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General Surgery/Bleeding Peptic Ulcer

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Question
Would a person who has a severely bleeding perforated ulcer require immediate emergency surgery? If so, what type of surgery would he require? If not, what would the treatment plan be? The scenario is that a person has an untreated ulcer, which has been slowly bleeding for awhile, that gets so bad he starts to vomit blood. I'm assuming he would need a blood transfusion too, right?

I really appreciate your help!

Answer
Dear JD,

A bleeding ulcer can be a medical emergency based on a few reasons. The two main reasons are gastric perforation and blood loss. An ulcer is an erosion in the lining of the stomach. Since it is now a bleeding ulcer, it has eroded down to the level of the blood vessels. A gastroenterologist is the best person to properly diagnose this. They are able to use a scope with a fiber optic camera at the end to visualize the damage. I recommend not putting this off. This can also be a sign of cancer. The earlier it is diagnosed, the better.  

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Dr. Pamela M. Cipriano, DNP, ACNP-BC

Expertise

GENERAL SURGERY Intestinal obstructions; Perforations; Ostomy; End ileostomy; Hemicolectomy; Take down ileostomy; Ostomy reversals; Diverticulitis; Chrohns Disease; Appendectomy; Cholecystectomy (gallbladder); Ventral hernia repair; Inguinal hernia repair; Umbilical hernia repair; Chest tubes; Pleurex catheters; Lobe-ectomy; Pneumonectomy; Thoracotomy; Pleuradesis; Thyroid surgery; Mastectomy; Lumpectomy LAPAROSCOPIC - LAPAROTOMY - LAPAROSCOPIC ASSISTED

Experience

My name is Dr. Cipriano. I am a Hospitalist on the Medical Staff. I round, admit, discharge, consult and assist with surgeries in the OR. I manage patients in the ICU and Med/Surg floors. I also work in the emergency department. I am certified critical care nurse (CCRN). And ACLS certified. I

Organizations
Society of Hospital Medicine American College of Nurse Practitioners Connecticut Advance Practice Registered Nurse Society

Education/Credentials
Maryville University 2014-2016 Doctor of Nursing Practice University of Connecticut 2007-2011 MSN, Acute Care Track Nurse Practitioner. Board Certified September 2011 Central Connecticut State University 2002-2006 BA Psychology St. Mary's Hospital School of Nursing 1991-1993 Diploma Nursing Registered Nurse

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