when internal secretion gastrin stimulates certain receptors over the open of the gastric mucosal cell . Histamine loss is also because of vagal spunk foreplay .

Surgical Treatment of Duodenal Ulcer

The pick of surgical treatment is endoscopic operation , laparotomy and laparoscopic surgery . The endoscopic surgical procedure necessitate passing of vasiform photographic camera through mouth into duodenum . Laparotomy operation is perform by take skin incision of length 4 to 6 centimeter over the skin lie above the duodenum next to umbilicus . The surgery is execute under unmediated visual sense . Laparotomy surgery is performed by very diminished incision less than 1 centimetre in distance . The laparotomy tubular tv camera is passed through the incision into abdominal caries . All the surgeries are performed under anesthesia and safe .

Endoscopic procedure using endoscope is performed for diagnosing as well as discussion of duodenal ulceration . Endoscopic procedure is most favourite procedure for stoppage of bleeding duodenal ulcer . Sometime duodenal ulcer bleeding can be life threatening and endoscopic cauterisation helps to stop run . Endoscopic procedure is less invasive and secure .

Symptomatic multiple duodenal ulceration not responding to oral medication are treated with operation . Surgical option involves removal of acid farm abdomen and ulcerated duodenum . operating theatre is often also combined with removal of vegas nerve known as vagotomy . The indication for surgery is uninterrupted duodenal ulcer pain in the ass not responding to bourgeois handling and bleeding . The stomach is divided in 3 parts as lesser curvature , great curve and pylorus . The dose producing stomachal cells are mostly present in lesser curvature of stomach . The pylorus is formed by thick bundle of muscles .

The perforated duodenal ulcer causes peritonitis and may result in fistula constitution . The prompt diagnosis of perforation of duodenal ulceration and its closure as a handling is very crucial to foreclose fistula formation . Perforation is identified quicker with laparoscopy . Laparoscopic surgery is performed using laparoscope . Laparoscope is a tubular tv camera just like endoscope often larger in diameter . The operating surgeon sees the organs and other structures within abdominal dental caries through the heart slice or over the telly concealment when eyepiece of the camera is connected to television by monitor capturing gimmick . The laparoscope is perish through the skin incision made over abdomen close to umbilicus . The confidential information of the laparoscope contains tv camera . The laparoscope is passed into abdominal caries . The tip of the camera of laparoscope is moved within the abdominal cavity until the perforation of duodenum is identified and localized . Once the ulcer is located then various other equipment are used to isolate the ulceration from other abdominal organs and curtain raising of the ulcer ( perforation ) is closed with sutures . Abdominal cavity irrigated with antibiotic solution to treat the peritonitis .

Alternative Therapy for Treating Duodenal Ulcer

Alternative therapyis effective in reducing acid yield and histamine free . alternate therapy is beneficial in affected role who may suffer with mild form of ulceration . Stoppage of inebriant intake and smoke serve in reducing oftenness of ulcer formation . Some of the sum likehoney , garlic , cranberry , Curcuma longa , mastic tree and cabbage help to cure ulcer when used with gastric antacid and acid reducing medication .

Treatment of Duodenal Ulcer#

Conservative Treatment for Duodenal Ulcer#

Surgical Treatment of Duodenal Ulcer#

Alternative Therapy for Treating Duodenal Ulcer#

Treatment of Duodenal Ulcer

Conservative Treatment for Duodenal Ulcer

Surgical Treatment of Duodenal Ulcer

Alternative Therapy for Treating Duodenal Ulcer