Post-operative peptic ulcer

Post-operative Peptic Ulcers

Post-operative peptic ulcers are a common complication after surgery or other medical procedures, such as endoscopy. An estimated 10 to 15 percent of all medical procedures are associated with development of a post-operative peptic ulcer. This type of ulcer occurs in the stomach or small intestine. It can cause a variety of painful symptoms, and may cause serious complications, such as bleeding, if not managed properly.

Although the exact cause is not known, post-operative peptic ulcers are thought to be related to reduced blood supply to the stomach and intestine, imbalance of digestive juices, or an injury from the medical procedure itself. Common risk factors for developing this complication include: advanced age, Helicobacter pylori infection, smoking, taking medications or supplements, and a weakened immune system.

Common symptoms of post-operative peptic ulcer include nausea, vomiting, abdominal pain, bloating, and weight loss. The abdominal pain is usually worse when the stomach is empty and may become worse when eating. Other symptoms may include fatigue, loss of appetite, dark stools, and a feeling of fullness after eating.

Treatment for post-operative peptic ulcer typically involves medications to reduce acid production in the stomach, decrease inflammation, and promote healing. These drugs may include: proton pump inhibitors (PPIs, such as Prilosec or Nexium), H2 receptor antagonists (such as Zantac or Tagamet), or antibiotics (if H. pylori is found). In addition, lifestyle changes, such as avoiding alcohol, spicy foods, and smoking, may help speed recovery. Surgery may be required in some cases, to repair the ulcer and stop any bleeding.

Following these self-care steps can also be beneficial in managing post-operative peptic ulcers:

• Eat smaller meals more frequently throughout the day.
• Avoid foods that can irritate the stomach, such as spicy or acidic foods.
• Eat only cooked fruits and vegetables.
• Limit caffeinated beverages and alcohol.
• Avoid lying down after eating.
• Exercise regularly and maintain a healthy weight.
• Quit smoking.