Complications of gastric and duodenal ulcers

From WikiLectures

Surgery should be considered for all complications of gastric and duodenal ulcers.



  • gradual penetration through the entire wall into the surrounding area (duodenal ulcer into the pancreas)
  • inflammation occurs, adhesions may form
  • persistent pain, propagation to the back
  • X-ray: deep plug

Cave!!!.png Unlike perforation, it does not penetrate into the free abdominal cavity.


  • rapid penetration through the wall, not enough to form adhesions
  • into the free peritoneal cavity or into the covered space formed by adhesions
  • 15% occur without previous ulcer problems
  • severe pain - sudden, cruel, constant, uncontrollable
  • picture of acute abdomen (acute peritonitis), shock
  • X-ray native: free gas under the diaphragm
  • leukocytosis with leftward shift
  • Th: surgery

Cave!!!.png contraindication: X-ray using barium slurry

Pyloric stenosis

  • rarely in duodenal or pyloric ulcers
  • based on edema or fibrosis
  • feeling of fullness, vomiting of older contents, 1-3 times a day, large volume
  • exclude carcinoma (differential diagnosis)

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References[edit | edit source]

  1. ČEŠKA, Richard. Interna. 1. edition. Praha : Triton, 2010. 855 pp. ISBN 978-80-7387-423-0.