|CRDAMC Homepage | CRDAMC Library Phone #: (254) 288-8366 | CRDAMC Library Fax #: (254) 288-8368|
Surgical Procedures for Peptic Ulcer Disease
by Rosalyn Carson-DeWitt, MD
Now that doctors understand the connection between Helicobacter pylori infection, nonsteroidal drug usage, and peptic ulcers, ulcer surgery has become quite rare. Most ulcers can be managed and prevented from recurring by testing for and treating H. pylori infection, eliminating nonsteroidal use, and using powerful ulcer healing drugs, such as proton pump inhibitors. However, you may require surgery if, despite several courses of treatment, you still have recurrences or if you have severe complications. Complications that might require surgery include:
Endoscopic Ulcer Treatment
Upper gastrointestinal endoscopy is used to stop bleeding. A lighted scope is passed into the intestinal tract. Bleeding areas can be seen and treated. Heat or electricity applied to the area of bleeding usually stops the blood flow. Epinephrine can also be applied through the endoscope to help stop bleeding. Clips can also be placed on bleeding ulcers to pinch off bleeding blood vessels.
Vagotomy involves cutting branches of the vagus nerve, which is involved in the production of stomach acid. Cutting the vagus nerve can greatly reduce acid production. Cutting through the entire nerve, however, can interfere with the stomach’s ability to empty itself, so newer techniques cut only part of the nerve.
Antrectomy is a surgical procedure whereby the lower part of the stomach (antrum) is removed. The antrum produces a chemical that prompts acid production. Without that chemical, acid production drops. This may provide some protection against recurrent peptic ulcers.
Meurer LN, Bower DJ. Management of Helicobacter pylori infection. Am Fam Physician. 2002;65(7):1327-36.
Peptic ulcer disease. EBSCO DynaMed Plus website. Available at: http://www.dynamed.... Updated May 11, 2015. Accessed January 12, 2017.
Last reviewed December 2016 by Daus Mahnke, MD
Last Updated: 5/20/2015
EBSCO Information Services is fully accredited by URAC. URAC is an independent, nonprofit health care accrediting organization dedicated to promoting health care quality through accreditation, certification and commendation.
This content is reviewed regularly and is updated when new and relevant evidence is made available. This information is neither intended nor implied to be a substitute for professional medical advice. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with questions regarding a medical condition.
To send comments or feedback to our Editorial Team regarding the content please email us at email@example.com. Our Health Library Support team will respond to your email request within 2 business days.