Stress Ulcers Flashcards
Where are STRESS ulcers commonly located?
in the fundus of the stomach
What is the pathophysiology?
Unclear - ischaemia to the mucosal tissue
What is a special type of stress ulcer related to severe burns called?
Curling’s Ulcer > 35% area burned
Where are peptic ulcers commonly found?
In the antrum of the stomach
What are signs and symptoms?
Anaemia
Malaena
What investigations would you do?
- Blood count
- Clinical first
- Endoscopy be confirmed
What are the risk factors associated with stress ulcers?
- Mechanical ventilation
- anti- coagulation
- Multi-organ failure (Sepsis, shock)
- severe trauma or surgery
- CNS
What is the treatment for Culrling’s Ulcers?
Immediate surgery with powerful H2 and PPIs.
What is the treatment for stress ulcers?
- Prophylactic gastric acid suppressants PPI, H2 blockers
- Bleeding ulcer - endoscopic clipping, caudary
What depth does a STRESS ulcer go to? Are they multiple or single?
- Mucosa however can go to the submucosa
- Multiple
What are complications of ulcers?
- perforation
- haemorrhage
What are the features of a Curling’s Ulcer?
- Acute
- Large
- Necrotic - sloughing
