Duodenal ulcer – treatment of disease. Symptoms and prevention of the disease duodenal ulcer

Duodenal ulcer – What is this disease? Duodenal ulcer is a defect in the wall of the duodenum, that occurs as a result of acid on the mucous membrane.

Unlike surface defect mucous (erosion), ulcer heals with scar formation.

Duodenal ulcer – The cause of the

Ulcers disease duodenal ulcers are most commonly caused by infection with Helicobacter Pylori. The ulcer may develop due to increased acidity in the duodenum. Besides, Ulcerative processes can develop with regular admission to non-steroidal anti-inflammatory drugs (diclofenac sodium, aspirin, ibuprofen and other).

Ulcer development contributes to all, frequent alcohol use, unhealthy diet.

Proved, When working at night shift the risk of ulcers increases by 50%.

Symptoms of duodenal ulcer

Manifestations of duodenal ulcer:

• • Метеоризм.
• • Тошнота.
• • Вздутие живота.
• • Отрыжка кислым содержимым.
• • Боль в верхней части живота (epigastrium) the most common symptom. Pain often occur during the famine and pass after eating. The pain can give in the area of the heart, in the back (characteristic ulcers bulbs, changes the gatekeeper). Pain often occurs at night.

In the absence of treatment may occur vomiting blood. Also you can detect blood in the stool. Such symptoms are indicative of the development of internal bleeding, that is dangerous to the life of the patient.

In some cases there is asymptomatic diseases. Asymptomatic form of the disease often occurs in elderly patients.

Duodenal ulcer – Diagnostics

• • Общий анализ крови – наблюдаются признаки анемии.
• • Анализ кала на скрытую кровь.
• • Рентгенологический метод исследования – обнаруживаются нарушение гастродуоденальной моторики, stiff warp duodenal bulb ulcer.
• • Исследование кислотообразующей функции – внутрижелудочная рН-метрия, daily monitoring of intragastric Ph. Ulcer duodenal ulcer have received elevated or normal (less often) indicators acid products.
• • Эндоскопический метод исследования (fibrojezofagogastroduodenoskopija) confirms the ulcer, clarifies its depth, localization, dimensions, form, allows evaluating the State of DNA, ulcer edges, determine the related changes of the mucous membrane.
• • Биопсия с проведением гистологического исследования дает возможность исключить злокачественный характер поражения.
• • Исследования инфицирования Helicobacter pylori (breathing test, serological reactions).
• • Электрогастроэнтерография, antroduodenal'naja manometry-allow you to determine violations of gastroduodenal motility.

Duodenal ulcer – Types of disease

• • Острая язва двенадцатиперстной кишки (PDK) with rupture;
• • Острая язва ДПК с кровотечением;
• • Острая язва ДПК с кровотечением и прободением;
• • Хроническая или неуточненная язва ДПК с кровотечением;
• • Острая язва ДПК без кровотечения и прободения;
• • Хроническая или неуточненная язва ДПК с прободением;
• • Хроническая язва ДПК без кровотечения и прободения;
• • Хроническая или неуточненная язва ДПК с кровотечением и прободением;
• • Неуточненная как острая или хроническая язва ДПК без кровотечения или прободения.

Duodenal ulcer – Actions of the patient

Duodenal ulcer may be complicated by State, life-threatening patient, Therefore, if you experience symptoms, you must consult a gastroenterologist. The patient must follow a special diet.

Лечение язвы двенадцатиперстной кишки

In the past, surgical treatment method was one of the most common ulcer duodenal ulcer.

After the discovery of Helicobacter Pylori were developed modern methods of therapy, allow to cure this disease without surgery. Currently, surgical treatment is indicated only in the presence of complications (bleeding, penetration, ulcer perforation, formation of pyloric stenosis).

The goal of drug therapy-destruction (éradikaciâ) the bacteria Helicobacter Pylori, preventing the development of complications, restoration of the duodenal mucosa.

When ulcers associated with Helicobacter Pylori infection basic strategy treatment is a "triple" antihelikobakterna therapy for 7-10 days. First line therapy includes Proton pump inhibitor, clarithromycin, amoxicillin or metronidazole. Most zffektivna second line therapy-kvadroterapija with the addition of bismuth subcitrate.

Duodenal ulcer – Complications

• • Кровотечение;
• • Прободение (perforation) ulcers;
• • Пенетрация язвы;
• • Стеноз привратника.

Профилактика язвы двенадцатиперстной кишки

Duodenal ulcer prophylaxis consists in regular, adhering to a healthy lifestyle, proper nutrition. It is desirable to exclude alcohol, quit smoking.

For the prevention of exacerbations should stick to your diet, avoid stress, abandon bad habits. It is not recommended to work the night shift.