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Peptic Ulcer Surgery: The procedure, risks, complications, preparations

  • Posted on- Jul 27, 2016
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The Peptic Ulcer Surgery is a procedure to reduce the accumulation of acid within the stomach, in order to prevent the formation of ulcers. A Peptic Ulcer Surgery involves the oesophagus, stomach, duodenum, jejunum, and vagus nerves. The surgery is also known as Antrectomy, Pyloroplasty or Surgery for Peptic Ulcer.

What are the reasons behind Peptic Ulcer Surgery?

A Peptic Ulcer Surgery is performed for the following reasons:


How a peptic ulcer surgery is performed?

A Surgery for Peptic Ulcer is generally performed under general anaesthesia. Depending on the surgical procedure being performed, the following may be done:
  • Vagotomy: The surgeon cuts the vagus nerve (the nerve that transmits messages to increase acid secretion)
  • Antrectomy: This involves the removal of the lower portion of the stomach, called the antrum
  • Pyloroplasty: This procedure involves enlarging the passage between the stomach and the duodenum (the first portion of the small intestine)

A general surgeon or a gastrointestinal surgeon performs the peptic ulcer surgery procedure. The time taken depends on the type of peptic ulcer surgery procedure being performed, and it may take up to a few hours.

Preparations needed before a peptic ulcer surgery

  • The physician may evaluate the individual’s medical history to gain a comprehensive knowledge of the overall health status of the patient including information related to the medications that are being currently taken
  • Some medications increase a person’s chances of bleeding and it may be recommended to discontinue them for a period of time, before the procedure is performed
  • Blood tests may be performed to determine, if there is a bleeding tendency or any other medical conditions that prevents the person from undergoing the procedure
  • Do inform the physician if you are allergic to any local anaesthetics, lidocaine, etc.
  • Avoid application of any cosmetics, deodorant, or topical medicines on the area, prior to the procedure
  • It is advisable to quit smoking and the use of any nicotine based products, for a while, before the surgery
  • Consumption of alcoholic drinks must also be avoided for a period of time, as instructed
  • The patient must avoid eating or drinking at least 8 hours prior to the surgical procedure, depending on when the procedure is arranged
  • For persons suffering from diabetes, it is important that the blood sugar stays within the normal range if not their diabetologist may have to control blood sugar by recommending insulin or a combination of oral medicines

Diagnostic lab tests needed before a peptic ulcer surgery

Before a peptic ulcer surgery procedure, the patient has to undergo certain tests, such as:

Risks and complications during peptic ulcer surgery surgical procedure

The possible risks or complications that may arise during the peptic ulcer surgery are:
  • Excessive bleeding
  • Infection in the surgical wound
  • Anaesthetic complications
  • Accidental injury to large blood vessels and surrounding nerves within the neck, top of the lungs, thoracic duct, and laryngeal nerve

Risks and complications after peptic ulcer surgery surgical procedure

Post peptic ulcer surgery, the following complications may arise:
  • Excessive bleeding
  • Infection in the surgical wound
  • Incisional hernia
  • Recurring peptic ulcers
  • Excessive diarrhoea
  • Malnutrition
  • The occurrence of symptoms that cause uneasiness, such as flushing, fainting, or diarrhoea after consuming certain foods

Post-operative care needed after peptic ulcer surgery surgical procedure

At home, the following post-operative care is recommended after a peptic ulcer surgery:
  • Slowly resume daily activities as early as possible, which aids in faster recovery
  • Use a heat pad or warm compress to relieve pain due to the incision
  • Resume showering and keep the wound clean and dry. Avoid taking baths until the surgical wound is completely healed. Gently wash the surgical wound with unscented soap and re-bandage the wound again
  • Complete the course of prescribed medication under advice of the physician
  • Take antibiotic medication to help combat or prevent infection (per the physician’s advice)
  • Avoid taking non-prescription medications, such as aspirin. However, individuals may take acetaminophen to relieve pain, per the physician’s advise
  • Resume driving after 2 weeks, or only when advised by your physician
  • Individuals are advised to have clear liquids immediately following surgery, until the gastrointestinal tract begins functioning properly. They are then advised to have a well-balanced diet, which can aid in a faster recovery

Comments

user profile image
18-02-2018 02:32 PM

Great information shared. It was very helpful. Will contact Lazoi in future for Sure.

user profile image
12-09-2016 08:50 PM

I was suffering from accumulation of acid within the stomach, so my doctor advised me to go through Peptic Ulcer Surgery. Post operational results are quite positive.

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