Curling's ulcer: Difference between revisions
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{{short description|Damage to the stomach lining due to severe burns}} |
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{{Infobox medical condition (new) |
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Name = Curling's ulcer | |
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| name = Curling's ulcer |
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| field = [[General surgery]], [[Gastroenterology]] |
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| synonyms = Curling ulcer |
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| ⚫ | '''Curling's |
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| ⚫ | '''Curling's ulcer''' is an acute [[gastric erosion]] resulting as a complication from severe burns when reduced [[blood plasma|plasma]] volume leads to [[ischemia]] and cell [[necrosis]] (sloughing) of the [[gastric mucosa]]. The condition was first described in 1823 and named after [[Thomas Blizard Curling]], who observed ten such cases in 1842.<ref name="Pruitt">{{cite journal |author1=Pruitt, Basil A. Jr. |author2=F.D. Foley |author3=John A. Moncrief |name-list-style=amp |title=Curling's ulcer: a clinical-pathology study of 323 cases |journal=Annals of Surgery |volume=172 |date=October 1970 |pmid=5311720 |issue=4 |pages=523–39 |pmc=1397279 |doi=10.1097/00000658-197010000-00001}}</ref><ref>{{cite journal|author=Curling, T. B.|title=On acute ulceration of the duodenum, in cases of burn|journal=Medico-Chirurgical Transactions|year=1842|volume=25|pages=260–281|url=https://babel.hathitrust.org/cgi/pt?id=ien.35558002113609;view=1up;seq=296}}</ref> |
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| ⚫ | These [[stress ulcer]]s were once a common complication of serious burns, presenting in over 10% of cases,<ref name="Pruitt" /> and especially common in child burn victims.<ref>{{cite journal | |
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| ⚫ | These [[stress ulcer]]s (actually shallow multiple erosions) were once a common complication of serious burns, presenting in over 10% of cases,<ref name="Pruitt" /> and especially common in child burn victims.<ref>{{cite journal |author1=Bruck, H.M. |author2=Basil A. Pruitt Jr. |title=Curling's ulcer in children: a 12-year review of 63 cases |journal=Journal of Trauma |volume=12 |date=June 1972 |pmid=5033495 |issue=6 |pages=490–6 |doi=10.1097/00005373-197206000-00006}}</ref> They result in perforation and [[hemorrhage]] more often than other forms of intestinal ulceration<ref>{{cite journal |author=Lev R. |title=Letter: Stress erosions |journal=Am J Dig Dis |volume=18 |issue=12 |pages=1099–100 |date=December 1973 |pmid=4543410 |doi=10.1007/BF01076530 |last2=Klein |first2=Martin S. |last3=Ennis |first3=Frank |last4=Sherlock |first4=Paul |last5=Winawer |first5=Sidney J. }}</ref> and had correspondingly high mortality rates (at least 80%).<ref name="Pruitt" /><ref>{{cite book | language=Spanish | last = Pedro-Pons | first = Agustín | title = Patología y Clínica Médicas | edition =3rd | publisher = Salvat | location = Barcelona | year = 1968 | volume = 6 | page = 1198 | isbn = 84-345-1106-1 }}</ref> |
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A similar condition involving elevated intracranial pressure is known as [[Cushing's ulcer]]. |
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==Treatment== |
==Treatment== |
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While emergency surgery was once the only treatment, combination therapies including [[feeding tube|enteral feeding]] with powerful antacids such as [[H2-receptor antagonist|H<sub>2</sub>-receptor antagonists]] or, more recently, [[proton pump inhibitors]] such as [[omeprazole]] have made Curling's ulcer a rare complication.<ref>{{cite journal | |
While emergency surgery was once the only treatment, combination therapies including [[feeding tube|enteral feeding]] with powerful antacids such as [[H2-receptor antagonist|H<sub>2</sub>-receptor antagonists]] or, more recently, [[proton pump inhibitors]] such as [[omeprazole]] have made Curling's ulcer a rare complication.<ref>{{cite journal |vauthors=Moran KT, O'Reilly T, Munster AM |title=A combined regimen for the prophylaxis of Curling's ulcer |journal=Am Surg |volume=53 |issue=10 |pages=575–6 |date=October 1987 |pmid=2890321 }}</ref> |
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==See also== |
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* [[Cushing ulcer]] |
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==References== |
==References== |
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{{Reflist}} |
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== External links == |
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{{Medical resources |
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| DiseasesDB = 3237 |
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| MeshID = D004381 |
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{{Digestive system diseases}} |
{{Digestive system diseases}} |
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Latest revision as of 17:13, 27 October 2024
| Curling's ulcer | |
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| Other names | Curling ulcer |
| Specialty | General surgery, Gastroenterology |
Curling's ulcer is an acute gastric erosion resulting as a complication from severe burns when reduced plasma volume leads to ischemia and cell necrosis (sloughing) of the gastric mucosa. The condition was first described in 1823 and named after Thomas Blizard Curling, who observed ten such cases in 1842.[1][2]
These stress ulcers (actually shallow multiple erosions) were once a common complication of serious burns, presenting in over 10% of cases,[1] and especially common in child burn victims.[3] They result in perforation and hemorrhage more often than other forms of intestinal ulceration[4] and had correspondingly high mortality rates (at least 80%).[1][5]
Treatment
[edit]While emergency surgery was once the only treatment, combination therapies including enteral feeding with powerful antacids such as H2-receptor antagonists or, more recently, proton pump inhibitors such as omeprazole have made Curling's ulcer a rare complication.[6]
See also
[edit]References
[edit]- ^ a b c Pruitt, Basil A. Jr.; F.D. Foley & John A. Moncrief (October 1970). "Curling's ulcer: a clinical-pathology study of 323 cases". Annals of Surgery. 172 (4): 523–39. doi:10.1097/00000658-197010000-00001. PMC 1397279. PMID 5311720.
- ^ Curling, T. B. (1842). "On acute ulceration of the duodenum, in cases of burn". Medico-Chirurgical Transactions. 25: 260–281.
- ^ Bruck, H.M.; Basil A. Pruitt Jr. (June 1972). "Curling's ulcer in children: a 12-year review of 63 cases". Journal of Trauma. 12 (6): 490–6. doi:10.1097/00005373-197206000-00006. PMID 5033495.
- ^ Lev R.; Klein, Martin S.; Ennis, Frank; Sherlock, Paul; Winawer, Sidney J. (December 1973). "Letter: Stress erosions". Am J Dig Dis. 18 (12): 1099–100. doi:10.1007/BF01076530. PMID 4543410.
- ^ Pedro-Pons, Agustín (1968). Patología y Clínica Médicas (in Spanish). Vol. 6 (3rd ed.). Barcelona: Salvat. p. 1198. ISBN 84-345-1106-1.
- ^ Moran KT, O'Reilly T, Munster AM (October 1987). "A combined regimen for the prophylaxis of Curling's ulcer". Am Surg. 53 (10): 575–6. PMID 2890321.