What causes a perforated duodenal ulcer?

A hole in the stomach or duodenum is called a perforation. This is a medical emergency. The most common cause of ulcers is infection of the stomach by bacteria called Helicobacter pylori (H pylori). Most people with peptic ulcers have these bacteria living in their digestive tract.

How do they fix a perforated duodenal ulcer?

Ulcers can be treated with a surgical procedure called Omental patching. Omental patching is a surgical procedure for treating perforated ulcers. It is also called a Graham patch after the surgeon who first performed this technique. This procedure uses a patch of the omentum to repair the injury because it is durable.

What are the symptoms of a perforated duodenal ulcer?

Symptoms of a perforated ulcer may include:

  • Sudden, severe pain in the belly (abdomen), usually in the upper abdomen.
  • Pain spreading to the back or shoulder.
  • Upset stomach (nausea) or vomiting.
  • Lack of appetite or feeling full.
  • Swollen belly or feeling bloated.

How serious is a perforated duodenum?

Duodenal perforation is a rare, but potentially life-threatening injury. Multiple etiologies are associated with duodenal perforations such as peptic ulcer disease, iatrogenic causes and trauma.

What happens when a duodenal ulcer bursts?

A perforated ulcer is a serious condition in which an untreated ulcer can burn through the wall of the stomach, allowing digestive juices and food to seep into the peritoneum (abdominal cavity). This can lead to peritonitis (inflammation of the intestinal wall) and sepsis (a severe reaction to infection).

How serious is a perforated duodenal ulcer?

Perforated peptic ulcer (PPU) is a serious complication of PUD and patients with PPU often present with acute abdomen that carries high risk for morbidity and mortality. The lifetime prevalence of perforation in patients with PUD is about 5%. PPU carries a mortality ranging from 1.3% to 20%.

What happens when the duodenum is punctured?

Perforation of the duodenum with spillage of intraluminal contents into the peritoneal cavity causes acute chemical peritonitis. This is followed by a systemic inflammatory response syndrome (SIRS), which can progress to secondary bacterial peritonitis and sepsis.

How is a perforated ulcer diagnosed?

A diagnosis is made by taking an erect abdominal/chest X-ray (seeking air under the diaphragm). This is in fact one of the very few occasions in modern times where surgery is undertaken to treat an ulcer. Many perforated ulcers have been attributed to the bacterium Helicobacter pylori.

How are duodenal ulcers diagnosed?

Diagnosis of a duodenal ulcer. To diagnose a duodenal ulcer, your doctor will talk to you and examine you. They will probably also run some tests, which could include: a gastroscopy, where a specialist uses a thin, flexible tube with a camera on the end to look inside your stomach and duodenum a blood test, stool sample,…

What is the cause of gastric and duodenal ulcers?

What causes ulcers? Helicobacter pylori bacteria ( H. pylori) H. Medications. People who use or rely on nonsteroidal anti-inflammatory drugs ( NSAIDs ), such as aspirin, ibuprofen, and naproxen, are more likely to develop peptic ulcers. Other conditions. A rare condition known as Zollinger-Ellison syndrome causes the development of both cancerous and noncancerous tumors.

What is the recovery time for stomach ulcer surgery?

Once the patient starts a normal diet, he must avoid spicy and acidic foods. He must also avoid strenuous activities that may affect healing. The total time for recovery from stomach ulcer surgery may be around four to six weeks. The recovery time may be reduced significantly, in case of laparoscopy.

How do duodenal ulcers form?

The ulcers that are formed in the stomach are called peptic ulcers and those formed in the intestine, especially in the duodenum, is called duodenal ulcers. Ulcers in the stomach and small intestine are formed because of the reduction of the thick layer of mucus that lies right above the stomach.