-
DE
K27.4 – Chronic Peptic Ulcer with Hemorrhage | ICD-10
K27.4 is an ICD-10 code for a chronic peptic ulcer of unspecified site with hemorrhage. It describes a recurring ulcer with bleeding complications that cannot be attributed to a specific location.
Add as Preferred SourceThings worth knowing about "K27.4"
K27.4 is an ICD-10 code for a chronic peptic ulcer of unspecified site with hemorrhage. It describes a recurring ulcer with bleeding complications that cannot be attributed to a specific location.
What Does the ICD-10 Code K27.4 Mean?
The code K27.4 comes from the International Classification of Diseases (ICD-10) and stands for a chronic peptic ulcer of unspecified site with hemorrhage. This means that a long-lasting ulcer is present that causes bleeding but cannot be clearly assigned to the stomach (gastric ulcer) or the duodenum (duodenal ulcer).
Causes
A peptic ulcer develops when the protective lining of the stomach is damaged. Common causes include:
- Helicobacter pylori infection: The bacterium Helicobacter pylori is the most common cause of peptic ulcers. It attacks the mucous membrane and promotes acid production.
- NSAID use: Non-steroidal anti-inflammatory drugs (e.g., ibuprofen, diclofenac) inhibit protective factors of the gastric lining and can trigger ulcers.
- Increased acid production: Excessive stomach acid can damage the lining, for example in Zollinger-Ellison syndrome.
- Chronic stress: Severe illness or surgery can promote stress ulcers.
- Smoking and alcohol: Both factors impair the mucosal barrier and slow down healing.
Symptoms
An actively bleeding ulcer can manifest through various complaints:
- Black, tarry stools (melena), a sign of upper gastrointestinal bleeding
- Vomiting of blood (hematemesis), sometimes resembling coffee grounds
- Upper abdominal pain, often when fasting or at night
- Dizziness, weakness, and pallor in cases of significant blood loss
- Drop in blood pressure and rapid heartbeat during severe bleeding
Diagnosis
The most important diagnostic measure is gastroscopy (upper endoscopy). During this procedure, a thin tube with a camera is inserted through the mouth into the stomach. This allows the source of bleeding to be located, the cause to be investigated, and a therapeutic intervention (e.g., hemostasis) to be performed at the same time. Blood tests (complete blood count, coagulation) and a test for Helicobacter pylori are carried out as supplementary measures.
Treatment
Treatment depends on the underlying cause and the severity of the bleeding:
- Endoscopic hemostasis: During gastroscopy, bleeding is stopped by injection therapy, clip application, or coagulation.
- Proton pump inhibitors (PPIs): Medications such as omeprazole or pantoprazole strongly suppress stomach acid production and promote mucosal healing.
- Helicobacter pylori eradication: If an infection is confirmed, a combination of antibiotics and PPIs is used to eliminate the bacterium and prevent recurrence.
- Discontinuation of triggering medications: NSAIDs are discontinued where possible or replaced with more stomach-friendly alternatives.
- Surgical intervention: In rare cases where endoscopic measures are insufficient, surgery may be required.
Prognosis and Outlook
With adequate treatment, a peptic ulcer heals well in most cases. The risk of recurrence is low when the underlying cause – especially a Helicobacter pylori infection – is successfully treated. If left untreated, serious complications such as persistent bleeding, perforation (rupture of the stomach wall), or gastric outlet obstruction can occur.
References
- Laine L, Jensen DM. Management of Patients with Ulcer Bleeding. American Journal of Gastroenterology. 2012;107(3):345–360.
- Malfertheiner P, Megraud F, et al. Management of Helicobacter pylori infection – the Maastricht V/Florence Consensus Report. Gut. 2017;66(1):6–30.
- World Health Organization (WHO). ICD-10 – International Classification of Diseases, 10th Revision. Chapter XI: Diseases of the Digestive System (K00–K93). Geneva: WHO.
Building Blocks for a Healthy Life
As an integrated manufacturer, we develop & produce evidence-based, patented, and non-patented formulations. We work exclusively with plant and natural extracts according to the strictest purity & quality standards.
The combination of science & modern technology with the laws of nature creates solutions consistently tailored to humans – for the highest good: health.
Skip product gallery
Subscription available
Floral
For Healthy Oral Flora & Dental Care
Formulated lozenges with Dentalac®, lactic acid bacteria, and Lactoferrin CLN®30 lozenges
Regular price:
22,90 €
Discount
Subscription available
Lactoferrin 60 Capsules
For your universal protection
As one of the most valuable proteins in the body, lactoferrin is a natural component of the immune system.
60 Capsules
Sale price:
50,00 €
Regular price:
59,90 €
Subscription available
Multivitamin Mineral Complex
Daily basic supply: the complete spectrum of micronutrients
Natural multivitamin complex for the immune system, energy, and central body functions
30 Capsules
Regular price:
29,90 €
Subscription available
Natural Iron
For your iron balance
Specially formulated for your iron balance with plant-based curry leaf iron, Lactoferrin CLN®, and natural Vitamin C from rose hips.
30 Capsules
Regular price:
35,90 €