Gastrointestinal Disorders

Published on 16/06/2015 by admin

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Last modified 16/06/2015

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CHAPTER 13 Gastrointestinal Disorders

II. Peptic Ulcer Disease

A peptic ulcer is a sore in the lining of the stomach, esophagus, or the first portion of the small intestine. Peptic ulcers may also be referred to as an ulcer.

E. Treatment

III. Gastroesophageal Reflux Disease

Table 13-1 Characteristics of H. pylori versus NSAID-induced ulcers

H. pylori Nonsteroidal anti-inflammatory drugs (NSAIDs)
Direct mucosal damage caused by hypergastrinemia Direct mucosal damage associated with prostaslandin inhibition
Ulcers are superficial; chronically inflamed Ulcers are deep; no inflammation
Symptoms: epigastric pain (may be nocturnal), nausea, indigestion, fatigue Patients are usually asymptomatic; complications cause bleeding perforation

Gastroesophageal reflux disease (GERD), also called acid reflux disease, occurs when liquid from the stomach regurgitates into the esophagus. This liquid may contain stomach acids and bile. In some cases, the regurgitated stomach liquid can cause inflammation (esophagitis), irritation, and damage to the esophagus.

IV. Inflammatory Bowel Disease

Inflammatory bowel disease (IBD) refers to two chronic diseases that cause inflammation of the intestines: ulcerative colitis and Crohn’s disease.