Monday, December 1, 2014

Treatment of bleeding peptic ulcer mnemonic

The mnemonic is, "STOMACH"

S: Shock treatment
Stomach wash - Adrenaline in Saline given through Ryle's tube
Sclerotherapy
Surgery - Under running of the bleeder using vicryl; ligation of splenic vessels and splenectomy; partial gastrectomy and gastroduodenostomy

T: Transfusion of blood (Comes under shock treatment, it's actually a filler)
Tube (Stomach wash using Ryle's tube)

O: Other stuff you could give, like drugs

M: Mesoprostil injection (It's a cryoprotectant)

A: Angiographic embolization of gastroduodenal artery

C: Cauterization (Endoscopic)

H: Hemoclip, Heater probe

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