Primary Small-Bowel Ulcer

Primary small-bowel ulcer is idiopathic/secondary ulcer of jejunum/ileum, due to NSAIDs, Crohn disease, infection (TB/parasites), ischemia, or malignancy, presenting with abdominal pain, bleeding, and perforation. Treatment: identify/treat cause (stop NSAIDs; Crohn: 5-ASA/biologics; infection: antimicrobials); PPI; nutritional support; endoscopic hemostasis for bleeding; surgical resection for perforation/refractory bleeding; monitor for stricture/malignancy; follow-up endoscopy/imaging.

Common Symptoms

Abdominal pain; bleeding; perforation; by NSAID/Crohn/infection/ischemia

Causes and Pathogenesis

Drug/inflammatory/infectious causes small-bowel ulceration.

Treatment

Treat cause; PPI; nutrition; surgery if bleeding/perforation

Preventive Measures

Avoid NSAIDs; treat Crohn/infection; balanced diet.

Department to Visit

It is recommended to visit the Gastroenterology/Gastrointestinal-surgery department; an appointment can be booked on this platform before the visit.

Warm reminder: The above information is for health science reference only and cannot replace professional medical diagnosis. If you have related symptoms, please seek medical attention at a regular hospital promptly.