Peptic ulcer

1. Sequelae of peptic ulcer
surgery

2. 1. Recurrent ulceration
2. Small stomach synd
3. Bile vomiting
4. Dumpings
5. Postvagotomy diarrhoea
6. Malignant transformation
7. Nutritional conseq
8. Gallstones

3. Recurrent ulceration
● Easiest problem to treat
● Presnt with complications bleeding,perforation,Gjcolic fistula
● Anastomtic ulcer penetrates into transverse colon
● First correct dehydration,malnutrition thn revisional surgery

4. Small stomach synd
● Early satiety aftr most ulcer operations due to loss of receptive relaxation

5. ● Bile vomiting
● Aftr aany vagtmy nd drainage or Gastrectomy
● Followin Gastrectomy rouxen y diversion is best
● In plyoroplasty…Antrectomy and rouxen y reconstruction

6. ● Early dumpin…abd,vasomtr symptoms in 5 to 10% follow Gastrectomy or
vagtmy nd drainage