Sievering Surgical Clinic

Sieveringer St 9, A-1190 Vienna Tel: 328 8777

Gastroenterology Unit

Peptic Ulcer

Diagnosis & Treatment

Peptic Ulcers

Patient information on maldigestion disorder

Treatment for stomach and duodenal ulcers:

 

Specific treatment will be determined by your physician(s) based on:

  • your age, overall health, and medical history

  • extent of the disease

  • your tolerance for specific medications, procedures, or therapies

  • expectations for the course of the disease

  • your opinion or preference


Recommended treatment may include:

  • lifestyle changes
    In the past, physicians advised people with ulcers to avoid spicy, fatty, or acidic foods. However, a bland diet is now known to be ineffective for treating or avoiding ulcers. No particular diet is helpful for most ulcer patients. People who find that certain foods cause irritation should discuss the problem with their physicians.
    Smoking has been shown to delay ulcer healing and has been linked to ulcer recurrence; therefore, people with ulcers should not smoke.

  • medications
    Physicians treat stomach and duodenal ulcers with several types of medications, including:
    H2-blockers to reduce the amount of acid the stomach produces by blocking histamine, a powerful stimulant of acid secretion.
    acid pump inhibitors to more completely block stomach acid production by stopping the stomach's acid pump -- the final step of acid secretion.
    mucosal protective agents to shield the stomach's mucous lining from the damage of acid, but do not inhibit the release of acid.
    When treating H. pylori, these medications are often used in combination with antibiotics.

  • antibiotics
    The discovery of the link between ulcers and H. pylori resulted in a probable new treatment option -- antibiotics for patients with H. pylori.

  • surgery
    In most cases, anti-ulcer medicines heal ulcers quickly and effectively, and eradication of H. pylori prevents most ulcers from recurring. However, people who do not respond to medication or who develop complications may require surgery.
    At present, laparoscopic surgery is performed to treat ulcers. Types include:

    • vagotomy - a procedure that involves cutting parts of the vagus nerve (a nerve that transmits messages from the brain to the stomach) to interrupt messages sent through it, therefore, reducing acid secretion.

    • antrectomy - an operation to remove the lower part of the stomach (antrum), which produces a hormone that stimulates the stomach to secrete digestive juices. Sometimes a surgeon may also remove an adjacent part of the stomach that secretes pepsin and acid. A vagotomy is usually done in conjunction with an antrectomy.

    • pyloroplasty - a surgical procedure that may be performed along with a vagotomy, in which the opening into the duodenum and small intestine (pylorus) are enlarged, enabling contents to pass more freely from the stomach.


In the future, laparoscopic methods may become the standard surgical treatment. A laparoscope is a long tube-like instrument with a camera that allows the surgeon to operate through small incisions while watching a video monitor.

 

| 25.01.2011 | Read more | Print |

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