Radiological diagnosis of gastric motor disorders in peptic ulcer disease

1986 ◽  
Vol 67 (6) ◽  
pp. 444-444
Author(s):  
G. I. Volodina ◽  
V. R. Gorst
Keyword(s):  
Duodenal Ulcer ◽  
Peptic Ulcer ◽  
Duodenal Bulb ◽  
Pain Syndrome ◽  
Practical Significance ◽  
Motor Disorders ◽  
X Ray ◽  
Radiological Criteria ◽  
Ulcer Disease ◽  
Healthy Persons

In order to study motility of the stomach and to establish practical significance of a number of quantitative radiological criteria of its motility 60 patients with peptic ulcer and duodenal ulcer and in the presenting state and 8 virtually healthy persons aged from 18 to 57 years were examined. There were 62 men and 6 women. Thirty-nine suffered from duodenal bulb ulcer, 12 from gastric ulcer, and 9 had a presenting condition. Three patients with peptic ulcer had a pronounced pain syndrome; 9 people had no pain at the time of X-ray examination.

scholarly journals Causes and Management of Gastric and Duodenal Ulcer in Adolescents

2021 ◽  
pp. 289-297
Author(s):  
Bader Maiedh Mohsen Aladainan ◽  
Mahdi Turki Bin Ali Alfataih ◽  
Alhassan Ahmed Mohammed Aldundur ◽  
Rashed Saleh Mohammed Balhareth ◽  
Eisa Yazeed Ghazwani
Keyword(s):  
Duodenal Ulcer ◽  
Helicobacter Pylori ◽  
Peptic Ulcer ◽  
Review Literature ◽  
Peptic Ulcers ◽  
Significant Progress ◽  
Duodenal Ulcers ◽  
Ulcer Disease ◽  
Last 300 Years ◽  
Made In

Many etiological hypotheses have been suggested to explain the development of peptic ulcers during the last 300 years (including gastric ulcer and duodenal ulcer). In the last two decades, significant progress has been made in understanding the pathophysiology of peptic ulcer disease, particularly with regard to the involvement of Helicobacter pylori and nonsteroidal anti-inflammatory medications (NSAIDs). This study will attempt to review literature on etiology and management of gastric and duodenal ulcers among adolescents.

DUODENAL ULCER IN CHILDHOOD

PEDIATRICS ◽  
1970 ◽  
Vol 45 (2) ◽  
pp. 283-286
Author(s):  
Mary Loretta Rosenlund ◽  
C. Everett Koop
Keyword(s):  
Duodenal Ulcer ◽  
Common Symptom ◽  
Peptic Ulcers ◽  
Older Children ◽  
Duodenal Ulcers ◽  
X Ray ◽  
Ulcer Disease ◽  
The Past ◽  
Younger Age ◽  
The Central Nervous System

There has been some disagreement concerning the admittedly rare incidence of duodenal ulcer disease in children. Because of conflicting reports from other pediatrics centers, we have reviewed the records of all patients admitted to The Children's Hospital of Philadelphia in the past 20 years (1948 through 1967) in whom duodenal ulcer was diagnosed by x-ray, at operation or on postmortem examination (Table I). There were 27 children between the ages of 15 days and 15½ years, with well established duodenal ulcers. Six of these were female (22%). The age at presentation was scattered, but the majority were between 2 and 11 years of age. Presenting complaints were varied: gastrointestinal bleeding was most common in the younger age group, while abdominal pain, usually persistent and intermittent, was the most common symptom in the older children. The diagnosis of duodenal ulcer was made by x-ray examination in 22 patients and at operation in 2; and the ulcers were discovered only at autopsy in 3 children. All the ulcers were duodenal; the precise location was not specified in 9, but 11 were bulbar and 7 were postbulbar. Complications of the ulcer were noted in 9 patients. Perforation occurred in 7 patients, leading to death in 4 (all had disease of the central nervous system) and repeated bleeding in 2. Etiology of the ulcer disease was determined in 15 of the children, but the cause was unknown in 12. Our series is concerned only with duodenal ulcers which, admittedly, comprise the greatest percentage of peptic ulcers.

Clinical neurological manifestations in patients suffering from peptic ulcer disease in the acute phase and in remission

2021 ◽  
Author(s):  
O. V. Demydas
Keyword(s):  
Duodenal Ulcer ◽  
Nervous System ◽  
Peptic Ulcer ◽  
Peptic Ulcer Disease ◽  
Peripheral Nervous System ◽  
Acute Phase ◽  
Neurological Examination ◽  
Acute Stage ◽  
Neurological Manifestations ◽  
Ulcer Disease

Objective — to analyze clinical neurological manifestations in patients suffering from peptic ulcer disease in the acute phase and in remission, based on the findings of a comprehensive clinical neurological, neuropsychological and paraclinical study. Methods and subjects.  84 patients suffering from PUD were comprehensively examined while in the acute phase of the disease and then all 84 were reexamined while in remission. The age range of the patients was from 25 to 60 years. The average age of the patient was 39.90 ± 1.29 years. The examined individuals were destributed into two groups based on whether they presented symptoms of an acute phase or remission of the peptic ulcer disease. The comprehensive examination included: interview and complaint analysis, neurological examination focused on the state of the autonomic nervous system, study of the neuropsychological differences (the trait and state anxiety levels monitoring based on the Spielberg‑Khanin scale, depressive state evaluation using Beck Depression Inventory, self‑perceived health assessment, mood and activity monitoring using the SAN questionnaire, cognitive impairment evaluation using the MMSE scale, assessment of the refocusing speeds and performance distribution using Schulte tables), as well as lab tests and procedures. Results. Most often, subjects complained of headache (74 (88.0 %) in the acute stage and 37 (44.0 %) in remission). The second most common was a complaint of pain in the thoracic spine (69 (82.1 %) and 35 (41.6 %), respectively). Complaints of dizziness, pain in the heart, palpitations, «interruptions» in the heart, paresthesia were often recorded. In 11 (12.4 %) patients with duodenal ulcer in the acute stage experienced episodes of syncopal state, while in the remission stage they were absent. Complaints that indicated the presence of psychoemotional disorders were anxiety, decreased memory and attention, and sleep disturbances. In patients with duodenal ulcer disease we revealed lesions of the central and peripheral nervous system. Central nervous system disorders were manifested in the form of vestibulo‑cerebellar syndrome (in 30 (35.7 %) patients in the acute stage and in 14 (16.6 %) in the remission stage), extrapyramidal disorders (respectively in 10 (11.9 %) and 4 (4.76 %)) and signs of pyramidal dysfunction (37 (44.0 %) and 15 (17.8 %)). Clinical and neurological examination of the peripheral nervous system in 68 (80.9 %) patients with peptic ulcer in the acute stage and in 31 (36.9 %) in the remission stage revealed polyneuropathy syndrome of varying degrees. Signs of polyneuropathy were accompanied by complaints of disorders of the peripheral nervous system (45 (53.5 %) and 15 (17.8 %) cases, respectively). In 27.4 % of patients with peptic ulcer disease in the acute stage of the complaint were absent at all, and only a thorough neurological examination revealed signs of polyneuropathy. In 56 (66.6 %) patients with peptic ulcer disease in the acute stage and 28 (33.3 %) in the remission stage, the morbidity of paravertebral points in the lower thoracic spine was revealed. Conclusions. Having analyzed the data obtained through the interviews, as well as the neurological characteristics of patients with peptic ulcer disease of the duodenum in the acute phase and in remission it was concluded that most of the somatic complaints and neurological manifestations were common in both the acute phase and the remission of the disease. However, all of the identified neurological differences were significantly more common in the acute phase of the disease.  

Features of the course of peptic ulcer disease in children and adolescents

1985 ◽  
Vol 66 (5) ◽  
pp. 377-377
Author(s):  
N. A. Cherkasova ◽  
H. S. Bikbulatova ◽  
V. N. Leonova
Keyword(s):  
Duodenal Ulcer ◽  
Peptic Ulcer ◽  
Gastric Ulcer ◽  
Peptic Ulcer Disease ◽  
Children And Adolescents ◽  
Ulcer Disease

There were 26 patients with gastric ulcer and duodenal ulcer (17 boys, 9 girls) aged from 9 to 18 years under observation.

scholarly journals The importance of a patient’s background in formulating a management approach

2013 ◽  
Vol 1 (2) ◽  
pp. 20
Author(s):  
Anil Ojha ◽  
Pawan Shrestha ◽  
David A. Green
Keyword(s):  
Duodenal Ulcer ◽  
Peptic Ulcer ◽  
Economic Status ◽  
Management Approach ◽  
Diagnostic Model ◽  
Severe Anemia ◽  
Ulcer Disease ◽  
Socio Economic Status ◽  
Experienced Physician ◽  
Bleeding Duodenal Ulcer

Peptic ulcer disease is uncommon in childhood, with non-specific clinical features. A tendency to late diagnosis makes it more likely for a patient to present with complications. Here we discuss a child with low socio-economic status from a developing country who presented with severe anemia secondary to a bleeding duodenal ulcer. The case highlights the importance of the patient’s background in the formulation of a management approach. In some cases this may be intuitive to an experienced physician. However, we demonstrate this with a simple mathematical diagnostic model using disease prevalences which are tied to our individual patient’s circumstances. The model shows how the negative predictive value of a test can change according to the patient’s background. We also suggest that the best treatment option will be influenced by the patient’s circumstances. Our patient comes from Nepal, but the principles involved are universally applicable.

scholarly journals EPISODES OF HEARTBURN AND BLOATING IN MEDICAL PRACTICE

2021 ◽  
Author(s):  
VAZHA GVANTSELADZE ◽  
NANA GNANTSELADZE
Keyword(s):  
Quality Of Life ◽  
Duodenal Ulcer ◽  
Peptic Ulcer ◽  
Gastric Ulcer ◽  
Gastric Ulcers ◽  
Ability To Work ◽  
Ulcer Disease ◽  
Impaired Ability ◽  
Georgian Population

The aim of the study was to study the frequency and nature of episodes of heartburn and bloating in patients with duodenal and gastric ulcers in the Georgian population, considering the histomorphological and morphometric changes of the gastric mucosa and the parameters of gastric secretion. At the same time, we were interested in analyzing patients' anamnesis before being hospitalized for the last 2 months. The analysis of the material showed that incidence of heartburn episodes in the Georgian population is clearly higher in patients with peptic ulcer disease 12 - (79.9%) than in patients with gastric ulcer (9 - 31.9%). Episodes of heartburn in these patients are characterized not only by increasing of rate (more than 50 episodes), both day and night, but the intensity and duration (which is due to abnormal gastroesophageal reflux). This is a high risk for the occurrence of heartburn episodes. As for bloating, it was detected in patients with duodenal ulcer (11–26.2%), in gastric ulcer 11– (32.9%). The main pathogenetic aspects of heartburn episodes were found to be diffuse fundal glands hyperplasia and high acidity (duodenal ulcer and pyloric anterior ulcer). It was also found that a large percentage of patients were not treated properly, leading to impaired ability to work and changes in quality of life and disease progression.

Features of Depressed State of Men with Sexual Disorders Based on Gastric Ulcer and Duodenal Ulcer

2016 ◽  
pp. 138-142
Author(s):  
Yurii Gurzhenko ◽  
Vasyl Soroka
Keyword(s):  
Duodenal Ulcer ◽  
Peptic Ulcer ◽  
Gastric Ulcer ◽  
Peptic Ulcer Disease ◽  
Research Evaluation ◽  
Close Correlation ◽  
Sexual Disorders ◽  
Ulcer Disease ◽  
Negative Effect ◽  
Personal Anxiety

The aim of the research: evaluation of the peculiarities of anxiety in male patients with gastric ulcer and duodenal ulcer, which are sexual disorders. Materials and methods. The research is based on the generalization of the results of complex examination and treatment of 130 patients with peptic ulcer of duodenum and stomach in remission who have sexual disorders. The patients were divided into three groups: basic, comparative and referential. Was used C. Spielberger’s self-evaluation scale of situational and personal anxiety and M. Kurgan’s methodology. Results. It has been proven that the level of personal anxiety has a close correlation with the duration of peptic ulcer disease. Conclusion. The presence of peptic ulcer disease creates a certain basis for further psychological stress, similar to negative effect with the development of sexual disorders. Among the examined patients prevailed the somatized nature of depression.

X-ray therapy of the duodenum

1937 ◽  
Vol 33 (3) ◽  
pp. 268-274
Author(s):  
A. I. Brook ◽  
S. I. Lieberman
Keyword(s):  
Peptic Ulcer ◽  
Peptic Ulcer Disease ◽  
Outpatient Setting ◽  
Ray Method ◽  
X Ray ◽  
Ulcer Disease

Until now, the problem of the pathogenesis and therapy of ulcers remains open. None of the methods used for the treatment of peptic ulcer disease is radical. But among the existing treatments, X-ray therapy is beginning to figure prominently. The X-ray method impresses with its simplicity, it requires only a few sessions, each lasting a few minutes. It is possible in an outpatient setting and, therefore, does not interrupt the patient from work. Until now. the question has not yet been resolved: is the X-ray method causal or only symptomatic. Nemenov, Gasul, Bagdasarov, Kopelman, Lenk, Goltsknecht and others consider this method of treatment to be relatively causal.

scholarly journals Clinical Study on Patients with Duodenal Perforation

2020 ◽  
Vol 3 (1) ◽  
pp. 71-74
Author(s):  
S P Rajan ◽  
Sudheer UK ◽  
Sreejith ◽  
Dinesh Babu M V
Keyword(s):  
Duodenal Ulcer ◽  
Peptic Ulcer ◽  
Clinical Study ◽  
Wound Complication ◽  
Duodenal Perforation ◽  
X Ray ◽  
Male Predominance ◽  
Ulcer Perforation ◽  
Duodenal Perforations ◽  
Duodenal Ulcer Perforation

Background: Perforations of peptic ulcer are third in frequencies, acute appendicitis and acute intestinal obstruction being more common. Prompt recognition of the condition is very important and only by early diagnosis and treatment it is possible to reduce the still relatively    high mortality. The aim of this study was to review and study the factors influencing, the outcome of the duodenal perforations. Subjects and Methods: A clinical study was conducted in 50 cases of diagnosed duodenal ulcer perforation that was established by the admitting surgeon, based on clinical features and supposed by radiological evidence and confined at operation. This study comprises of 50 cases of duodenal ulcer perforation admitted in period from January 2017 to January 2020. Results: In present study, out of total 50 patients with duodenal ulcer 46(92%) males and 5(8%) females, with male predominance. Highest incidence was found between 41-50 years followed by 21-29 years. Most of the patients admitted by 12-24 hours, common site of ulcer is prepyloric in presentation. Duodenal ulcer perforations were single perforation, while two cases of ileal perforations were multiple. Smoking is main predisposing cause of ulcer. ARDS were 14% (7 patients) and it was observed that 32 percent (16 patients) having wound complication, 2 percent (‘1 patient) having mortality and 46% (23 patients) have no complications. In this present study, 60% of patients had h/o Peptic ulcer. On X- ray, 90% of patients had finding of air under diaphragm. Conclusion: The mortality in perforated duodenal ulcer has been reduced owing to early approach to hospital, diagnosis, prompt surgical treatment and appropriate and adequate antibiotics. Smoking and alcohol consumption and life style modification may reduce morbidity and mortality in patients with duodenal perforation.

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