Peptic ulcers located in which site are most likely to perforate?
Ans is 'c' i.e., Anterior duodenal ulcers Complications of peptic ulcer1) Gastrointestinal bleeding* Most common complication of peptic ulcer* Bleeding is more common in duodenal ulcers* It is commonly seen in posterior duodenal ulcers because of erosion of gastroduodenal artery.2) Perforation* It is the second most common complication of peptic ulcer disease.* Perforation occurs commonly in the ulcers located in the anterior part of duodenum.* Duodenal ulcers tend to penetrate into pancreas causing pancreatitis.* Gastric ulcers tend to penetrate into left hepatic lobe.3) Gastric outlet obstruction* It is the least common ulcer related complication.* It is commonly associated with duodenal ulcers.* Tea pot stomach is caused due to longitudinal shortening of the gastric ulcer at the lesser curvature of the stomach (It causes the stomach to look like tea pot).* Hourglass stomach is caused due to cicatricial contraction of a saddle shaped ulcer at the lesser curvature.* Most common complication of peptic ulcer is gastro intestinal bleeding.* It is seen with both chronic and acute type of ulcers. Infact, chronic peptic ulcers are the most common cause of haematemesis and malaena.
Anterior gastric ulcers
Posterior gastric ulcers
Anterior duodenal ulcers
Posterior duodenal ulcers
Stomach & Duodenum