What is a Forrest Class 3 ulcer?
Forrest III (Lesions without signs of recent hemorrhage or fibrin-covered clean ulcer base)
What is the Forrest classification used for?
The Forrest Classification was first described in 1974 by J.A. Forrest et al. in TheLancet1. This classification is a widely used classification of ulcer-related upper gastrointestinal bleeding. It was initially developed to unify the description of ulcer bleeding for better communication amongst endoscopists.
What are the two 2 most common site of ulcerations in PUD?
This chapter provides information related to peptic ulcer disease (PUD), which is comprised of duodenal ulcer (DU) and gastric ulcer (GU). DU occurs most often in the first part of the duodenum or in the pre-pyloric region of the stomach (antrum).
What are clean based ulcers?
The endoscopic appearance of an ulcer provides important prognostic information. Endoscopic intervention is indicated in active bleeding, non-bleeding visible vessel, and active bleeding or visible vessel exposed after adherent clot removal. This is a clean based gastric ulcer.
What is Forrest ulcer?
The Forrest classification differentiates ulcers with a spurting hemorrhage (Forrest Ia), an oozing hemorrhage (Forrest Ib), with a visible vessel (Forrest IIa), an adherent clot (Forrest IIb), hematin on the ulcer base (Forrest IIc), and a clean ulcer base (Forrest III).
What does no stigmata of bleeding mean?
Stigmata of recent hemorrhage – sometimes just called “stigmata” are findings during an EGD that indicate a higher risk of bleeding or re-bleeding. Stigmata are usually treated during the EGD when they are found. This treatment reduces the chance of bleeding. Ulcer – an open sore.
What is antral ulcer?
Peptic ulcers can also affect the gastric antrum. When this happens, they’re often called antral ulcers. These develop along the lining within this portion of the stomach. The most common symptom of an antral ulcer is burning or gnawing abdominal pain that usually occurs right after eating.
Why do gastric ulcers worse with food?
The most common peptic ulcer symptom is burning stomach pain. Stomach acid makes the pain worse, as does having an empty stomach. The pain can often be relieved by eating certain foods that buffer stomach acid or by taking an acid-reducing medication, but then it may come back.
What painkillers can I take with a stomach ulcer?
In general, people with ulcers should use acetaminophen for over-the-counter pain relief. Unless your doctor has said it’s OK, you should not use aspirin, ibuprofen, ketoprofen, or naproxen sodium. If acetaminophen doesn’t help with your pain, see your doctor.