Peptic ulcer classification

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief:  ;Manpreet Kaur, MD [2]

Overview

There is no established system for the classification of peptic ulcer disease. 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

References

  1. Belousov AS, Rakitskaia LG, Mamedova LD, Zhakov VP (1989). "[Pathogenesis and classification of peptic ulcer]". Vrach Delo (3): 70–3. PMID 2750129.
  2. Tytgat GN (2011). "Etiopathogenetic principles and peptic ulcer disease classification". Dig Dis. 29 (5): 454–8. doi:10.1159/000331520. PMID 22095009.
  3. Johnson HD (1965). "Gastric ulcer: classification, blood group characteristics, secretion patterns and pathogenesis". Ann. Surg. 162 (6): 996–1004. PMC 1477018. PMID 5845595.


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