What is peptic ulceration?
A breach in the GI mucosa as a result of acid and pepsin attack. It is a special type of gastric inflammatory disease
What are the common sites of chronic peptic ulcers?
1st part of duodenum
Stomach
Oesophago-gastric junction
Stomal ulcers
What is stomal ulceration?
This is when there is failure pf a previous gastric operation to control peptic ulcer disease
What is the microscopic appearance of peptic ulcers?
Layered appearance
Floor of necrotic fibrinopurulent debris
Base of inflamed granulation tissue
Deepest layer is fibrotic scar tissue
What are the complications of peptic ulcers?
Perforation Penetration Haemorrhage Stenosis Intractable