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Gastric Ulcer
Atif Zaheer, MD; Michael P. Federle, MD, FACR
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KEY FACTS

  • Imaging

    • Top Differential Diagnoses

      • Pathology

        • Clinical Issues

          TERMINOLOGY

          • Abbreviations

            • Gastric ulcer (GU)
          • Definitions

            • Inflammatory erosion of gastric mucosa ± submucosal or deeper penetration

          IMAGING

          • General Features

            • Radiographic 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. Shin D et al: Imaging of gastrointestinal tract perforation. Radiol Clin North Am. 58(1):19-44, 2020
                                      2. Tonolini M et al: Non-perforated peptic ulcer disease: multidetector CT findings, complications, and differential diagnosis. Insights Imaging. 8(5):455-69, 2017
                                      3. Guniganti P et al: CT of gastric emergencies. Radiographics. 35(7):1909-21, 2015
                                      4. Dib RA et al: Ulcer and bleeding complications and their relationship with dyspeptic symptoms in NSAIDs users: a transversal multicenter study. Scand J Gastroenterol. 49(7):785-9, 2014
                                      5. 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
                                      6. Chen CY et al: MDCT for differentiation of category T1 and T2 malignant lesions from benign gastric ulcers. AJR Am J Roentgenol. 190(6):1505-11, 2008
                                      7. Horton KM et al: Current role of CT in imaging of the stomach. Radiographics. 23(1):75-87, 2003
                                      8. Insko EK et al: Benign and malignant lesions of the stomach: evaluation of CT criteria for differentiation. Radiology. 228(1):166-71, 2003
                                      9. Pattison CP et al: Helicobacter pylori and peptic ulcer disease: evolution to revolution to resolution. AJR Am J Roentgenol. 168(6):1415-20, 1997
                                      10. Fishman EK et al: CT of the stomach: spectrum of disease. Radiographics. 16(5):1035-54, 1996
                                      11. Levine MS et al: The Helicobacter pylori revolution: radiologic perspective. Radiology. 195(3):593-6, 1995
                                      12. 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

                                      • Imaging

                                        • Top Differential Diagnoses

                                          • Pathology

                                            • Clinical Issues

                                              TERMINOLOGY

                                              • Abbreviations

                                                • Gastric ulcer (GU)
                                              • Definitions

                                                • Inflammatory erosion of gastric mucosa ± submucosal or deeper penetration

                                              IMAGING

                                              • General Features

                                                • Radiographic 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. Shin D et al: Imaging of gastrointestinal tract perforation. Radiol Clin North Am. 58(1):19-44, 2020
                                                                          2. Tonolini M et al: Non-perforated peptic ulcer disease: multidetector CT findings, complications, and differential diagnosis. Insights Imaging. 8(5):455-69, 2017
                                                                          3. Guniganti P et al: CT of gastric emergencies. Radiographics. 35(7):1909-21, 2015
                                                                          4. Dib RA et al: Ulcer and bleeding complications and their relationship with dyspeptic symptoms in NSAIDs users: a transversal multicenter study. Scand J Gastroenterol. 49(7):785-9, 2014
                                                                          5. 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
                                                                          6. Chen CY et al: MDCT for differentiation of category T1 and T2 malignant lesions from benign gastric ulcers. AJR Am J Roentgenol. 190(6):1505-11, 2008
                                                                          7. Horton KM et al: Current role of CT in imaging of the stomach. Radiographics. 23(1):75-87, 2003
                                                                          8. Insko EK et al: Benign and malignant lesions of the stomach: evaluation of CT criteria for differentiation. Radiology. 228(1):166-71, 2003
                                                                          9. Pattison CP et al: Helicobacter pylori and peptic ulcer disease: evolution to revolution to resolution. AJR Am J Roentgenol. 168(6):1415-20, 1997
                                                                          10. Fishman EK et al: CT of the stomach: spectrum of disease. Radiographics. 16(5):1035-54, 1996
                                                                          11. Levine MS et al: The Helicobacter pylori revolution: radiologic perspective. Radiology. 195(3):593-6, 1995
                                                                          12. Jacobs JM et al: Peptic ulcer disease: CT evaluation. Radiology. 178(3):745-8, 1991