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Quick Medical Diagnosis & Treatment
Peptic Ulcer Disease, Complications
Sections: Key Features, Essentials of Diagnosis, General Considerations, Upper GI hemorrhage, Ulcer perforation, Ulcer penetration, Gastric outlet obstruction, Clinical Findings, Symptoms and Signs, Upper GI hemorrhage, Ulcer perforation, Ulcer penetration, Gastric outlet obstruction, Differential Diagnosis, Clinical Findings, Laboratory Tests, Upper GI hemorrhage, Ulcer perforation, Ulcer penetration, Gastric outlet obstruction, Imaging Studies, Ulcer perforation, Gastric outlet obstruction, Diagnostic Procedures, Upper GI hemorrhage, Ulcer penetration, Gastric outlet obstruction, Treatment, Medications, Upper GI hemorrhage, Ulcer perforation, Ulcer penetration, Gastric outlet obstruction, Surgery, Upper GI hemorrhage, Ulcer perforation, Gastric outlet obstruction, Therapeutic Procedures, Upper GI hemorrhage, Gastric outlet obstruction, Outcome, Prognosis, Upper GI hemorrhage, Ulcer perforation, Prevention, Upper GI hemorrhage, When to Admit, Upper GI hemorrhage, References,
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Topics Discussed: gastric outlet obstruction; gastrointestinal bleeding; peptic ulcer perforation; upper gastrointestinal bleeding.
Excerpt: | |  ~50% of upper GI bleeding is due to peptic ulcer disease
Bleeding occurs in 10% of patients with an ulcer Bleeding stops spontaneously in about 80% of patients; the remainder have severe bleeding Overall mortality rate for ulcer bleeding is 7% Mortality rate is higher in | | – The elderly – Those with comorbid medical problems – Those with hospital-associated bleeding, persistent hypotension, or shock – Those with bright red blood in the vomitus or nasogastric lavage fluid – Those with severe coagulopathy |
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