Laparoscopic Management of Complicated Peptic Ulcer Disease

What is Complicated Peptic Ulcer Disease?

Peptic ulcers refer to sores that develop in the first part of the small intestine (duodenum), as well as the lining of the stomach. They often occur when these areas of the body become weak as a result of bacteria (H-pylori), chronic smoking, chronic use of non-steroidal anti-inflammatory pills, excessive consumption of alcohol, because of the weakening of lining in this parts of the body, stomach acid causes an erosion (ulcer).

What are the symptoms of peptic ulcer disease?

Some of the most common symptoms of the condition include a burning sensation in the stomach and chest; nausea; blood in the stool; vomiting; indigestion; and unexplained weight loss.

How is the disease diagnosed?

In order to diagnose a peptic ulcer, Dr Mosai may recommend a procedure known as an upper endoscopy. During the procedure, a tube with a camera attached to it is guided down the throat and into the stomach so that the area can be examined for ulcers. Dr Mosai may remove a tissue sample for further testing.

Dr Mosai may recommend chest and abdominal x-rays if he suspect the ulcer is perforated/complicated.

How are peptic ulcers treated?

In many cases, peptic ulcers can be treated with medication. They can, however, become worse over time and lead to various complications, including perforation, internal bleeding, and the formation of scar tissue. In the case of a perforation, a hole forms in the lining of the stomach or duodenum (first part of small intestine) and often leads to infection in the abdominal cavity. If a perforated ulcer is identified, the patient will need an emergency operation to close and patch the hole. This procedure is also performed with laparoscopy. Bleeding peptic ulcers can cause blood loss, while scar tissue can make it difficult for food to pass through the digestive tract properly. In most cases these complications can be managed using upper endoscopy.