Acute duodenitis and duodenal ulceration after burns. Clinical and pathological characteristics

A. J. Czaja, J. C. McAlhany, Basil A Pruitt

Research output: Contribution to journalArticle

27 Citations (Scopus)

Abstract

The clinical and pathological characteristics of Curling ulcer were defined by early and serial endoscopic examinations of the duodenum in 37 burned patients. Duodenal disease was present in 27 patients and occurred only in patients with burns involving more than 38% of the total body surface. Erosive 'duodenitis' could occur within 12 hours after injury and was usually associated with acute gastric disease. Isolated duodenitis occurred only in patients with pancreatitis. Contrast roentgenograms did not reliably show the superficial mucosal disease. Duodenal ulcerations were present in 12 patients and developed on a background of diffuse superficial mucosal injury. Other complications in the patient's postburn course influenced disease progression. Hemorrhage occurred in six patients with duodenal disease, usually originating from a posterior duodenal ulcer. Uncomplicated ulcers invariably healed within five weeks after diagnosis.

Original languageEnglish (US)
Pages (from-to)621-624
Number of pages4
JournalJournal of the American Medical Association
Volume232
Issue number6
DOIs
StatePublished - 1975

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Duodenitis
Burns
Duodenal Diseases
Duodenal Ulcer
Stomach Diseases
Wounds and Injuries
Acute Disease
Duodenum
Pancreatitis
Ulcer
Disease Progression
Hemorrhage

ASJC Scopus subject areas

  • Medicine(all)

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Acute duodenitis and duodenal ulceration after burns. Clinical and pathological characteristics. / Czaja, A. J.; McAlhany, J. C.; Pruitt, Basil A.

In: Journal of the American Medical Association, Vol. 232, No. 6, 1975, p. 621-624.

Research output: Contribution to journalArticle

Czaja, A. J. ; McAlhany, J. C. ; Pruitt, Basil A. / Acute duodenitis and duodenal ulceration after burns. Clinical and pathological characteristics. In: Journal of the American Medical Association. 1975 ; Vol. 232, No. 6. pp. 621-624.
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