Sunday, February 19, 2017

Q; Which of the following part of the gastrointestinal tract is more prone to stress ulceration in first few days of ICU admission?

A) Fundus and body of the stomach
B) Antrum
C) Duodenum
D) Distal esophagus
E) Colon


Answer:  

Stress ulceration in first few days of ICU admissions tends to occur in the proximal regions of the stomach. But, stress ulcerations that develop later during the intensive care hospitalization tend to be more distal and deeper.



References: 

1.  Shuman RB, Schuster DP, Zuckerman GR. Prophylactic therapy for stress ulcer bleeding: a reappraisal. Ann Intern Med 1987; 106:562. 

2. Cook DJ, Griffith LE, Walter SD, et al. The attributable mortality and length of intensive care unit stay of clinically important gastrointestinal bleeding in critically ill patients. Crit Care 2001; 5:368. 

3. DePriest JL. Stress ulcer prophylaxis. Do critically ill patients need it? Postgrad Med 1995; 98:159. 

4. Terdiman JP, Ostroff JW. Gastrointestinal bleeding in the hospitalized patient: a case-control study to assess risk factors, causes, and outcome. Am J Med 1998; 104:349.

No comments:

Post a Comment