Peptic ulcer classification: Difference between revisions
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==Overview== | ==Overview== | ||
Peptic ulcer disease may be classified into two categories based on the location: gastric ulcer and duodenal ulcer.Gastric ulcers are present mostly at lesser curvature of the stomach.Duodenal ulcers are mostly present at duodenal bulb. | Peptic ulcer disease may be classified into two categories based on the location: gastric ulcer and duodenal ulcer.Gastric ulcers are present mostly at lesser curvature of the stomach.Duodenal ulcers are mostly present at duodenal bulb. | ||
==Classification== | ==Classification== | ||
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**Type 1:Ulcer present at the body of stomach without involving duodenum ,pyrolus or prepyrolic region | **Type 1:Ulcer present at the body of stomach without involving duodenum ,pyrolus or prepyrolic region | ||
**Type 2:Ulcer present at the body of stomach combined with and probably seconadary to an ulcer or its scar in th duodenum or at pyrolus | **Type 2:Ulcer present at the body of stomach combined with and probably seconadary to an ulcer or its scar in th duodenum or at pyrolus | ||
**Type 3:Ulcer close to pyrolus | **Type 3:Ulcer close to pyrolus | ||
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! colspan="2" |'''Gastric ulcer classification by using endoscopic staging system of Sakita''' '''into three stages :Active ,Healing and Scarring:''' | |||
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! colspan="2" |ACTIVE STAGE | |||
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|A1 | |||
|Surrounding mucosa is found to be edematously swollen and there is no regeneration epithelium seen in endoscopy | |||
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|A2 | |||
|surrounding edema has decreased, a small amount of regenerating epithelium is seen in the ulcer margin. A red halo in the marginal zone and a white slough circle and converging mucosal folds in the ulcer margin are frequently seenn | |||
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| colspan="2" | '''HEALING STAGE''' | |||
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|H1 | |||
|The white coating is becoming thin and the regenerating epithelium is extending into the ulcer base. The gradient between the ulcer margin and the ulcer floor is becoming flat. The ulcer crater is still evident and the margin of the ulcer is sharp. The diameter of the mucosal defect is about one-half to two thirds that of A1 | |||
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==References== | ==References== | ||
{{reflist|2}} | {{reflist|2}} | ||
Revision as of 15:36, 27 October 2017
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Peptic ulcer Microchapters |
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Case Studies |
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2017 ACG Guidelines for Peptic Ulcer Disease |
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Guidelines for the Indications to Test for, and to Treat, H. pylori Infection |
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Guidelines to document H. pylori antimicrobial resistance in the North America |
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Guidelines for penicillin allergy in patients with H. pylori infection |
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Peptic ulcer classification On the Web |
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American Roentgen Ray Society Images of Peptic ulcer classification |
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Risk calculators and risk factors for Peptic ulcer classification |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: ;Manpreet Kaur, MD [2]
Overview
Peptic ulcer disease may be classified into two categories based on the location: gastric ulcer and duodenal ulcer.Gastric ulcers are present mostly at lesser curvature of the stomach.Duodenal ulcers are mostly present at duodenal bulb.
Classification
- Peptic ulcer disease may be classified according to location into two subtypes [1][2]
- Gastric ulcer
- Duodenal ulcer
- Gastric ulcer is further classified into 3 subtypes depending upon their location by the Johnson[3]
- Type 1:Ulcer present at the body of stomach without involving duodenum ,pyrolus or prepyrolic region
- Type 2:Ulcer present at the body of stomach combined with and probably seconadary to an ulcer or its scar in th duodenum or at pyrolus
- Type 3:Ulcer close to pyrolus
| Gastric ulcer classification by using endoscopic staging system of Sakita into three stages :Active ,Healing and Scarring: | |
|---|---|
| ACTIVE STAGE | |
| A1 | Surrounding mucosa is found to be edematously swollen and there is no regeneration epithelium seen in endoscopy |
| A2 | surrounding edema has decreased, a small amount of regenerating epithelium is seen in the ulcer margin. A red halo in the marginal zone and a white slough circle and converging mucosal folds in the ulcer margin are frequently seenn |
| HEALING STAGE | |
| H1 | The white coating is becoming thin and the regenerating epithelium is extending into the ulcer base. The gradient between the ulcer margin and the ulcer floor is becoming flat. The ulcer crater is still evident and the margin of the ulcer is sharp. The diameter of the mucosal defect is about one-half to two thirds that of A1 |
References
- ↑ Belousov AS, Rakitskaia LG, Mamedova LD, Zhakov VP (1989). "[Pathogenesis and classification of peptic ulcer]". Vrach Delo (3): 70–3. PMID 2750129.
- ↑ Tytgat GN (2011). "Etiopathogenetic principles and peptic ulcer disease classification". Dig Dis. 29 (5): 454–8. doi:10.1159/000331520. PMID 22095009.
- ↑ Johnson HD (1965). "Gastric ulcer: classification, blood group characteristics, secretion patterns and pathogenesis". Ann. Surg. 162 (6): 996–1004. PMC 1477018. PMID 5845595.