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Gastric Peptic Ulcer Disease

Definition
• Gastric peptic ulcers are
defects in the gastric
mucosa that extend
through the muscularis
mucosa.
Etiology

Severe
Lifestyle Genetic
H. pylori Drugs physiologic
factors factors
stress
Pathophysiology

Imbalance between the aggressive factors and the


defensive mechanisms
Aggressive factors Defensive factors

• NSAIDs
• Helicobacter pylori • Mucous
• Alcohol • Bicarbonate
• Acid • Prostaglandins
• Pepsin • Epithelial renewal
• Stress
• Smoking
Symptoms

Epigastrial Chest
Nausea Dyspepsia
pain discomfort

Hematemesis

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