ULCER SURGERY

Role of surgery in current era is for laparoscopic TV plus GJ for peptic ulcer disease causing gastric outlet obstruction.

A peptic ulcer is an open sore in the upper digestive tract. There are two types of peptic ulcers, a gastric ulcer, which forms in the lining of the stomach, and a duodenal ulcer, which forms in the upper part of the small intestine.
Causes of peptic ulcers include
the bacterium named Helicobacter pylori (H pylori),
aspirin and nonsteroidal anti-inflammatory drugs (NSAIDs),
alcohol,
physical or emotional stress,
caffeine
smoking, or
radiation therapy.
Some people may have no symptoms of an ulcer, but common symptoms include
abdominal pain,
nausea,
vomiting,
loss of appetite,
weight loss, and
in severe cases,bleeding in the stomach or duodenum.
Treatment of a peptic ulcer depends on the cause. Treatments include lifestyle changes such as quitting smoking, avoiding alcohol, aspirin, and NSAIDs; acid-blocking medications; medications that protect the lining of the stomach and duodenum; and "triple-therapy" or "dual-therapy" regimens for ulcers caused by H pylori.
Surgery may be performed in some cases that do not respond to medical treatment.
The prognosis for peptic ulcers is generally good, and most individuals will improve with the appropriate medicine.
Complications of peptic ulcers include bleeding, perforation, and obstruction.