peptic ulcer disease & h.pylori infection · pud pathogenesis -nsaid. pud pathogenesis. pud...
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PEPTIC ULCER DISEASE&
H.PYLORI INFECTION
Dr. Ammar I. Abdul-Latif
ANATOMY &PHYSIOLOGY
ANATOMY &PHYSIOLOGY
ANATOMY &PHYSIOLOGY
CAUSES & PATHGENESIS
H.PYLORI
D.U.PATHOGENESIS-H.PYLORI
COMPLICATIONS OF H.PYLORI
PUD PATHOGENESIS -NSAID
PUD PATHOGENESIS
PUD PATHOGENESIS
CLINICAL COURSE
PUD
Uncomplicated
PAIN
Epigastric
Episodic
Related to food
Complicated
Perforation
penetration
Bleeding
Obstruction
DIAGNOSIS-UPPER ENDOSCOPY
Chronic D.U. Acute ulcer
UPPER ENDOSCOPY-INDICATIONS
HISTOPATHOLOGY-H.PYLORI INFECTION
TREATMENT-MEDICAL
TREATMENT-SURGICAL
SURGICAL Tx-VAGATOMY
TYPES OF VAGATOMY
SURGICAL Tx-BILLROTH 1
SURGICAL Tx-BILLROTH 1&2
SURGICAL Tx-COMPLICATIONS
Dumping syndrom
Bile reflux gastritis
Diarrhoea and maldigestion
Weight loss
Anaemia
Metabolic bone disease
Gastric cancer
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