Sequelae_of_peptic_ulcer_surgery.pptx

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Aditya Raghav

Peptic ulcer

Education

1. Recurrent ulceration
2. Small stomach synd
3. Bile vomiting
4. Dumpings
5. Postvagotomy diarrhoea
6. Malignant transformation
7. Nutritional conseq
8. Gallstones

Recurrent ulceration
● Easiest problem to treat
● Presnt with complications bleeding,perforation,Gjcolic fistula
● Anastomtic ulcer penetrates into transverse colon
● First correct dehydration,malnutrition thn revisional surgery

Small stomach synd
● Early satiety aftr most ulcer operations due to loss of receptive relaxation

● Bile vomiting
● Aftr aany vagtmy nd drainage or Gastrectomy
● Followin Gastrectomy rouxen y diversion is best
● In plyoroplasty…Antrectomy and rouxen y reconstruction

● Early dumpin…abd,vasomtr symptoms in 5 to 10% follow Gastrectomy or
vagtmy nd drainage

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