Localised defect extending at least into submucosa

  • First part of duodenum, junction of antral/body mucosa, distal oesophagus most common sites
  • Caused by - hyperacidity, H. pylori, NSAIDs/smoking

Complications

  • Haemorrhage - acute and/or chronic Anaemia
  • Perforation - peritonitis/ penetration into adjacent organ (liver,..)
  • Stricturing - hour-glass deformity