SITES OF CHRONIC PEPTIC ULCER

SITES OF CHRONIC PEPTIC ULCER
  • Peptic ulcers are four times more common in the proximal duodenum than in the stomach
  •  Duodenal ulcers usually occur within a few centimeters of the pyloric valve (first part of duodenum) and involve the anterior duodenal wall
  • Gastric peptic ulcers are predominantly located along the lesser curvature near the interface of the body and antrum. Anterio, posterior wall and greater curvature are less commonly affected
  • Uncommon locations include – within or adjacent to  meckles diverticulum
  • In duodenum, stomach or jejunum in patients with Zollinger-Ellison syndrome
  • In the margins of gastroenterostomy (stomal ulcer)