Imaging in Duodenal Ulcers
A graduate of The Ohio State University, Pipers is considered to be an expert in the field of equine gastroenterology, and is the author of over 75 publications. He has served on the staffs of the University of Florida and Tufts University, and was responsible for the introduction of echocardiography within veterinary diagnostic procedures. His earlier research focused on thoracic diseases and diagnostic ultrasound. According to Pipers, in the majority of horses with ulcers, lesions will occur in the squamous mucosal portion of the equine stomach. These ulcers are craters which form in the lining of the stomach, caused by the corrosive effects of hydrocholoric acid (peptic activity) eroding away the layers of the aforementioned stomach lining. The equine stomach has two parts, the squamous mucosal and the glandular portion, with only 10% of the ulcers occurring in the glandular portion. The decisions regarding treatment of equine gastric ulcers over the years has been varied concerning what medication is best to use, and for how long. Pipers says that proper diagnosis is best made utilizing an endoscopic exam, in which a three-meter long scope is inserted into a horses stomach. Prior to an endoscopic exam, the horse should be given an eight to 12-hour fast, Pipers said. Usually, mild sedation is all that is required in order to examine the horse endoscopically. Once inside the stomach, the veterinarian is then able to determine and define the stomach ulcers, and their severity.
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Gastric And Duodenal Ulcer (Peptic Ulcer) ? Causes, Symptoms, Diagnosis And Treatment
Determination of Helicobacter pylori is made by direct methods and indirect methods. Direct methods require endoscopy with biopsy. The presence oh Helicobacter pylori is determined by histological examination. Indirect methods dose not require endoscopy and are represented by the determination of Helicobacter pylori antibodies from the plasma and respiratory tests. Helicobacter pylori antibodies, also can be detereminated in saliva and eradication of Helicobacter pylori infection can be demonstrated by determination of bacteria in the stool (fecal test antigen against Helicobacter pylori). The most sensitive indirect methods of diagnosis of infection with Helicobacter pylori are respiratory tests and fecal antigen anti Helicobater pylori. Evolution of peptic ulcer: Over the past 20-30 years, the evolution of peptic ulcer was improved and is mostly favorable, complications were reduced significantly, and cases that are requiring surgery are relatively rare. The introduction of anti Helicobacter pylori therapy led to a decrease of ulcer recurrences. Complications: The possible complications of peptic ulcer are: Upper gastrointestinal bleeding, is the most common complication, approximately 15%; Perforation; Malignancy of the ulcer, the risk of developing this complication is low. Peptic Ulcer Peptic ulcer treatment: In peptic ulcer is generally recommended to be avoided acidic foods and spicy foods. Smoking is banned because it turned out that is delaying ulcer healing, in contrast diet and the abolition of caffeine have not been shown to hasten the healing process of ulcerous lesion. Excluding coffee in full pain relapse may be recommended.