SlideShare ist ein Scribd-Unternehmen logo

Current role of surgery in the management of peptic ulce (1)

•
•
Anil Haripriya
Anil Haripriya
1 von 19
[object Object],[object Object]
INTRODUCTION ,[object Object],[object Object],[object Object]
HISTORY OF PEPTIC ULCER SURGERY ,[object Object],[object Object],[object Object],[object Object],[object Object]
CURRENT INDICATIONS FOR SURGERY ,[object Object],[object Object],[object Object],[object Object],[object Object]
EMERGENCY INDICATIONS FOR SURGERY ,[object Object],[object Object],[object Object]
BLEEDING PEPTIC ULCER ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
MANAGEMENT ,[object Object],[object Object]
PERFORATION ,[object Object],[object Object],[object Object],[object Object],[object Object]
MANAGEMENT ,[object Object],[object Object]
GIANT PERFORATION ,[object Object],[object Object]
MANAGEMENT ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
GASTRIC OUTLET OBSTRUCTION ,[object Object],[object Object]
MANAGEMENT ,[object Object],[object Object],[object Object]
FACTORS INFLUENCING CHOICE OF OPERATION IN DU ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
CURRENT CHOICE OF SURGERY ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
INDICATIONS AND OPERATIVE STRATEGY IN DUODENAL ULCER: Indication Preferred operation Alternatives Bleeding Oversew + TV and pyloroplasty Oversew and HSV Perforation Closure and omental patch + HSV Closure and omental patch + TV     Laproscopic closure and omental patch Obstruction TV and anterectomy with Billroth I TV and anterectomy with Billroth II     TV and Finney or Jaboulay pyloroplasty     TV and gastrojejunostomy Intractability Laproscopic HSV Open HSV
RECURRENT ULCER AND POSTGASTRECTOMY SYNDROMES AFTER OPERATIONS FOR DUODENAL ULCER: Operation Incidence of recurrence (%) Incidence of posgastrectomy syndromes (%) Mortality rate (%) HSV vagotomy 10 5 0.1 Truncal vagotomy & drainage 7 20-30 < 1 TV and anterectomy/ Billroth I or Billroth II 1 30-50 0-5 TV and anterectomy/ Roux-en-Y 5-10 50-60 0-5
SIDE EFFECTS OF OPERATIONS FOR DUODENAL ULCER: Early postoperative complications Long-term side effects Afferent loop obstruction Alkaline reflux gastritis Anastomotic leak Anemia Duodenal stump leak Dumping syndrome Efferent loop obstruction Gallstones Gastric atony Gastric remnant cancer Gastric outlet obstruction Malnutrition Hemorrhage Postprandial hypoglycemia Pancreatitis Postvagotomy diarrhea   Reflux esophagitis   Small bowel obstruction
THANK YOU

Empfohlen

Surgical treatment of peptic ulcer
Surgical treatment of peptic ulcerSurgical treatment of peptic ulcer
Surgical treatment of peptic ulcerFaryal Tebani
 
Acs0520 Procedures For Benign And Malignant Gastric And Duodenal Disease 2006
Acs0520 Procedures For Benign And Malignant Gastric And Duodenal Disease 2006Acs0520 Procedures For Benign And Malignant Gastric And Duodenal Disease 2006
Acs0520 Procedures For Benign And Malignant Gastric And Duodenal Disease 2006medbookonline
 
Post ERCP tension pneumo-thorax a rare complication
Post ERCP tension pneumo-thorax a rare complication Post ERCP tension pneumo-thorax a rare complication
Post ERCP tension pneumo-thorax a rare complication Ibrahim Masoodi
 
Peptic ulcer complications
Peptic ulcer complications Peptic ulcer complications
Peptic ulcer complications alisr95
 
Conservative management of perforated peptic ulcers
Conservative management of perforated peptic ulcersConservative management of perforated peptic ulcers
Conservative management of perforated peptic ulcerszeeshanrahman86
 
Bleeding duodenal ulcer
Bleeding duodenal ulcerBleeding duodenal ulcer
Bleeding duodenal ulcerDrbd Soni
 
Peptic ulcer
Peptic ulcerPeptic ulcer
Peptic ulcerDeGraftAdjeiGyamfi
 
Acute cholecystitis.
Acute cholecystitis.Acute cholecystitis.
Acute cholecystitis.Aman Baloch
 

Empfohlen

Surgical treatment of peptic ulcer
Surgical treatment of peptic ulcerSurgical treatment of peptic ulcer
Surgical treatment of peptic ulcerFaryal Tebani
 
Acs0520 Procedures For Benign And Malignant Gastric And Duodenal Disease 2006
Acs0520 Procedures For Benign And Malignant Gastric And Duodenal Disease 2006Acs0520 Procedures For Benign And Malignant Gastric And Duodenal Disease 2006
Acs0520 Procedures For Benign And Malignant Gastric And Duodenal Disease 2006medbookonline
 
Post ERCP tension pneumo-thorax a rare complication
Post ERCP tension pneumo-thorax a rare complication Post ERCP tension pneumo-thorax a rare complication
Post ERCP tension pneumo-thorax a rare complication Ibrahim Masoodi
 
Peptic ulcer complications
Peptic ulcer complications Peptic ulcer complications
Peptic ulcer complications alisr95
 
Conservative management of perforated peptic ulcers
Conservative management of perforated peptic ulcersConservative management of perforated peptic ulcers
Conservative management of perforated peptic ulcerszeeshanrahman86
 
Bleeding duodenal ulcer
Bleeding duodenal ulcerBleeding duodenal ulcer
Bleeding duodenal ulcerDrbd Soni
 
Peptic ulcer
Peptic ulcerPeptic ulcer
Peptic ulcerDeGraftAdjeiGyamfi
 
Acute cholecystitis.
Acute cholecystitis.Acute cholecystitis.
Acute cholecystitis.Aman Baloch
 
Complications ofulcer surgery
Complications ofulcer surgeryComplications ofulcer surgery
Complications ofulcer surgeryravichandra matcha
 
Enterocutaneous fistula
Enterocutaneous fistulaEnterocutaneous fistula
Enterocutaneous fistulaSonam Tshering
 
Git perforation
Git perforationGit perforation
Git perforationChandreshmangaroliya
 
Darspeptic ulcer
Darspeptic ulcerDarspeptic ulcer
Darspeptic ulcerMbonisi Zondi
 
Post Operative Peritonitis
Post Operative PeritonitisPost Operative Peritonitis
Post Operative Peritonitisjim kuok
 
Entero Cutaneous Fistula by Dr. Onkar
Entero Cutaneous Fistula by Dr. OnkarEntero Cutaneous Fistula by Dr. Onkar
Entero Cutaneous Fistula by Dr. Onkarguesta40423
 
Pancreatic Trauma
Pancreatic TraumaPancreatic Trauma
Pancreatic TraumaJibran Mohsin
 
Suspected appendicitis
Suspected appendicitisSuspected appendicitis
Suspected appendicitisTbilisi State Medical University
 
Open Vs Laparoscopic cholecystectomy
Open Vs Laparoscopic cholecystectomyOpen Vs Laparoscopic cholecystectomy
Open Vs Laparoscopic cholecystectomyAravind Endamu
 
Surgical complications of Gastrectomy
Surgical complications of GastrectomySurgical complications of Gastrectomy
Surgical complications of GastrectomyBala Sankar
 
Enterocutaneous fistula
Enterocutaneous fistulaEnterocutaneous fistula
Enterocutaneous fistulaSadia Shabbir
 
Mirizzi syndrome
Mirizzi syndromeMirizzi syndrome
Mirizzi syndromeMohamed Fazly
 
Perforated Peptic Ulcer Discussion
Perforated Peptic Ulcer DiscussionPerforated Peptic Ulcer Discussion
Perforated Peptic Ulcer DiscussionAR Muhamad Na'im
 
Bohomolets 4th year Complications of PUD
Bohomolets 4th year Complications of PUDBohomolets 4th year Complications of PUD
Bohomolets 4th year Complications of PUDDr. Rubz
 
Entero cutaneous fistula
Entero cutaneous fistulaEntero cutaneous fistula
Entero cutaneous fistulaprabhanjan chakravarthy
 
Abdominal compartmental Syndrom
Abdominal compartmental SyndromAbdominal compartmental Syndrom
Abdominal compartmental SyndromMuhammad Badawi
 
Management of duodenal trauma
Management of duodenal traumaManagement of duodenal trauma
Management of duodenal traumaUday Sankar Reddy
 
Perforation
PerforationPerforation
PerforationDhirendra Tiwari
 
Small intestine perforation
Small intestine perforationSmall intestine perforation
Small intestine perforationSwatilekha Das
 
Endoscopy for upper gastrointestinal
Endoscopy for upper gastrointestinalEndoscopy for upper gastrointestinal
Endoscopy for upper gastrointestinalDrHafeez Yaqoob
 
Surgical treatment for peptic ulcer disease
Surgical treatment for peptic ulcer diseaseSurgical treatment for peptic ulcer disease
Surgical treatment for peptic ulcer diseaseBashir BnYunus
 
Peptic ulcer treatment
Peptic ulcer treatmentPeptic ulcer treatment
Peptic ulcer treatmentNaser Tadvi
 

Weitere ähnliche Inhalte

Was ist angesagt?

Enterocutaneous fistula
Enterocutaneous fistulaEnterocutaneous fistula
Enterocutaneous fistulaSonam Tshering
 
Post Operative Peritonitis
Post Operative PeritonitisPost Operative Peritonitis
Post Operative Peritonitisjim kuok
 
Entero Cutaneous Fistula by Dr. Onkar
Entero Cutaneous Fistula by Dr. OnkarEntero Cutaneous Fistula by Dr. Onkar
Entero Cutaneous Fistula by Dr. Onkarguesta40423
 
Open Vs Laparoscopic cholecystectomy
Open Vs Laparoscopic cholecystectomyOpen Vs Laparoscopic cholecystectomy
Open Vs Laparoscopic cholecystectomyAravind Endamu
 
Surgical complications of Gastrectomy
Surgical complications of GastrectomySurgical complications of Gastrectomy
Surgical complications of GastrectomyBala Sankar
 
Enterocutaneous fistula
Enterocutaneous fistulaEnterocutaneous fistula
Enterocutaneous fistulaSadia Shabbir
 
Perforated Peptic Ulcer Discussion
Perforated Peptic Ulcer DiscussionPerforated Peptic Ulcer Discussion
Perforated Peptic Ulcer DiscussionAR Muhamad Na'im
 
Bohomolets 4th year Complications of PUD
Bohomolets 4th year Complications of PUDBohomolets 4th year Complications of PUD
Bohomolets 4th year Complications of PUDDr. Rubz
 
Abdominal compartmental Syndrom
Abdominal compartmental SyndromAbdominal compartmental Syndrom
Abdominal compartmental SyndromMuhammad Badawi
 
Management of duodenal trauma
Management of duodenal traumaManagement of duodenal trauma
Management of duodenal traumaUday Sankar Reddy
 
Small intestine perforation
Small intestine perforationSmall intestine perforation
Small intestine perforationSwatilekha Das
 
Endoscopy for upper gastrointestinal
Endoscopy for upper gastrointestinalEndoscopy for upper gastrointestinal
Endoscopy for upper gastrointestinalDrHafeez Yaqoob
 

Was ist angesagt? (20)

Complications ofulcer surgery
Complications ofulcer surgeryComplications ofulcer surgery
Complications ofulcer surgery
 
Enterocutaneous fistula
Enterocutaneous fistulaEnterocutaneous fistula
Enterocutaneous fistula
 
Git perforation
Git perforationGit perforation
Git perforation
 
Darspeptic ulcer
Darspeptic ulcerDarspeptic ulcer
Darspeptic ulcer
 
Post Operative Peritonitis
Post Operative PeritonitisPost Operative Peritonitis
Post Operative Peritonitis
 
Entero Cutaneous Fistula by Dr. Onkar
Entero Cutaneous Fistula by Dr. OnkarEntero Cutaneous Fistula by Dr. Onkar
Entero Cutaneous Fistula by Dr. Onkar
 
Pancreatic Trauma
Pancreatic TraumaPancreatic Trauma
Pancreatic Trauma
 
Suspected appendicitis
Suspected appendicitisSuspected appendicitis
Suspected appendicitis
 
Open Vs Laparoscopic cholecystectomy
Open Vs Laparoscopic cholecystectomyOpen Vs Laparoscopic cholecystectomy
Open Vs Laparoscopic cholecystectomy
 
Surgical complications of Gastrectomy
Surgical complications of GastrectomySurgical complications of Gastrectomy
Surgical complications of Gastrectomy
 
Enterocutaneous fistula
Enterocutaneous fistulaEnterocutaneous fistula
Enterocutaneous fistula
 
Mirizzi syndrome
Mirizzi syndromeMirizzi syndrome
Mirizzi syndrome
 
Perforated Peptic Ulcer Discussion
Perforated Peptic Ulcer DiscussionPerforated Peptic Ulcer Discussion
Perforated Peptic Ulcer Discussion
 
Bohomolets 4th year Complications of PUD
Bohomolets 4th year Complications of PUDBohomolets 4th year Complications of PUD
Bohomolets 4th year Complications of PUD
 
Entero cutaneous fistula
Entero cutaneous fistulaEntero cutaneous fistula
Entero cutaneous fistula
 
Abdominal compartmental Syndrom
Abdominal compartmental SyndromAbdominal compartmental Syndrom
Abdominal compartmental Syndrom
 
Management of duodenal trauma
Management of duodenal traumaManagement of duodenal trauma
Management of duodenal trauma
 
Perforation
PerforationPerforation
Perforation
 
Small intestine perforation
Small intestine perforationSmall intestine perforation
Small intestine perforation
 
Endoscopy for upper gastrointestinal
Endoscopy for upper gastrointestinalEndoscopy for upper gastrointestinal
Endoscopy for upper gastrointestinal
 

Andere mochten auch

Surgical treatment for peptic ulcer disease
Surgical treatment for peptic ulcer diseaseSurgical treatment for peptic ulcer disease
Surgical treatment for peptic ulcer diseaseBashir BnYunus
 
Peptic ulcer treatment
Peptic ulcer treatmentPeptic ulcer treatment
Peptic ulcer treatmentNaser Tadvi
 
Peptic ulcer disease
Peptic ulcer diseasePeptic ulcer disease
Peptic ulcer diseaseKapil Dhital
 
Peptic Ulcer Complications
Peptic Ulcer ComplicationsPeptic Ulcer Complications
Peptic Ulcer ComplicationsD.A.B.M
 
Complications of pud
Complications of pudComplications of pud
Complications of pudAvid Listener
 
Perforated peptic ulcers
Perforated peptic ulcersPerforated peptic ulcers
Perforated peptic ulcersSefeen Geris
 
Surgery Stomach & Duodenum Tg
Surgery Stomach & Duodenum TgSurgery Stomach & Duodenum Tg
Surgery Stomach & Duodenum TgMiami Dade
 
Peptic ulcer disease
Peptic ulcer diseasePeptic ulcer disease
Peptic ulcer diseaseMansi Sanghvi
 
Complications of-peptic-ulcer
Complications of-peptic-ulcerComplications of-peptic-ulcer
Complications of-peptic-ulcersamemeskey
 
Bohomolets Surgery 4th year Lecture #7
Bohomolets Surgery 4th year Lecture #7Bohomolets Surgery 4th year Lecture #7
Bohomolets Surgery 4th year Lecture #7Dr. Rubz
 

Andere mochten auch (20)

Surgical treatment for peptic ulcer disease
Surgical treatment for peptic ulcer diseaseSurgical treatment for peptic ulcer disease
Surgical treatment for peptic ulcer disease
 
Peptic ulcer treatment
Peptic ulcer treatmentPeptic ulcer treatment
Peptic ulcer treatment
 
Peptic ulcer disease
Peptic ulcer diseasePeptic ulcer disease
Peptic ulcer disease
 
Peptic Ulcer Complications
Peptic Ulcer ComplicationsPeptic Ulcer Complications
Peptic Ulcer Complications
 
Peptic ulcer
Peptic ulcerPeptic ulcer
Peptic ulcer
 
Peptic ulcer
Peptic ulcerPeptic ulcer
Peptic ulcer
 
Complications of pud
Complications of pudComplications of pud
Complications of pud
 
Perforated peptic ulcers
Perforated peptic ulcersPerforated peptic ulcers
Perforated peptic ulcers
 
Surgery Stomach & Duodenum Tg
Surgery Stomach & Duodenum TgSurgery Stomach & Duodenum Tg
Surgery Stomach & Duodenum Tg
 
Peptic Ulcer Disease.Ppt.Fmdrl
Peptic Ulcer Disease.Ppt.FmdrlPeptic Ulcer Disease.Ppt.Fmdrl
Peptic Ulcer Disease.Ppt.Fmdrl
 
Peptic ulcer disease
Peptic ulcer diseasePeptic ulcer disease
Peptic ulcer disease
 
Peptic Ulcer Perforate
Peptic Ulcer PerforatePeptic Ulcer Perforate
Peptic Ulcer Perforate
 
Complications of-peptic-ulcer
Complications of-peptic-ulcerComplications of-peptic-ulcer
Complications of-peptic-ulcer
 
Peptic ulcer disease
Peptic ulcer diseasePeptic ulcer disease
Peptic ulcer disease
 
Post Gastrectomy Syndrome
Post Gastrectomy SyndromePost Gastrectomy Syndrome
Post Gastrectomy Syndrome
 
peptic ulcer
peptic ulcer peptic ulcer
peptic ulcer
 
Peptic ulcer
Peptic ulcerPeptic ulcer
Peptic ulcer
 
1 Stomach
1 Stomach1 Stomach
1 Stomach
 
Bohomolets Surgery 4th year Lecture #7
Bohomolets Surgery 4th year Lecture #7Bohomolets Surgery 4th year Lecture #7
Bohomolets Surgery 4th year Lecture #7
 
Peptic ulcer
Peptic ulcerPeptic ulcer
Peptic ulcer
 

Ähnlich wie Current role of surgery in the management of peptic ulce (1)

TUBE ILEOSTOMY PAPER PRESENTATION ASICON.pptx
TUBE ILEOSTOMY PAPER PRESENTATION ASICON.pptxTUBE ILEOSTOMY PAPER PRESENTATION ASICON.pptx
TUBE ILEOSTOMY PAPER PRESENTATION ASICON.pptxAjilAntony10
 
Pharyngocutaneous-fistula (1).pptx
Pharyngocutaneous-fistula (1).pptxPharyngocutaneous-fistula (1).pptx
Pharyngocutaneous-fistula (1).pptxssuser1c1989
 
Ulcerative colitis complications management
Ulcerative colitis complications managementUlcerative colitis complications management
Ulcerative colitis complications managementSujan Shrestha
 
Case report fatal pneumothorax after ERCP
Case report fatal pneumothorax after ERCPCase report fatal pneumothorax after ERCP
Case report fatal pneumothorax after ERCPMuhammad Asim Rana
 
Whipple complication
Whipple complicationWhipple complication
Whipple complicationAnil Kumar
 
Rectovaginal and rectourethral fistulas
Rectovaginal and rectourethral fistulasRectovaginal and rectourethral fistulas
Rectovaginal and rectourethral fistulasRam Raksha
 
ANO RECTAL DISEASES- MANAGEMENT OPTIONS
ANO RECTAL DISEASES- MANAGEMENT OPTIONSANO RECTAL DISEASES- MANAGEMENT OPTIONS
ANO RECTAL DISEASES- MANAGEMENT OPTIONSPGIMER Chandigarh
 
Perforated Gastric ULCER
Perforated Gastric ULCERPerforated Gastric ULCER
Perforated Gastric ULCERParthevan
 
Radionuclide imaging of the git
Radionuclide imaging of the gitRadionuclide imaging of the git
Radionuclide imaging of the gitairwave12
 
Laparoscopia e peritonite: malattia diverticolare
Laparoscopia e peritonite: malattia diverticolareLaparoscopia e peritonite: malattia diverticolare
Laparoscopia e peritonite: malattia diverticolareAndrea Favara
 
Adverse events in endoscopic interventions.pptx
Adverse events in endoscopic interventions.pptxAdverse events in endoscopic interventions.pptx
Adverse events in endoscopic interventions.pptxAnkit Anand
 
Peritoneal surface malignancy
Peritoneal surface malignancyPeritoneal surface malignancy
Peritoneal surface malignancyMahesh Raj
 
Rakesh benign-anorectal-
Rakesh benign-anorectal-Rakesh benign-anorectal-
Rakesh benign-anorectal-rakesh gupta
 

Ähnlich wie Current role of surgery in the management of peptic ulce (1) (20)

TUBE ILEOSTOMY PAPER PRESENTATION ASICON.pptx
TUBE ILEOSTOMY PAPER PRESENTATION ASICON.pptxTUBE ILEOSTOMY PAPER PRESENTATION ASICON.pptx
TUBE ILEOSTOMY PAPER PRESENTATION ASICON.pptx
 
Pharyngocutaneous-fistula (1).pptx
Pharyngocutaneous-fistula (1).pptxPharyngocutaneous-fistula (1).pptx
Pharyngocutaneous-fistula (1).pptx
 
Rectum and anus diseases
Rectum and anus diseasesRectum and anus diseases
Rectum and anus diseases
 
Ulcerative colitis complications management
Ulcerative colitis complications managementUlcerative colitis complications management
Ulcerative colitis complications management
 
Complications
ComplicationsComplications
Complications
 
Case report fatal pneumothorax after ERCP
Case report fatal pneumothorax after ERCPCase report fatal pneumothorax after ERCP
Case report fatal pneumothorax after ERCP
 
Whipple complication
Whipple complicationWhipple complication
Whipple complication
 
Rectovaginal and rectourethral fistulas
Rectovaginal and rectourethral fistulasRectovaginal and rectourethral fistulas
Rectovaginal and rectourethral fistulas
 
ANO RECTAL DISEASES- MANAGEMENT OPTIONS
ANO RECTAL DISEASES- MANAGEMENT OPTIONSANO RECTAL DISEASES- MANAGEMENT OPTIONS
ANO RECTAL DISEASES- MANAGEMENT OPTIONS
 
Perforated Gastric ULCER
Perforated Gastric ULCERPerforated Gastric ULCER
Perforated Gastric ULCER
 
Peritonitis (lecture mogilevec e.v
Peritonitis (lecture mogilevec e.vPeritonitis (lecture mogilevec e.v
Peritonitis (lecture mogilevec e.v
 
Radionuclide imaging of the git
Radionuclide imaging of the gitRadionuclide imaging of the git
Radionuclide imaging of the git
 
Liver abscess 1
Liver abscess 1Liver abscess 1
Liver abscess 1
 
Appendix
AppendixAppendix
Appendix
 
Laparoscopia e peritonite: malattia diverticolare
Laparoscopia e peritonite: malattia diverticolareLaparoscopia e peritonite: malattia diverticolare
Laparoscopia e peritonite: malattia diverticolare
 
Adverse events in endoscopic interventions.pptx
Adverse events in endoscopic interventions.pptxAdverse events in endoscopic interventions.pptx
Adverse events in endoscopic interventions.pptx
 
Peritoneal surface malignancy
Peritoneal surface malignancyPeritoneal surface malignancy
Peritoneal surface malignancy
 
Rakesh benign-anorectal-
Rakesh benign-anorectal-Rakesh benign-anorectal-
Rakesh benign-anorectal-
 
appendicitis.ppt
appendicitis.pptappendicitis.ppt
appendicitis.ppt
 
Pud presentation1
Pud presentation1Pud presentation1
Pud presentation1
 

Mehr von Anil Haripriya

11appendectomyvol8issue12p42 45.20201219105030
11appendectomyvol8issue12p42 45.2020121910503011appendectomyvol8issue12p42 45.20201219105030
11appendectomyvol8issue12p42 45.20201219105030Anil Haripriya
 
14kidneystonesvol8issue12p55 58.20201220024337
14kidneystonesvol8issue12p55 58.2020122002433714kidneystonesvol8issue12p55 58.20201220024337
14kidneystonesvol8issue12p55 58.20201220024337Anil Haripriya
 
Upper gastrointestinal bleed . Anil Haripriya
Upper gastrointestinal bleed . Anil HaripriyaUpper gastrointestinal bleed . Anil Haripriya
Upper gastrointestinal bleed . Anil HaripriyaAnil Haripriya
 
KNOWLEDGE AND PRACTICES AMONG SURGEONS REGARDING CROSS INFECTION CONTROL PROC...
KNOWLEDGE AND PRACTICES AMONG SURGEONS REGARDING CROSS INFECTION CONTROL PROC...KNOWLEDGE AND PRACTICES AMONG SURGEONS REGARDING CROSS INFECTION CONTROL PROC...
KNOWLEDGE AND PRACTICES AMONG SURGEONS REGARDING CROSS INFECTION CONTROL PROC...Anil Haripriya
 
knowledge of health care professionals regarding medico-legal aspects and its...
knowledge of health care professionals regarding medico-legal aspects and its...knowledge of health care professionals regarding medico-legal aspects and its...
knowledge of health care professionals regarding medico-legal aspects and its...Anil Haripriya
 
FOURNIER’S GANGRENE: REVIEW OF 57 CASES IN TERTIARY INSTITUTION
FOURNIER’S GANGRENE: REVIEW OF 57 CASES IN TERTIARY INSTITUTIONFOURNIER’S GANGRENE: REVIEW OF 57 CASES IN TERTIARY INSTITUTION
FOURNIER’S GANGRENE: REVIEW OF 57 CASES IN TERTIARY INSTITUTIONAnil Haripriya
 
EVALUATION OF ABSORBABLE AND NON-ABSORBABLE SUTURES IN A COHORT STUDY
EVALUATION OF ABSORBABLE AND NON-ABSORBABLE SUTURES IN A COHORT STUDYEVALUATION OF ABSORBABLE AND NON-ABSORBABLE SUTURES IN A COHORT STUDY
EVALUATION OF ABSORBABLE AND NON-ABSORBABLE SUTURES IN A COHORT STUDYAnil Haripriya
 
STAPLER HAEMORRHOIDPEXY FOR 3rd & 4th DEGREE HAEMORRHOID OUR EXPERIENCE
STAPLER HAEMORRHOIDPEXY FOR 3rd & 4th DEGREE HAEMORRHOID OUR EXPERIENCESTAPLER HAEMORRHOIDPEXY FOR 3rd & 4th DEGREE HAEMORRHOID OUR EXPERIENCE
STAPLER HAEMORRHOIDPEXY FOR 3rd & 4th DEGREE HAEMORRHOID OUR EXPERIENCEAnil Haripriya
 
Mass casualty management
Mass casualty managementMass casualty management
Mass casualty managementAnil Haripriya
 
Endoscopic and laparoscopic surgery
Endoscopic and laparoscopic surgeryEndoscopic and laparoscopic surgery
Endoscopic and laparoscopic surgeryAnil Haripriya
 
Complications of laparoscopic surgeries
Complications of laparoscopic surgeriesComplications of laparoscopic surgeries
Complications of laparoscopic surgeriesAnil Haripriya
 
Indications for breast reconstruction
Indications for breast reconstructionIndications for breast reconstruction
Indications for breast reconstructionAnil Haripriya
 
Raipur twins dr.anil haripriya
Raipur twins dr.anil haripriyaRaipur twins dr.anil haripriya
Raipur twins dr.anil haripriyaAnil Haripriya
 
Mandibular reconstruction
Mandibular reconstructionMandibular reconstruction
Mandibular reconstructionAnil Haripriya
 
S E L E C T I V E A X I L L A R Y D I S S E C T I O N I N
S E L E C T I V E A X I L L A R Y D I S S E C T I O N I NS E L E C T I V E A X I L L A R Y D I S S E C T I O N I N
S E L E C T I V E A X I L L A R Y D I S S E C T I O N I NAnil Haripriya
 
Clinical Work Up Of A Patient With Lymph adenopathy. by anil haripriya
Clinical Work Up Of A Patient With Lymph adenopathy. by anil haripriyaClinical Work Up Of A Patient With Lymph adenopathy. by anil haripriya
Clinical Work Up Of A Patient With Lymph adenopathy. by anil haripriyaAnil Haripriya
 
Management Of Solitary Thyroid Nodule
Management Of Solitary Thyroid NoduleManagement Of Solitary Thyroid Nodule
Management Of Solitary Thyroid NoduleAnil Haripriya
 

Mehr von Anil Haripriya (20)

11appendectomyvol8issue12p42 45.20201219105030
11appendectomyvol8issue12p42 45.2020121910503011appendectomyvol8issue12p42 45.20201219105030
11appendectomyvol8issue12p42 45.20201219105030
 
14kidneystonesvol8issue12p55 58.20201220024337
14kidneystonesvol8issue12p55 58.2020122002433714kidneystonesvol8issue12p55 58.20201220024337
14kidneystonesvol8issue12p55 58.20201220024337
 
Upper gastrointestinal bleed . Anil Haripriya
Upper gastrointestinal bleed . Anil HaripriyaUpper gastrointestinal bleed . Anil Haripriya
Upper gastrointestinal bleed . Anil Haripriya
 
KNOWLEDGE AND PRACTICES AMONG SURGEONS REGARDING CROSS INFECTION CONTROL PROC...
KNOWLEDGE AND PRACTICES AMONG SURGEONS REGARDING CROSS INFECTION CONTROL PROC...KNOWLEDGE AND PRACTICES AMONG SURGEONS REGARDING CROSS INFECTION CONTROL PROC...
KNOWLEDGE AND PRACTICES AMONG SURGEONS REGARDING CROSS INFECTION CONTROL PROC...
 
knowledge of health care professionals regarding medico-legal aspects and its...
knowledge of health care professionals regarding medico-legal aspects and its...knowledge of health care professionals regarding medico-legal aspects and its...
knowledge of health care professionals regarding medico-legal aspects and its...
 
FOURNIER’S GANGRENE: REVIEW OF 57 CASES IN TERTIARY INSTITUTION
FOURNIER’S GANGRENE: REVIEW OF 57 CASES IN TERTIARY INSTITUTIONFOURNIER’S GANGRENE: REVIEW OF 57 CASES IN TERTIARY INSTITUTION
FOURNIER’S GANGRENE: REVIEW OF 57 CASES IN TERTIARY INSTITUTION
 
EVALUATION OF ABSORBABLE AND NON-ABSORBABLE SUTURES IN A COHORT STUDY
EVALUATION OF ABSORBABLE AND NON-ABSORBABLE SUTURES IN A COHORT STUDYEVALUATION OF ABSORBABLE AND NON-ABSORBABLE SUTURES IN A COHORT STUDY
EVALUATION OF ABSORBABLE AND NON-ABSORBABLE SUTURES IN A COHORT STUDY
 
STAPLER HAEMORRHOIDPEXY FOR 3rd & 4th DEGREE HAEMORRHOID OUR EXPERIENCE
STAPLER HAEMORRHOIDPEXY FOR 3rd & 4th DEGREE HAEMORRHOID OUR EXPERIENCESTAPLER HAEMORRHOIDPEXY FOR 3rd & 4th DEGREE HAEMORRHOID OUR EXPERIENCE
STAPLER HAEMORRHOIDPEXY FOR 3rd & 4th DEGREE HAEMORRHOID OUR EXPERIENCE
 
Mass casualty management
Mass casualty managementMass casualty management
Mass casualty management
 
Endoscopic and laparoscopic surgery
Endoscopic and laparoscopic surgeryEndoscopic and laparoscopic surgery
Endoscopic and laparoscopic surgery
 
Complications of laparoscopic surgeries
Complications of laparoscopic surgeriesComplications of laparoscopic surgeries
Complications of laparoscopic surgeries
 
Indications for breast reconstruction
Indications for breast reconstructionIndications for breast reconstruction
Indications for breast reconstruction
 
Blunt trauma abdomen
Blunt trauma abdomenBlunt trauma abdomen
Blunt trauma abdomen
 
Raipur twins dr.anil haripriya
Raipur twins dr.anil haripriyaRaipur twins dr.anil haripriya
Raipur twins dr.anil haripriya
 
Mandibular reconstruction
Mandibular reconstructionMandibular reconstruction
Mandibular reconstruction
 
S E L E C T I V E A X I L L A R Y D I S S E C T I O N I N
S E L E C T I V E A X I L L A R Y D I S S E C T I O N I NS E L E C T I V E A X I L L A R Y D I S S E C T I O N I N
S E L E C T I V E A X I L L A R Y D I S S E C T I O N I N
 
Clinical Work Up Of A Patient With Lymph adenopathy. by anil haripriya
Clinical Work Up Of A Patient With Lymph adenopathy. by anil haripriyaClinical Work Up Of A Patient With Lymph adenopathy. by anil haripriya
Clinical Work Up Of A Patient With Lymph adenopathy. by anil haripriya
 
Hydatid Cyst Of Liver
Hydatid Cyst Of LiverHydatid Cyst Of Liver
Hydatid Cyst Of Liver
 
Buccal Mucosal Cancer
Buccal Mucosal CancerBuccal Mucosal Cancer
Buccal Mucosal Cancer
 
Management Of Solitary Thyroid Nodule
Management Of Solitary Thyroid NoduleManagement Of Solitary Thyroid Nodule
Management Of Solitary Thyroid Nodule
 

Current role of surgery in the management of peptic ulce (1)

  • 1.
  • 2.
  • 3.
  • 4.
  • 5.
  • 6.
  • 7.
  • 8.
  • 9.
  • 10.
  • 11.
  • 12.
  • 13.
  • 14.
  • 15.
  • 16. INDICATIONS AND OPERATIVE STRATEGY IN DUODENAL ULCER: Indication Preferred operation Alternatives Bleeding Oversew + TV and pyloroplasty Oversew and HSV Perforation Closure and omental patch + HSV Closure and omental patch + TV     Laproscopic closure and omental patch Obstruction TV and anterectomy with Billroth I TV and anterectomy with Billroth II     TV and Finney or Jaboulay pyloroplasty     TV and gastrojejunostomy Intractability Laproscopic HSV Open HSV
  • 17. RECURRENT ULCER AND POSTGASTRECTOMY SYNDROMES AFTER OPERATIONS FOR DUODENAL ULCER: Operation Incidence of recurrence (%) Incidence of posgastrectomy syndromes (%) Mortality rate (%) HSV vagotomy 10 5 0.1 Truncal vagotomy & drainage 7 20-30 < 1 TV and anterectomy/ Billroth I or Billroth II 1 30-50 0-5 TV and anterectomy/ Roux-en-Y 5-10 50-60 0-5
  • 18. SIDE EFFECTS OF OPERATIONS FOR DUODENAL ULCER: Early postoperative complications Long-term side effects Afferent loop obstruction Alkaline reflux gastritis Anastomotic leak Anemia Duodenal stump leak Dumping syndrome Efferent loop obstruction Gallstones Gastric atony Gastric remnant cancer Gastric outlet obstruction Malnutrition Hemorrhage Postprandial hypoglycemia Pancreatitis Postvagotomy diarrhea   Reflux esophagitis   Small bowel obstruction