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Duodenal Ulcer
Michael P. Federle, MD, FACR
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Clinical Issues

          • Diagnostic Checklist

            TERMINOLOGY

            • Synonyms

              • Peptic ulcer disease
            • Definitions

              • Mucosal erosion of duodenum

            IMAGING

            • General Features

              • Fluoroscopic Findings

                • CT Findings

                  • Imaging Recommendations

                    DIFFERENTIAL DIAGNOSIS

                      PATHOLOGY

                      • General Features

                        • Gross Pathologic & Surgical Features

                          • Microscopic Features

                            CLINICAL ISSUES

                            • Presentation

                              • Demographics

                                • Natural History & Prognosis

                                  • Treatment

                                    DIAGNOSTIC CHECKLIST

                                    • Consider

                                      • Image Interpretation Pearls

                                        Selected References

                                        1. Levenstein S et al: Psychological Stress Increases Risk for Peptic Ulcer, Regardless of Helicobacter pylori Infection or use of Non-steroidal Anti-inflammatory Drugs. Clin Gastroenterol Hepatol. ePub, 2014
                                        2. Schroder VT et al: Vagotomy/drainage is superior to local oversew in patients who require emergency surgery for bleeding peptic ulcers. Ann Surg. 259(6):1111-8, 2014
                                        3. Khamaysi I et al: Acute upper gastrointestinal bleeding (UGIB) - initial evaluation and management. Best Pract Res Clin Gastroenterol. 27(5):633-8, 2013
                                        4. Chen TS et al: Clinical characteristics of Helicobacter pylori-negative duodenal ulcer disease. Hepatogastroenterology. 55(86-87):1615-8, 2008
                                        5. Jayaraman MV et al: CT of the duodenum: an overlooked segment gets its due. Radiographics. 21 Spec No:S147-60, 2001
                                        6. Pattison CP et al: Helicobacter pylori and peptic ulcer disease: evolution to revolution to resolution. AJR Am J Roentgenol. 168(6):1415-20, 1997
                                        7. Levine MS et al: The Helicobacter pylori revolution: radiologic perspective. Radiology. 195(3):593-6, 1995
                                        8. Jacobs JM et al: Peptic ulcer disease: CT evaluation. Radiology. 178(3):745-8, 1991
                                        Related Anatomy
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                                        Related Differential Diagnoses
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                                        References
                                        Tables

                                        Tables

                                        KEY FACTS

                                        • Terminology

                                          • Imaging

                                            • Top Differential Diagnoses

                                              • Clinical Issues

                                                • Diagnostic Checklist

                                                  TERMINOLOGY

                                                  • Synonyms

                                                    • Peptic ulcer disease
                                                  • Definitions

                                                    • Mucosal erosion of duodenum

                                                  IMAGING

                                                  • General Features

                                                    • Fluoroscopic Findings

                                                      • CT Findings

                                                        • Imaging Recommendations

                                                          DIFFERENTIAL DIAGNOSIS

                                                            PATHOLOGY

                                                            • General Features

                                                              • Gross Pathologic & Surgical Features

                                                                • Microscopic Features

                                                                  CLINICAL ISSUES

                                                                  • Presentation

                                                                    • Demographics

                                                                      • Natural History & Prognosis

                                                                        • Treatment

                                                                          DIAGNOSTIC CHECKLIST

                                                                          • Consider

                                                                            • Image Interpretation Pearls

                                                                              Selected References

                                                                              1. Levenstein S et al: Psychological Stress Increases Risk for Peptic Ulcer, Regardless of Helicobacter pylori Infection or use of Non-steroidal Anti-inflammatory Drugs. Clin Gastroenterol Hepatol. ePub, 2014
                                                                              2. Schroder VT et al: Vagotomy/drainage is superior to local oversew in patients who require emergency surgery for bleeding peptic ulcers. Ann Surg. 259(6):1111-8, 2014
                                                                              3. Khamaysi I et al: Acute upper gastrointestinal bleeding (UGIB) - initial evaluation and management. Best Pract Res Clin Gastroenterol. 27(5):633-8, 2013
                                                                              4. Chen TS et al: Clinical characteristics of Helicobacter pylori-negative duodenal ulcer disease. Hepatogastroenterology. 55(86-87):1615-8, 2008
                                                                              5. Jayaraman MV et al: CT of the duodenum: an overlooked segment gets its due. Radiographics. 21 Spec No:S147-60, 2001
                                                                              6. Pattison CP et al: Helicobacter pylori and peptic ulcer disease: evolution to revolution to resolution. AJR Am J Roentgenol. 168(6):1415-20, 1997
                                                                              7. Levine MS et al: The Helicobacter pylori revolution: radiologic perspective. Radiology. 195(3):593-6, 1995
                                                                              8. Jacobs JM et al: Peptic ulcer disease: CT evaluation. Radiology. 178(3):745-8, 1991