Duodenitis

Duodenitis - inflammatory diseases of the duodenum. There are frequent, mostly in men. There are acute and chronic duodenitis, common and limited (mainly duodenal bulb - Potatoes).

Acute duodenitis usually occurs in combination with acute inflammation of the stomach and intestines as acute gastroenteritis gastroenterocolitis; is catarrhal, erosive and ulcerative and abscess.

Etiology, pathogenesis. Foodborne diseases, poisoning by toxic substances that have an irritating effect on the mucous membrane of the digestive tract, excessive intake is very spicy food is usually combined with a lot of alcoholic beverages, damage duodenal mucosa by foreign bodies.

Symptoms within. Characterized by epigastric pain, nausea, vomiting, weakness, tenderness to palpation in the epigastric region. Diagnosis (where necessary) confirmed duodenofibroskopi-it detects inflammatory changes in the duodenal mucosa. In very rare phlegmonous duodenitis rapidly deteriorating general condition of the patient, determined by the voltage of the muscles of the abdominal wall in the epigastric region, positive symptom Shchetkina - Bloom-berg, fever, leukocytosis, increased ESR. Duodenal intubation and duodenofibroskopiya contraindicated.

Acute catarrhal and erosive and ulcerative duodenitis usually ends with self-healing in a few days; a transition to a chronic form with repeated duodenitis. When fpegmonoznom duodenitis serious prognosis. Possible complications: intestinal bleeding, perforation of the bowel wall, the development of acute pancreatitis.

Treatment. In acute catarrhal and erosive and ulcerative duodenitis 1-2 days - hunger, bed rest, gastric lavage with a weak solution of potassium permanganate, followed by the 25-30 g of magnesium sulfate in a glass of water (to clean the intestines). In the following days - a diet № 1 a-1, binding and enveloping means inside, while the pain - and holinoliticheskie antispasmodic drugs. When phlegmonous duodenitis surgical treatment in combination with antibiotic therapy.

Chronic duodenitis is superficial, atrophic, interstitial, hyperplastic or erosion-but-ulcerative.

Etiology, pathogenesis. Irregular meals with frequent use of sharp, irritating too hot food, alcohol. Secondary chronic duodenitis is observed in chronic gastritis, peptic ulcer disease. gastric and duodenal ulcer, chronic pancreatitis, lyambpioze, food allergies, uremia. In addition to the direct effects of irritants to the mucous membrane of the duodenum, in the pathogenesis of chronic duodenitis is important proteolytic action on her active gastric juice (with trophic disorders, psoriasis).

Symptoms within. Characterized by epigastric pain - constant, dull or yazvennopodobnom nature, a feeling of fullness or rubbing in the upper abdomen after eating, loss of appetite, nausea and sometimes vomiting. Palpation, tenderness deep in the epigastric region. The diagnosis is confirmed duodeno-fiberscope. If necessary, a biopsy of the mucous membrane of the duodenum. These X-ray examination maloharakterny. For long with periods of exacerbation (with food and other errors.).

Forecast favorable with appropriate treatment. Complications: intestinal bleeding in patients with erosive and ulcerative duodenitis form.

Treatment is carried out in the period of acute hospital. Assign a diet number 1 and then 1 b, antacid (while maintaining the acidity of gastric juice), astringent, antispasmodic, and ganglioblokiruyuschie holinoliticheskie funds. In order to improve the regeneration process prescribed vitamins (A, B6, B12), in / in drip infusion of protein hydrolysates (aminopeptid, aminokrovin et al.), Aloe, pentoksil and others. At the secondary duodenitis necessary treatment of the underlying disease. Patients with chronic duodenitis should be under medical observation, it is shown holding anti-treatment (see. Peptic ulcer disease).

Prevention. Rational regular meals, the fight against alcoholism, timely treatment of other diseases against which there is a secondary duodenitis.