# Stress ulceration

Stress ulceration

This commonly occurs in patients with major injury or illness who have undergone major surgery or who have major - comorbidity . Many such patients are found in intensive care - units. The incidence has reduced in recent years owing to the widespread use of  prophylactic acid inhibition and nasogastric or oral administration of  sucralfate. Endoscopic means of treating stress ulceration may be ine ff ective and operation may be required. The principles of  management are the same as for a chronic ulcer.