Gastric Ulcer
 FATIMA AL-AWADH
Introduction
• T H E S TO M AC H I S T H E F I R S T I N T R A -
        A B D O M I N A L PA R T O F T H E
       G A S T R O I N T E S T I N A L T R AC T.
     • I T I S A M U S C U L A R , H I G H LY
    VA S C U L A R B AG - S H A P E D O R G A N .
  • T H E S TO M AC H L I E S I N T H E L E F T
        UPPER QUADRANT OF THE
                   ABDOMEN.
Objectives
 Mention the anatomy and histology of the
  stomach.
 Define and display the morphology of
  gastric ulcer.
 Mention the risk factors & causes of
  gastric ulcer.
 Explain the pathophysiology of gastric
  ulcer.
Anatomy of the stomach
Histology of the stomach
                Gastric pits


                                              Mucosa
                      Gastric glands

                   Muscularis mucosa
                     Blood vessels            Sub-mucosa
                  Oblique muscle layer
                   Circular muscle layer      Muscularis
                  Longitudinal muscle layer
                   Connective tissue layer    Serosa
Visceral peritunium
Ulcers
 An ulcer is a medical condition caused by a break in a
  bodily membrane.
 Common forms of ulcers include:

                          Genital            Mouth
       Skin ulcer
                           ulcer             ulcer

         Peptic           Venous          Ulcerative
          ulcer            ulcer            colitis
Gastric ulcer

 A break in the normal tissue that lines
  the stomach.
 A type of peptic ulcers.
Morphology

   Gastric peptic
     ulcers are
   predominantly
 located near the
  interface of the
body and antrum.
Statistics per 100,000 inhabitant



no data
less than 20
 20-80
80-140
140-200
more than 200
Risk Factors




Non-       Helicobacter Smoking   Increasing   Alcohol
steroidal  (H) Pylori             age          abuse
anti-       infection
inflammat-
ory drugs
Pathophysiology




            NSAIDs;                             Cigarette
H. Pylori             Corticosteroids Alcohol
            Aspirin                   abuse     smoking
Pathophysiology

     Cl                                         K
          H                 Na
                       Cl                            Cl



                                      Cl                  K
Na                                         H        Cl
     Cl
                  Cl
              H             K              Na
                                 Cl   Cl
The increasing acidity




                     Activation
Pathophysiology


                     Decrease
                        in


Epithelial      Mucosa      HCO3¯      Blood
transport      secretion   secretion    flow
Pathophysiology
Pathophysiology
References
Clinically Ordinated Anatomy, 6th ed.             Anatomy of the
Pg233,Figure2.37.B.                               stomach
http://www.britannica.com/EBchecked/media/68634/ Histology of the
Structures-of-the-human-stomach-The-stomach-has- stomach
three-layers
http://en.wikipedia.org/wiki/Ulcer                Definition and types
                                                  of ulcer
http://ak47boyz90.wordpress.com/2010/09/02/l5-    Morphology
patho-peptic-ulcer-disease/
http://www.umm.edu/patiented/articles/who_gets_p Risk factors
eptic_ulcers_000019_5.htm
http://www.histopathology-india.net/PepUlc.htm   Pathophysiology
Gastric Ulcer

Gastric Ulcer

  • 1.
  • 2.
    Introduction • T HE S TO M AC H I S T H E F I R S T I N T R A - A B D O M I N A L PA R T O F T H E G A S T R O I N T E S T I N A L T R AC T. • I T I S A M U S C U L A R , H I G H LY VA S C U L A R B AG - S H A P E D O R G A N . • T H E S TO M AC H L I E S I N T H E L E F T UPPER QUADRANT OF THE ABDOMEN.
  • 3.
    Objectives  Mention theanatomy and histology of the stomach.  Define and display the morphology of gastric ulcer.  Mention the risk factors & causes of gastric ulcer.  Explain the pathophysiology of gastric ulcer.
  • 4.
  • 5.
    Histology of thestomach Gastric pits Mucosa Gastric glands Muscularis mucosa Blood vessels Sub-mucosa Oblique muscle layer Circular muscle layer Muscularis Longitudinal muscle layer Connective tissue layer Serosa Visceral peritunium
  • 6.
    Ulcers  An ulceris a medical condition caused by a break in a bodily membrane.  Common forms of ulcers include: Genital Mouth Skin ulcer ulcer ulcer Peptic Venous Ulcerative ulcer ulcer colitis
  • 7.
    Gastric ulcer  Abreak in the normal tissue that lines the stomach.  A type of peptic ulcers.
  • 8.
    Morphology Gastric peptic ulcers are predominantly located near the interface of the body and antrum.
  • 9.
    Statistics per 100,000inhabitant no data less than 20 20-80 80-140 140-200 more than 200
  • 10.
    Risk Factors Non- Helicobacter Smoking Increasing Alcohol steroidal (H) Pylori age abuse anti- infection inflammat- ory drugs
  • 11.
    Pathophysiology NSAIDs; Cigarette H. Pylori Corticosteroids Alcohol Aspirin abuse smoking
  • 12.
    Pathophysiology Cl K H Na Cl Cl Cl K Na H Cl Cl Cl H K Na Cl Cl
  • 13.
  • 14.
    Pathophysiology Decrease in Epithelial Mucosa HCO3¯ Blood transport secretion secretion flow
  • 15.
  • 16.
  • 17.
    References Clinically Ordinated Anatomy,6th ed. Anatomy of the Pg233,Figure2.37.B. stomach http://www.britannica.com/EBchecked/media/68634/ Histology of the Structures-of-the-human-stomach-The-stomach-has- stomach three-layers http://en.wikipedia.org/wiki/Ulcer Definition and types of ulcer http://ak47boyz90.wordpress.com/2010/09/02/l5- Morphology patho-peptic-ulcer-disease/ http://www.umm.edu/patiented/articles/who_gets_p Risk factors eptic_ulcers_000019_5.htm http://www.histopathology-india.net/PepUlc.htm Pathophysiology

Editor's Notes

  • #7 A peptic ulcer is a break in the inner lining of the esophagus, stomach, or duodenum caused by the acidic digestive (peptic) juices.