Curling ulcer
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A Curling ulcer is a stress ulcer associated with severe burns. The mechanism of ulcer formation is loss of plasma volume leading to sloughing of the gastric mucosa (Stomach).
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[edit] Treatment and Preventation
Endoscopy shows multiple superficial gastric erosions. Early initiation of oral feeds prevents Curling's Ulcer and its complications. In severe burns, omeprazole (or other proton pump inhibitors) are used. Proton Pump inhibitors like omeprazole are generally given; endoscopic therapy, such as injection with adrenaline (epinephrine) is usually used if actively bleeding.
[edit] Complications
Hemorrhage from Curling ulcers is an important concern in management.
[edit] Confusa
A similar stress ulcer is seen in conjunction with raised intracranial pressure and is known by the name Cushing ulcer.
[edit] External links
