4th Pediatric Infectious Diseases Conference
 
 
Home  Back   ISSN 0973 - 0958
 
User name :
Password :
Specialist Answers
Question
Dear sir, what is the latest/updated/evidence-based management protocol for Duodenal ulcer in an adolescent child. Please specifically highlight indications for surgery. Exclude conditions like perforation or an active open bleeder caught open in cicatrized tissue due to chronicity. Is there something as failure of conservative management - necessitating surgery? What is the maximum period Rantidine and omeprazole group of drugs are to be given trial? Thanks Dr (Lt Col)Alok Dubey.
Answer
Operative intervention is indicated for massive intractable bleeding or perforation. Rarely, recurrent pyloric channel ulcers or pre-pyloric ulcers may result in gastric outlet obstruction, which requires an acid-reducing operation combined with a gastric-emptying procedure. Proton-pump inhibitors and ranitidine may be given for 6-8 weeks. Post-operatively they may be needed longer.
 
 
 
Pedi Poll
Today's Poll
Should teicoplannin, colistin be used in case of neonatal sepsis where culture does not reveal any organism_?
No, it should be used only after drug sensitivity report
Yes, under guidance of an infectious disease expert
Educational Section
 
Disclaimer:
The information given by www.pediatriconcall.com is provided by medical and paramedical & Health providers voluntarily for display & is meant only for informational purpose. The site does not guarantee the accuracy or authenticity of the information. Use of any information is solely at the user's own risk. The appearance of advertisement or product information in the various section in the website does not constitute an endorsement or approval by Pediatric Oncall of the quality or value of the said product or of claims made by its manufacturer.
 
copyright ©2011 website design & development by Levioza
Follow Us
Follow us on :
Folllow Us