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PATHOPHYSIOLOGY

Precipitating Factors:
Helicobacter pylori
NSAIDS
Smoking
Alcohol
Diet (irritating foods) `
Stress
Destruction of mucosal
cells
Breakdown of gastric
mucosa barrier
Increased vagal
activity
arietal cell
hy!er!lasia
Predisposing Factors"
Age
#ender
#enetics
Blood ty!e $
%ore &'l acid and !e!sin are
released
Destruction of blood
vessels
(oss of !lasma !roteins into gastric
lumen
Im!aired duodenal bicarbonate
secretion
)urther mucosal Decreased blood
Bleeding
&istamine
release
Increased
vasodilation
Increased ca!illary
!ermeability
%ucosal edema
*lceration
Bleeding *lceratio
n
%ucosal
edema
&y!ersecretion of&'l acid and
!e!esin
Acid back di+usion into the
mucosa

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