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Peptic Ulcer Surgery

Understanding Peptic Ulcers

Peptic ulcers are open sores that develop on the inner lining of the stomach, upper small intestine, or esophagus. These painful ulcers occur when acid in the digestive tract erodes the protective mucous layer. Peptic ulcers can range from minor irritations to severe, life-threatening conditions, requiring careful diagnosis and sometimes surgical treatment.

What is Peptic Ulcer Surgery?

For patients with chronic, recurrent, or severe peptic ulcers that do not respond to medication or lifestyle changes, peptic ulcer surgery can provide relief and prevent dangerous complications. Surgery can involve removing the ulcer, cutting nerves to reduce acid production, or repairing tissue to restore the digestive lining. With advanced techniques, many patients experience a successful recovery and a reduction in ulcer-related symptoms.

Peptic Ulcers in Australia

In Australia, peptic ulcers affect a significant portion of the population, with more than 10% experiencing an ulcer at some point in their lives. The prevalence of peptic ulcers has declined over the past few decades, largely due to the identification of Helicobacter pylori bacteria as a primary cause, allowing for targeted antibiotic treatments. However, complications from untreated or chronic ulcers still result in numerous hospitalisations and may require surgical intervention, especially for bleeding or perforated ulcers. This condition is more common among older adults, smokers, and those with high-stress lifestyles or frequent use of NSAIDs (nonsteroidal anti-inflammatory drugs).

Symptoms

  • Burning stomach pain – often felt between meals or at night.
  • Bloating or fullness
  • Heartburn and acid reflux
  • Nausea or vomiting
  • Dark or tar-like stools (a sign of bleeding)
  • Unexplained weight loss

Causes

The primary causes of peptic ulcers are infection with Helicobacter pylori bacteria and the frequent use of NSAIDs, which can damage the stomach lining. Other factors, such as stress, smoking, excessive alcohol use, and certain medical conditions, can also contribute to or worsen ulcers.

Diagnostic Tests

  • Endoscopy – A thin tube with a camera is used to examine the esophagus, stomach, and small intestine.
  • Barium swallow – X-rays of the digestive tract after drinking a contrast solution.
  • H. pylori tests – Blood, stool, or breath tests to detect H. pylori bacteria.
  • Biopsy – During an endoscopy, tissue samples may be taken for further analysis.

Complications

Untreated or severe peptic ulcers can lead to serious complications, such as:

  • Bleeding – Potentially life-threatening if severe
  • Perforation – A hole in the stomach or intestine wall
  • Obstruction – Scar tissue blocking food passage
  • Infection – From bacteria or leakage into the abdominal cavity

Treatments

Treatment for peptic ulcers includes a combination of medications to reduce acid, eliminate H. pylori (if present), and protect the stomach lining. Surgical intervention is rarely necessary but may be required for ulcers that don’t heal, are recurrent, or involve complications like bleeding or perforation. Surgical options include:

  • Ulcer Excision or Antrectomy – Removing the ulcer, or part of the stomach to reduce acid.
  • Graham Patch Repair – Using nearby tissue to patch a perforated ulcer, usually as an emergency.
  • Vagotomy – Cutting specific nerves to reduce acid production

 

For more information or to book a consultation with Dr Craven, please call us on (03) 9852 3777 or email us at info@dralexcraven.com.au.

Dr Alex Craven Provides Specialised Care In

Frequently Asked Questions

Most ulcers heal with medication and lifestyle changes. Surgery is usually reserved for complicated or recurring cases.

Yes, avoiding alcohol and smoking are critical to allowing ulcers to heal. For some patients, avoiding spicy, acidic, and greasy foods can help reduce symptoms and promote healing.

Recovery depends on the type of surgery and individual health, but patients typically return to normal activities within a few weeks.

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