Doctor insights on:
Surgery For Duodenal Ulcer
Exact synonym so far as this pathologist is concerned. An ulcer is a lesion on a body surface (outer or inner) in which the epithelium and at least some of the underlying connective tissue has been lost specifically to necrosis (cell death) rather than just mechanical or chemical injury. All ulcer craters ...Read more
What Works: Lots of various foods choices long promoted but little scientific evidence any really work. The larger issues are internal controls of micro-erosions, presence/resistance to heliobacter pylori bacteria (can be hard to eradicate ; can recur), ingestion of nsaids ; other irritants, internal controls of local blood flow, emotions, etc. ...Read more
Location: One is in the small intestine and the other in the stomach. Duodenal ulcers are also more likely to be a consequence of hpylori. ...Read more
That depends: Upon whether or not you have a gluten sensitivity/allergy, celiac sprue or not. If you are someone who suffers with celiac sprue (gluten allergy) then yes, you need to avoid products containing gluten. If you have an ulcer due to Helicobacter pylori infection then you will need to heal up with treatment and time. Assuming you have had an endoscopy. Be sure to discuss with your gastroenterologist. ...Read moreSee 1 more doctor answer
Gastric: Ulcers of the three you list are more likely to be malignant. ...Read more
Surgery: Perforated doudenal ulcer is a surgical emergency and needs surgical intervention, as the ulcer can burn through the wall of the stomach and it is life threatening and needs surgical intervention and fluid replacement. ...Read more
Considering possible complications and treatment-difficulties, is a gastric ulcer more worrisome or a duodenal ulcer?
Does Carafate (sucralfate) help heal ulcer from non-infectious ulcer (i.E. Prior pancreatitis damage) in stomach/upper intestine for non-alcohol drinker. ?
Chronic non-helicobactor, nsaid, drinker, h-pylori or bile gastritis for five years. Can foveolar hyperplasia lead to gastric cancer?
About the same: Regardless of size or location, if you really have an ulcer (found by x-ray or endoscopy) please seek doctor's advice. Even small ulcers can bleed (sometimes massively), perforate, obstruct stomach emptying. Sometimes, an ulcer can form in a cancer so to avoid this possibility it is important to make sure at least gastric ulcer actually heals. Relief of ulcer symptoms doesn't always mean healing. ...Read more
Different principles: Bariatric procedures can be divided into 3 principle effects, causing malabsorption of nutrients, by restricting stomach size or a combination of both. Gastric band and balloon are restrictive, while gastric bypass is considered to be a combination of restrictive (small stomach pouch) and malabsorptive (bypassing portions of the digestive tract that absorb calories and nutrients). ...Read more
Bypass & Nissen : Doing a bypass after having a nissen is very difficult and considered revisional surgery. Lots of scar tissue from the nissen and your wrap must be undone. Risks of complications like a leak are much higher. Doesn't mean you shouldn't have a bypass. I have done many of these. You just need to go to an experienced surgeon that does revisional bypass surgery. ...Read more
Very controllable: The pain usually relates to the incision. These types of incisions are usually treated with IV narcotic pain medications. I typically use a patient controlled analgesia (pca) system which means that the patient has a button that controls when doses are given. There are built in safety mechanisms to make sure too much narcotic is not delivered. ...Read more
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