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.

Investigation

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Endoscopy shows multiple superficial gastric erosions.

Prevention

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Early initiation of oral feeds prevents Curling's Ulcer and its complications. In severe burns, omeprazole (or other proton pump inhibitors) are used.

Treatment

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proton pump inhibitors like omeprazole are generally given; endoscopic therapy, such as injection with adrenaline (epinephrine) is used if actively bleeding.

Complications

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Hemorrhage from Curling ulcers is an important concern in management.

Confusa

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A similar stress ulcer is seen in conjunction with raised intracranial pressure and is known by the name Cushing ulcer.

External links

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Gastroenterology