Although pud is most commonly caused by helicobacter pylori infection or use of nonsteroidal anti. It is important to differentiate cases of df with unusual bleeding from cases of dhf with increased vascular permeability, the latter being characterized by. Gastroesophageal reflux disease gerd any symptoms or esophageal mucosal damage. Charlson comorbidity index predicts the tenyear mortality for a patient who may have a range of comorbid conditions. Peptic ulcer disease is an umbrella term used to describe both gastric and duodenal ulcers, which are small holes that can occur in the lining of your stomach gastric ulcer or upper part of your small intestine duodenal ulcers. Unusually severe bleeding can cause death in such cases. Tukak peptik peptic ulcer disease adalah lesi pada lambung atau duodenum yang disebabkan oleh ketidakseimbangan antara faktor agresif sekresi asam. Puji syukur saya panjatkan atas kehadirat allah swt yang telah memberikan hikmah dan hidayahnya atas terselesaikannya penulisan makalah ini yang berjudul peptic ulcer disease makalah ini disusun untuk memenuhi tugas keperawatan medical bedah i. Proton pump inhibitors ppis are a class of drugs used to treat gerd, peptic ulcers, and h. History of helicobacter pylori, duodenal ulcer, gastric ulcer. Apr 12, 2019 the nursing goals of a client with a peptic ulcer disease include reducing or eliminating contributing factors, promoting comfort measures, promoting optimal nutrition, decreasing anxiety with increased knowledge of disease, management, and prevention of ulcer recurrence and preventing complications. Peptic ulcer disease or simply peptic ulcer is the presence of ulcerations in the gastrointestinal tract, which is characterized by being acidic and extremely painful.
Peptic ulcer disease is a lesion in gastric or duodenum due to imbalance between aggressive and defensive factors in gastric parietal cells. Tanpa kompor, persediaan makanan maupun minuman di rumah tidak akan terpenuhi, meskipun. Peptic ulcer disease is treated endoscopically with injection therapy and endoclips. The pathogenesis of peptic ulcer disease may be considered as a combination scenario involving an imbalance between defensive factors mucusbicarbonate layer, prostaglandins, cellular regeneration, mucosal blood flow and aggravating factors hydrochloric acid, pepsin, ethanol, bile salts, drugs. Elderly patients are at greater risk for serious gastrointestinal events see warnings.
Helicobacter pylori hp in patients with suspected peptic ulcer disease pud. Uninvestigated dyspepsia there are two strategies offered. You may have had tests to help diagnose your ulcer. Pud is the most common cause of gastric outlet obstruction, approximately 60% to 65% of total cases. Peptic ulcer disease dijumpai pada sekitar 4,5 juta orang pada tahun 2011. Jan 14, 2014 aetology aetology of peptic ulcer disease is multifactorial.
Gitu, md, florida state university college of medicine family medicine. Ulcers are caused by acid eroding the lining of the gastrointestinal tract. Peptic ulcer disease can involve the stomach or duodenum. If you have peptic ulcer disease or another problem with digestion, you may. Peptic ulcer disease different pathogenesis of duodenal and. Gerd and peptic ulcer disease gerd and peptic ulcer disease. Tukak lambung adalah luka pada lambung yang menyebabkan keluhan sakit maag.
Peptic ulcers, also known as gastric ulcers or stomach ulcers, can cause abdominal discomfort and pain. People who take nsaids such as aspirin and ibuprofen longterm or are infected with the bacteria h. Feb 03, 2015 peptic ulcer disease prevalence is decreasing in the west, except in certain populations such as immigrants. The predominant causes in the united states are infection with helicobacter pylori and use of nonsteroidal anti. Peptic ulcer also is referred to as peptic ulcer disease. May 01, 2010 youre at risk for peptic ulcer disease if you. Ppt gastroesophageal reflux disease gerd powerpoint.
Peptic ulcer is a common disease characterized by lesions that affect the mucosa of the esophagus, stomach andor duodenum, and may extend into the muscular layer of the mucosa. Banyak orang menganggap bahwa luka di lambung disebabkan oleh konsumsi makanan asam atau pedas secara berlebihan. Over the last 2 decades significant advances have been made in understanding the pathophysiology of peptic ulcer disease. Gastric outlet obstruction causes peptic ulcer disease. Pdf ulkus peptikum adalah kerusakan pada lapisan mukosa. Gastric ulcer is the damage that occurs from mucous layer to mucous muscular, round or ovoid shape with diameter 5 mm, as the result of discontinuity of gastric mucous integrity 1, 2. Selain di lambung, luka tersebut dapat terbentuk di usus 12 jari atau di bagian bawah kerongkongan. Gastric and duodenal ulcers usually cannot be differentiated based on history. Hal ini menyebabkan cedera inflamasi di mukosa lambung atau duodenum, dengan ekstensi luar submukosa ke dalam mukosa muskularis. Here are five 5 nursing care plans ncp for peptic ulcer disease.
A free powerpoint ppt presentation displayed as a flash slide show on id. Pdf time trends of gastro esophageal reflux disease gerd. When hospitals using the ihi ventilator bundle saw signi. A duodenal ulcer is a peptic ulcer that develops in the first part of the small intestine duodenum. Ulcers are caused by an infection of a bacterium known as helicobacter pylori or h. Corticosteroids and risk of gastrointestinal bleeding. An ulcer in the stomach is called a gastric ulcer, while one in the first part of the intestines is a duodenal ulcer. Tinospora cordifolia is used for diabetes, high cholesterol, allergic rhinitis, upset stomach, gout, lymphoma and other cancers, rheumatoid arthritis ra, hepatitis, peptic ulcer disease pud. Peptic ulcer disease is one of the most common disorders in the united states, accounting for a significant portion of visits to medical providers. Peptic ulcer disease is a condition with an open sore or ulcer in the lining of the stomach or duodenum, the first part of the small intestine. Peptic ulcer disease usually occurs in the stomach and proximal duodenum. Artikel terapi antagonis reseptor histamin h2 pada peptic ulcer disease pud, free medical ebookslectures medical videos pdf journalaskep, artikel terapi antagonis reseptor histamin h2 pada peptic ulcer disease pud. One of these tests may have been to look for bacteria in your stomach called helicobacter pylori h pylori. The patient had a history of type ii diabetes, gastroesophageal reflux, and peptic ulcer disease.
An esophageal ulcer occurs in the lower part of your esophagus. Peptic ulcer disease causes, symptoms, diagnosis, treatment. Its used to treat stomach problems that arent helped by other treatments. The casefatality rate of df, however, is less than 1%. Ulkus peptikum disbut juga sebagai ulkus lambung, duodenal atau esofageal, tergantung pada lokasinya. Pasien tukak peptik menunjukkan ciriciri keluhan seperti nyeri ulu hati, rasa tidak nyaman pada perut dan disertai muntah. Introduction peptic ulcer disease represents a serious medical problem. Peptic ulcer disease pud is a break in the inner lining of the stomach, first part of the small intestine or sometimes the lower esophagus. Mucosal injury due to helicobacter pylori infection, nsaid use, zollingerellison syndrome multiple peptic ulcerations in stomach, duodenum and jejunum due to excess gastrin secretion by a tumor, ischemia, bile pancreatic juice reflux alcohol, smoking, copd and corticosteroids use may exacerbate peptic ulcer disease and impair healing.
It is well accepted that patients with peptic ulcer disease associated with helicobacter pylori infection should be treated. Ppis proton pump inhibitors side effects, list of names. Beranda jurnal indonesian journal of gastroenterology, hepatology, and. These events can occur at any time during use and without warning symptoms.
Dalam penulisan makalah ini penulis banyak mengalami hambatan dan kesulitan. Peptic ulcer disease gastroenterology jama jama network. Diagnosis and management of upper gastrointestinal bleeding. Peptic ulcer disease pud is a break in the inner lining of the stomach, the first part of the small intestine, or sometimes the lower esophagus. Peptic ulcers can be caused by a bacteria helicobacter pylori h pylori. Peptic ulcer disease is common, affecting millions of americans yearly. Peptic ulcer disease pud is a sore on the lining of the duodenum or stomach which occurs when the presence of some aggressive factors overwhelm that of the protective factors mucin secretion. Bab i pendahuluan perdarahan saluran cerna atas adalah masalah yang sangat sering kita jumpai.
Infection with the bacteria helicobacter pylori occurs in 80 to 95% of patients with peptic ulcer disease. An overview of history, pathogenesis and treatment of. It is also a significant method of prediction of the risk of rebleeding and very often is used for evaluation of the endoscopic intervention modalities. A uk populationbased cohort study reported an overall incidence of uncomplicated peptic ulcer as being 0. A 60yearold man presented with right upper quadrant and epigastric abdominal pain of 3 days duration. Vagotomy is an essential component of surgical management of peptic duodenal and gastric ulcer disease pud. A dull or burning pain in the stomach is the most common symptom. Peptic ulcer disease symptoms, treatment, pathophysiology. This type of infection is a common cause of ulcers.
Peptic ulcer disease pud adalah salah satu penyakit yang paling umum yang mempengaruhi saluran gastrointestinal gi. Interestingly, those at the highest risk of contracting peptic ulcer disease are those. Definisi tukak peptik adalah suatu penyakit terkait asam lambung yang dapat menyebabkan luka hingga bagian muskularis mukosa. The symptoms of a peptic ulcer usually worsen over time. Definisi stressinduce gastritis, stressrelated erosive. Peptic ulcer disease different pathogenesis of duodenal and gastric ulcer. Basics of gerd peptic ulcer gastroparesis gerd and peptic ulcer disease medicine gi with desipio at peptic ulcer and gerd gi disorders gerd gastritis peptic ulc. For further indepth information please refer to the nice guidelines. Pdf dyspepsia peptic ulcer disease and esophageal reflux diagnosis and treatment of peptic ulcer disease and h educate peptic ulcer disease overview.
Ulcers are reported as the most common cause of hospitalization for upper. Peptic ulcers are small sores that form in the lining of the esophagus swallowing pipe, stomach, or duodenum the first part of the small intestine. Kompor adalah salah satu perabot rumah tangga yang harus ada karena digunakan untuk keperluan memasak. Evaluation and management of dyspepsia american family. Tukak lambung atau peptic ulcer disease pud dapat diartikan sebagai luka pada lambung atau usus duodenum karena ketidakseimbangan antara faktor agresif seperti sekresi asam lambung, pepsin, dan infeksi bakteri helicobacter pylori dengan faktor defensif atau faktor pelindung mukosa seperti produksi prostaglandin, mukus gastrik, bikarbonat, dan aliran darah mukosa misnadiarly, 2009. The obstruction often occurs in the duodenum, and sometimes in the pyloric channel, prepyloric gastric antrum, and in rare cases, in the body of the stomach. Common side effects are headache, diarrhea, constipation, vomiting, intestinal gas, fever, nausea, and rash. It is the dedication of healthcare workers that will lead us through this crisis. The administration of several types of drugs is pharmacological therapy needed in treating the peptic ulcer to reduce pain in peptic ulcer disease.
Always consult with your doctor or other health professional to make sure this information is right for you. Di usa kira kira 4 juta orang menderita tukak peptic. National consensus on the management of gastroesophageal reflux disease in indonesia. Gastritis and peptic ulcer disease free download as powerpoint presentation. Peptic ulcer disease is a general term used to describe a breakdown in the lining of either your stomach gastric ulcer or the first part of your small intestine. Gastric outlet obstruction symptoms, treatment, surgery. Pdf peran antagonis reseptor h2 dalam pengobatan ulkus. Kep prodi keperawatan kimia 17jurusan keperawatan poltekkes kemenkes jakarta iiitahun ajaran 201220 kata pengantarpuji syukur saya panjatkan atas kehadirat allah swt yang telah memberikan hikmah dan. Therefore, toradol ketorolac tromethamine is contraindicated in patients with active peptic ulcer disease, in patients with recent gastrointestinal bleeding or perforation, and in patients with a history of peptic ulcer disease or gastrointestinal bleeding. Peptic ulcers are open sores that develop on the inside lining of your stomach and the upper portion of your small intestine. This health information is for general education purposes only. The main symptom is burning pain in the upper part of the belly after meals. Ulkus peptikum wikipedia bahasa indonesia, ensiklopedia bebas.
Peptic ulcers can lead to internal bleeding, which sometimes can mean youll need blood transfusions in the hospital. To help diagnose a peptic ulcer, your doctor will ask you questions about your medical history, your symptoms, and the medicines you take. Peptic ulcers are painful sores in the lining of the stomach, esophagus, or small intestine. Interestingly in 2005 a nobel prize was awarded to barry j. Peptic ulcer disease peptic ulcer disease refers to painful sores or ulcers in the lining of the stomach or the first part of the small intestine, the duodenum. Kirakira 10 % dari populasi di amerika serikat memiliki. Learn more about the symptoms, causes, and treatment of peptic ulcers at webmd. Kloramfenikol merupakan obat pilihan utama untuk mengobati demam tifoid. Peptic ulcer disease is a major cause of morbidity and mortality in the us with more than six million diagnoses annually.
May 14, 2014 it has been suggested that peptic ulcer disease, gastric and duodenal arose or became remarkably more prevalent in western countries in the 19 th century possibly because of a change in the epidemiology of helicobacter pylori h. Vagotomy was once commonly performed to treat and prevent pud. Peran antagonis reseptor h2 dalam pengobatan ulkus peptikum pdf. No single cause has been found for ulcers, but various causes are listed. National consensus on the management of gastroesophageal. Endoscopic treatment is accompanied by medical treatment with proton pump inhibitors for the treatment of peptic ulcer disease, and vasoactive drugs for the treatment of bleeding oesophageal varices. Ulcerations in the git involve mucosal erosions of more than 0. Peptic ulcer disease is a general term used to describe a breakdown in the lining of either your stomach gastric ulcer or the first part of your small intestine duodenal ulcer. Eritropoiesis adalah pdf eritropoiesis dan aspek umum anemia by. Makalah keperawatan medical bedah ipeptic ulcer disease disusun oleh. The cause of diabetic ulcers can be determined precisely through deep anamnesis and physical examination. A peptic ulcer differs from an erosion because it extends deeper into the lining and incites more of an inflammatory reaction from the tissues that are involved, occasionally with scaring.
Etiology, pathophysiology, diagnosis and management of. Examples of ppis include prilosec, prevacid, aciphex, protonix, nexium, and zegarid. Today we know that stomach acids and other digestive juices help create ulcers. Peptic ulcer disease ulkus peptikum pud ulkus peptikum merupakan keadaan di mana kontinuitas mukosa lambung terputus dan meluas sampai di bawah epitel kerusakan mukosa yang tidak meluas sampai kebawah epitel disebut sebagai erosi. Tukak lambung gejala, penyebab dan mengobati alodokter. If the ulcer is in your duodenum, it is called a duodenal ulcer. Ketorolac tromethamine food and drug administration.
Gastrectomy is the removal of part or all of the stomach. A peptic ulcer is a defect in the gastric or duodenal wall that extends through the muscularis mucosa into the deeper layers of the wall. Peptic ulcer disease ulkus peptikum pud ongo farma. Management of peptic ulcer infection due to helicobacter pylori infection tri asih imroati, ummi maimunah. The pain was described as sharp, constant, and radiated to the back. But later in the course, secondary to chronic pancreatitis and peptic ulcer disease, it may compress and obstruct the duodenum. The management of patients with peptic ulcer disease is based on the etiology, ulcer characteristics, and anticipated natural history. Approximately 500,000 new cases are reported each year, with 5 million people affected in the united states alone. Mar 25, 2020 the global incidence and prevalence of peptic ulcer disease, along with the associated rates of hospitalizations and mortality, have been in decline over the past couple of decades, attributed in part to complex changes in the risk factors for peptic ulcer disease, including reductions in the prevalence of h pylori infection, the widespread use.
Objective to assess whether corticosteroids are associated with increased risk of gastrointestinal bleeding or perforation. Forrest classification is instrumental when stratifying patients with upper gastrointestinal hemorrhage into high and low risk categories for mortality. Ulkus peptikum adalah kerusakan pada lapisan mukosa, submukosa sampai lapisan. Other symptoms are heartburn, burping, bloating and nausea. About 15 million people in the united states have peptic ulcer disease. A peptic ulcer stomach ulcer is a sore on the lining of your stomach or duodenum. The patient reported anorexia and nausea, but no vomiting or fevers. However, with the availability of excellent acid secretion control with h2 receptor antagonists, such as cimetidine, ranitidine, and famotidine, and proton pump inhibitors.
Peptic ulcer disease refers to painful sores or ulcers in the lining of the stomach or the first part of the small intestine, the duodenum. Ulkus peptikum adalah ekskavasasi area berlubang yang terbentuk dalam dinding mukosal lambung, pilorus, duodenum atau esofagus. Peptic ulcer disease is one of several disorders of the upper gastrointestinal tract that is caused, at least partially, by gastric acid. Peptic ulcer disease pud adalah adalah luka yang terdapat pada. Figures 2 and 3 illustrate useful algorithms for assessing and managing uninvestigated and investigated dyspepsia respectively. Peptic ulcer disease is when a defect develops in the mucous membrane of the stomach or duodenum, and this. The reduction in peptic ulcer disease complications might be associated with the widespread use of anti. Most peptic ulcers will heal within about 4 to 6 weeks after treatment begins. The presence of an ulcer can only be determined by looking directly at the stomach with endoscopy or an xray test.
Studies with steroids given either locally, as a single dose, or in crossover studies. Although annular pancreas may encircle the duodenum completely in adults, the food usually can pass through the duodenum without difficulty. In the past, experts thought lifestyle factors such as stress and diet caused ulcers. Despite the constant attack on the gastroduodenal mucosa by noxious agents acid, pepsin, bile acids, pancreatic enzymes, drugs, and bacteria, integrity is maintained by a system that provides mucosal defense and repair. It is the presence of ulcerations in gastrointestinal tract, which is characterized by being acidic, extremely painful. Duodenal ulcers are the most common type and are more likely in men aged between 30. Acute bleeding from oesophageal varices is treated by banding. Diagnosis and treatment of peptic ulcer disease and h. Peptic ulcer is an upper gastrointestinal tract disease caused by hypersecretion of.
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