A Study of Treatment and Management Procedures of Peptic Ulcers in Hospitals in Bushenyi District.
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Date
2011-06
Authors
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Journal ISSN
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Publisher
Kampala International University, School of Health Science.
Abstract
Peptic ulcers is one of the common diseases affecting both men and women. It is a non racial.
worldwide disorder which has no significant preference rate for sex, season or culture. Most
esnmates suggest that between 5% and I 0% of the general population will develop a peptic ulcer
during their lifetime. Peptic ulcer bleeding is associated with substantial morbidity and
mortality.
A cross sectional prospective and descriptive study was carried out the in three hospitals located
Bushenyi district, western Uganda to study management and treatment procedures of peptic ulcers
disease. The data was collected by use of self-administered questionnaires consisting of both
open and close ended questions which was subjected to analysis using SPSS and EPI-info.
The goals of management are to control any active bleeding and prevent re-bleeding and then to
heal the ulcer and prevent its recurrence. Initial management strategies are guided by the
patient's clinical condition and endoscopic findings. Thus, treatment may consist of endoscopic
and medical therapy and, sometimes, surgery. Control of acid secretion, preferably with proton
pump inhibitor therapy in the initial management continues to evolve; it has also been used as
both an adjunct to endoscopic therapy and as primary treatment.
The long-term management of patients with peptic ulcer, after the initial bleeding episode,
should include patient stratification based upon risk factors for ulcer recurrence (i.e. Helicobacter
pylori infection, use of aspirin or nonsteroidal anti-inflammatory drugs). Elimination or
modification of these risk factors reduces the risk of ulcer recurrence and, hence, of recurrent
ulcer bleeding.
KEY WORDS: Peptic ulcel"s, effective management, endoscopy thempy, antibiotics, p•·oton
pump inhibitors.
Description
A research proposal submitted to the School of
Pharmacy Kampala International University in Partial
Fulfillment of the Requirements for the Award of
Bachelor of Pharmacy Degree.
Keywords
Peptic Ulcers, Hospitals, Treatment and Management, Bushenyi District