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

Язва двенадцатиперстной кишки – что это за заболевание? 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.

Язва двенадцатиперстной кишки – Причины возникновения

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:

• • flatulence.
• • Nausea.
• • Bloating.
• • Outpatient with acidic contents.
• • Pain in the upper abdomen (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.

Язва двенадцатиперстной кишки – Диагностика

• • General blood test - there are signs of anemia.
• • Calais analysis for hidden blood.
• • X -ray research method - a violation of gastroduodenal motility is detected, stiff warp duodenal bulb ulcer.
• • study of acid-forming function-intravenous pH-meter, daily monitoring of intragastric Ph. Ulcer duodenal ulcer have received elevated or normal (less often) indicators acid products.
• • Endoscopic research method (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.
• • Biopsy with a histological examination makes it possible to exclude the malignant nature of the lesion.
• • Helicobacter pylori infection research (breathing test, serological reactions).
• • Electro -gastroenterography, antroduodenal'naja manometry-allow you to determine violations of gastroduodenal motility.

Язва двенадцатиперстной кишки – Виды заболевания

• • acute duodenal ulcer (PDK) with rupture;
• • Acute DPP ulcer with bleeding;
• • Acute DPP ulcer with bleeding and sampling;
• • chronic or unspecified duodenal ulcer with bleeding;
• • Acute DPP ulcer without bleeding and perforation;
• • chronic or unspecified duodenal ulcer with a sampling;
• • Chronic DPP ulcer without bleeding and perforation;
• • chronic or unspecified duodenal ulcer with bleeding and sampling;
• • unspecified as acute or chronic ulcer of the DPP without bleeding or perforation.

Язва двенадцатиперстной кишки – Действия пациента

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.

Treatment of duodenal ulcers

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.

Язва двенадцатиперстной кишки – Осложнения

• • bleeding;
• • piercing (perforation) ulcers;
• • Penetration of ulcers;
• • Stenosis of the gritter.

Prevention of duodenal ulcers

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.