bleeding ulcer

A perforated ulcer, also known as a bleeding ulcer[1] or a perforated peptic ulcer[2] is a very serious condition where an untreated ulcer can burn through the wall of the stomach (or other areas of the gastrointestinal tract), allowing digestive juices and food to leech into the abdominal cavity. Treatment generally requires immediate surgery.[3] The ulcer is known initially as a peptic ulcer before the ulcer burns through the full thickness of the stomach or duodenal wall. A diagnosis is made by taking an X-ray of the stomach area (seeking air under the diaphragm). This is in fact one of the very few occasions in modern time where surgery is undertaken to treat an ulcer.[1] Many of the perforated ulcers have been attributed to the bacterium Helicobacter pylori.[4] The incidence of perforated ulcer is steadily declining, though there are still incidents where it occurs.[5] Causes include smoking and non-steroidal anti-inflammatory drugs (NSAIDs).[5] A perforated ulcer can be grouped into a Stercoral perforation which involves a number of different things that causes perforation of the intestine wall.

Notable victims Rudolph Valentino (1895 – 1926, aged 31) suffered from a perforated ulcer and died on August 23, 1926. J. R. R. Tolkien (1892 - 1973, aged 81) suffered from a perforated ulcer and died on September 2, 1973. Albert Blithe (1923 - 1967, aged 44) suffered from a perforated ulcer and died on December 17, 1967. Philip Agee (1935 - 2008, aged 72) suffered from a perforated ulcer and died on January 7, 2008. James Joyce (1882 - 1941, aged 58) suffered from a perforated ulcer and died on January 13, 1941, in Zürich. Ichiro Suzuki, the baseball player, had been diagnosed with a bleeding ulcer, placing him on the disabled list for the first time in his career.[6]

References ^ a b "Peptic ulcers - treatment". http://www.netdoctor.co.uk/diseases/facts/pepticulcertreatment.htm. Retrieved on 2008-01-21. ^ Emergency Medicine ^ Stomach ulcer - Better Health Channel ^ Surgical-tutor.org.uk - a free online surgical resource ^ a b Svanes C (2000). "Trends in perforated peptic ulcer: incidence, etiology, treatment, and prognosis". World J Surg 24 (3): 277–83. doi:10.1007/s002689910045. PMID 10658061. ^ "MLB.com - "Ichiro placed on DL with bleeding ulcer"". http://mlb.mlb.com/news/article.jsp?ymd=20090403&content_id=4117570&vkey=news_mlb&fext=.jsp&c_id=mlb.

Further reading http://healthgate.partners.org/browsing/browseContent.asp?fileName=11628.xml&title=Peptic%20Ulcer

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