Peptic ulcer caused by immunotherapy can be treated by adjusting the treatment regimen or suspending the treatment, and then general treatment, prednisolone and other medications, surgery, etc. according to the progress and severity of the disease.
1. General treatment: peptic ulcer caused by immunotherapy, first need to suspend the program of medication or change the treatment program, so as not to aggravate the condition again. In addition, diet should be moderated, avoid eating spicy stimulation, too greasy food. At the same time also need to pay attention to food hygiene, to prevent cross-infection.
2. Drug treatment: enteritis and intestinal ulcers are common complications of immunotherapy, which can be treated with glucocorticoids such as prednisolone and antibiotics such as norfloxacin to prevent infection. Biological agents such as vedolizumab can also be used. For combined infections, antiviral drugs such as ribavirin, antibiotics such as norfloxacin and antifungal drugs such as ketoconazole can be selected according to different pathogenic microorganisms.
3. Surgical treatment: most ulcers can be cured by conservative treatment, for patients with unclear treatment effect or combined perforation, surgical treatment can be considered, including intestinal segmental resection.
Peptic ulcers caused by immunotherapy need to be regularly observed, and if there are symptoms such as diarrhea and abdominal pain, the doctor should be consulted in time, and then reasonable medication.