On the shortening of the lesser curvature of the stomachs with chronic peptic ulcer—from the viewpoint of anatomy of the gastric musculature

1968 ◽  
Vol 3 (4) ◽  
pp. 267-268
Author(s):  
K. Yoshida ◽  
K. Yoshikawa ◽  
N. Fujimaki ◽  
Y. Aoki ◽  
M. Uchida
Keyword(s):  
Peptic Ulcer ◽  
Gastric Musculature ◽  
Lesser Curvature

Anterior lesser curvature laser seromyotomy with posterior truncal vagotomy: A potential treatment of peptic ulcer disease

1989 ◽  
Vol 76 (9) ◽  
pp. 949-952 ◽  
Author(s):  
J. G. Hunter ◽  
J. M. Becker ◽  
R. G. Lee ◽  
P. E. Christian ◽  
J. A. Dixon
Keyword(s):  
Peptic Ulcer ◽  
Peptic Ulcer Disease ◽  
Truncal Vagotomy ◽  
Potential Treatment ◽  
Ulcer Disease ◽  
Lesser Curvature

scholarly journals Risk factors for rebleeding in patients with peptic ulcer bleeding

2020 ◽  
Vol 101 (3) ◽  
pp. 435-440
Author(s):  
M V Valeev ◽  
Sh V Timerbulatov
Keyword(s):  
Risk Factors ◽  
Peptic Ulcer ◽  
Postoperative Mortality ◽  
Posterior Wall ◽  
Ulcer Bleeding ◽  
Peptic Ulcer Bleeding ◽  
Results Of Treatment ◽  
Group 2 ◽  
Lesser Curvature ◽  
Group 1

Aim. To analyze the results of treatment of patients with ulcerative bleeding, to identify the main risk factors for rebleeding in patients with peptic ulcer bleeding. Methods. A retrospective analysis of the treatment results of 240 patients with acute peptic ulcer bleeding who were hospitalized in the Beloretsk Central District Hospital from 2008 to 2018 was carried out. Patients were divided into two groups: group 1 52 patients with rebleeding, group 2 188 patients in whom rebleeding did not occur. Results. Rebleeding in patients with peptic ulcer was observed in 21.7% of cases. The surgical rate was 22.9% and mortality 6.3%. Based on the obtained data, rebleeding should recognize as a risk factor for death [odds ratio (OR) 68.9; 95% confidence interval (CI) 8.8 to 539.7; p 0.001]. Surgical treatment for rebleeding had unsatisfactory results (postoperative mortality in group 1 26.8%, in group 2 0). Risk factors for rebleeding in peptic ulcer bleeding include localization of the ulcer on the lesser curvature of the stomach (OR=2.37; 95% CI=1.18 to 4.74) and the posterior wall of the duodenum (OR=3.84; 95% CI=1.69 to 8.73), as well as Forrest type IIA ulcer (OR=2.67; 95% CI=1.55 to 6.48). Forrest IIc and III ulcers reduce the risk of rebleeding (OR=0.24; 95% CI=0.10 to 0.56). It was found that a shock index, a decreased level of total protein and red blood cells, and an increasing level of urea have a statistically significant relationship with rebleeding in peptic ulcer bleeding. Conclusion. Rebleeding in patients with peptic ulcer is a serious complication of the disease that significantly increases mortality, and predicting the risk of rebleeding is one of the possible tools that can improve treatment outcomes and reduce mortality.

scholarly journals INCIDENCE OF GASTRIC ULCER IN ALBINO RATS FED DIETS DEFICIENT IN VITAMIN B (B1)

1932 ◽  
Vol 56 (3) ◽  
pp. 391-398 ◽  
Author(s):  
Gilbert Dalldorf ◽  
Minerva Kellogg
Keyword(s):  
Peptic Ulcer ◽  
Gastric Ulcer ◽  
Gastric Mucosa ◽  
Control Group ◽  
Albino Rats ◽  
Vitamin B ◽  
Gastric Lesions ◽  
Lesser Curvature

73 per cent of a group of albino rats whose diet was deficient in vitamin B have been found to have ulcerations of the gastric mucosa. A control group was found to be free from gastric lesions. Of 74 observed lesions eight were chronic, indurated ulcers resembling chronic peptic ulcer in man. The chronicity of the ulcers seems to be related to the duration rather than the degree of the deficiency. The lesions were generally located along the lesser curvature of the stomach, as is true in man. The size of the lesions in rat and man are comparable if adjustment is made for differences in the sizes of the organs.

scholarly journals The influence of risk factors in recurrent peptic ulcer hemorrhage

2007 ◽  
Vol 54 (1) ◽  
pp. 35-39
Author(s):  
Z.D. Lausevic ◽  
V.R. Resanovic ◽  
P.P. Pesko ◽  
S.N. Krstic ◽  
M.S. Gvozdenovic
Keyword(s):  
Risk Factors ◽  
Peptic Ulcer ◽  
Duodenal Wall ◽  
Recurrent Bleeding ◽  
Recurrent Ulcer ◽  
Ulcer Disease ◽  
Arterial Bleeding ◽  
High Gastric Ulcer ◽  
Lesser Curvature ◽  
Ulcer Hemorrhage

Gastrointestinal hemorrhage is one of the most frequent complications that occurs in 15 20% patients with peptic ulcer disease. Recurrent ulcer hemorrhage presents in the first 72 hours after initial bleeding; they are the most important cause of death. The aim of our study was to show the possibility of ulcer recurrent hemorrhage combined with risk factors: age 60, high risk lesion (active arterial bleeding, visible blood vessel, adherent coagulum), the size, ulcer base and localization (posterior duodenal wall, lesser curvature or high gastric ulcer), commorbidities (cardiovascular and liver diseases) and haemodynamic instabilities. The combination of these risk-factors unproportionally increases the risk: presence of two risk factors gives the possibility of recurrent bleeding of 16.67%, three risk factors 58.82%, four 93.33%, while the presence of five risk factors shows 100 % possibility. Probability of death is 8.27 times greater if ulcer hemorrhage occurs.

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