Peptic Ulcer-related Stenosis

Peptic ulcer disease involves breakdown of the epithelial lining of the stomach or duodenum. Stenosis and associated gastric outlet obstruction is the least frequent complication of peptic ulcer disease. Most cases of stenosis occur because of duodenal or pyloric cannel ulceration. Although etiologi...

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Main Author: Cheol Woong Choi
Format: Article
Language:English
Published: Korean College of Helicobacter and Upper Gastrointestinal Research 2019-03-01
Series:The Korean Journal of Helicobacter and Upper Gastrointestinal Research
Subjects:
Online Access:http://helicojournal.org/upload/pdf/kjhugr-2019-19-1-10.pdf
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author Cheol Woong Choi
author_facet Cheol Woong Choi
author_sort Cheol Woong Choi
collection DOAJ
description Peptic ulcer disease involves breakdown of the epithelial lining of the stomach or duodenum. Stenosis and associated gastric outlet obstruction is the least frequent complication of peptic ulcer disease. Most cases of stenosis occur because of duodenal or pyloric cannel ulceration. Although etiologies of peptic ulcer disease and the affected patient populations have changed, the most common etiologic factors remain Helicobacter pylori infection and use of non-steroidal anti-inflammatory drugs. In recent years, eradication of H. pylori and the use of proton pump inhibitors have reduced the incidence of complications. Because the predominant cause of gastric outlet obstruction has increasingly been attributed to malignant cancer in recent years, endoscopic examination is important to differentiate benign peptic stenosis from malignant stenosis. Medical treatment such as acid-reducing drugs or H. pylori eradication is the mainstay of treatment. Endoscopic dilation or surgical management may be considered in cases of refractory or recurrent stenosis despite medical treatment. Among the major complications of peptic ulcer disease, this report will provide an overview of peptic ulcer-related stenosis.
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publisher Korean College of Helicobacter and Upper Gastrointestinal Research
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series The Korean Journal of Helicobacter and Upper Gastrointestinal Research
spelling doaj-art-e2332d06315e4be5a88a912ecba3c3092025-08-20T03:58:03ZengKorean College of Helicobacter and Upper Gastrointestinal ResearchThe Korean Journal of Helicobacter and Upper Gastrointestinal Research1738-33312019-03-01191101510.7704/kjhugr.2019.19.1.10549Peptic Ulcer-related StenosisCheol Woong Choi0Department of Internal Medicine, Pusan National University School of Medicine, Yangsan, KoreaPeptic ulcer disease involves breakdown of the epithelial lining of the stomach or duodenum. Stenosis and associated gastric outlet obstruction is the least frequent complication of peptic ulcer disease. Most cases of stenosis occur because of duodenal or pyloric cannel ulceration. Although etiologies of peptic ulcer disease and the affected patient populations have changed, the most common etiologic factors remain Helicobacter pylori infection and use of non-steroidal anti-inflammatory drugs. In recent years, eradication of H. pylori and the use of proton pump inhibitors have reduced the incidence of complications. Because the predominant cause of gastric outlet obstruction has increasingly been attributed to malignant cancer in recent years, endoscopic examination is important to differentiate benign peptic stenosis from malignant stenosis. Medical treatment such as acid-reducing drugs or H. pylori eradication is the mainstay of treatment. Endoscopic dilation or surgical management may be considered in cases of refractory or recurrent stenosis despite medical treatment. Among the major complications of peptic ulcer disease, this report will provide an overview of peptic ulcer-related stenosis.http://helicojournal.org/upload/pdf/kjhugr-2019-19-1-10.pdfDilatationEndoscopyPeptic ulcerStenosis
spellingShingle Cheol Woong Choi
Peptic Ulcer-related Stenosis
The Korean Journal of Helicobacter and Upper Gastrointestinal Research
Dilatation
Endoscopy
Peptic ulcer
Stenosis
title Peptic Ulcer-related Stenosis
title_full Peptic Ulcer-related Stenosis
title_fullStr Peptic Ulcer-related Stenosis
title_full_unstemmed Peptic Ulcer-related Stenosis
title_short Peptic Ulcer-related Stenosis
title_sort peptic ulcer related stenosis
topic Dilatation
Endoscopy
Peptic ulcer
Stenosis
url http://helicojournal.org/upload/pdf/kjhugr-2019-19-1-10.pdf
work_keys_str_mv AT cheolwoongchoi pepticulcerrelatedstenosis