What is the most lethal complication of a peptic ulcer?
a. Bleeding
b. Perforation
c. Severe pain
d. Gastric outlet obstruction
ANS: B
Perforation is considered the most lethal complication of peptic ulcer. Bleeding may occur when the ulcer erodes into a blood vessel; however, perforation occurs when the ulcer crater penetrates the entire thickness of the wall of the stomach or duodenum. Gastric outlet obstruction can occur at any time and can be relieved by NG aspiration of stomach contents.
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