Symptoma

Duodenal Disease

Disease of Duodenum

If no liver disease is present, endoscopy with planned hemostasis of a presumed ulcer can be planned. [clinicaladvisor.com]

Session: Poster Presentation Program Number: P227 Post Views: 411 Related « Return to SAGES 2013 abstract archive [sages.org]

We are following the present large-scale cohort to validate our present conclusion in the upcoming trial. [journals.plos.org]

An ulcer in the lining of the stomach or duodenum, where hydrochloric acid and pepsin are present, is referred to as a peptic ulcer. When the ulcer is in the stomach, it is called a gastric ulcer. [chop.edu]

The present study was done to determine if the site of duodenal cap ulcers had any correlation to its presentation, healing or relapse rates in our patient population. [jpma.org.pk]

  • Neonatal Intestinal Obstruction

    Neonatal intestinal obstruction. East Mediterr Health J. 2000;6:187-93. Lawrence MJ, Ford WD, Furness ME, et al. Congenital duodenal obstruction: ealy antenatal ultrasound diagnsosis. Pediatr Surg Int. 2000;16:342-45. [rarediseases.org]

  • Abdominal Pain

    A high degree of clinical suspicion must be used to properly assess abdominal pain in a puerperium female even though non-specific abdominal pain is experienced postpartum by 98% and 92% of primiparous and multiparous women respectively. [sages.org]

    Symptoms of Crohn’s include diarrhea, rectal bleeding, abdominal pain, weight loss, fevers and joint pain. While medications such as steroids to reduce inflammation or antibiotics can help control Crohn’s disease, no cure exists. [livestrong.com]

    Plain radiograph Abdominal films have little role in the setting of vague/chronic upper abdominal pain, and have a very low yield. [radiopaedia.org]

    These patients may have epigastric discomfort, but they do not present with acute abdominal pain. Or peptic ulcers can erode through the mucosa to cause a bowel perforation. [ole.bris.ac.uk]

    Disruption of this balance caused by too much acid (or weakened defense) can result in erosions or ulcers with symptoms including upper abdominal pain, indigestion or heartburn, nausea and/or vomiting. [ddc.musc.edu]

  • Nausea

    Less common symptoms include: Belching Nausea Vomiting Poor appetitie Weight loss Difficulty feeding Blood in the stools or vomit Feeling tired and weak A person of any age can get an ulcer. [giforkids.com]

    Less common ulcer symptoms include: Anemia Bloating Belching Nausea and vomiting Blood-tinged vomit Poor appetite Loss of weight Feeling tired and weak The symptoms of stomach and duodenal ulcers may resemble other digestive conditions or medical problems [chop.edu]

    Disruption of this balance caused by too much acid (or weakened defense) can result in erosions or ulcers with symptoms including upper abdominal pain, indigestion or heartburn, nausea and/or vomiting. [ddc.musc.edu]

    Most people with a duodenal ulcer experience upper abdominal pain and sometimes nausea or vomiting. An upper gi endoscopy will be able determine the extent of ulceration. [westkentgastro.com]

    […] is more common than gastric ulcers. typically in age 25-30 what is duodenal ulcer associated with smoking alcholo NSAIDs H.pylori (85%) cyclical pain develops 1-3h after meal hunger pain and central back pain pain is relieved by eating or anatacids nausea [quizlet.com]

  • Epigastric Pain

    pain, radiating to the back.pain is unreleated to mealds. [quizlet.com]

    Epigastric pain is a typical symptom of PUD, however, some patients may remain asymptomatic. Diagnosis occurs via direct visualization of the ulcer on esophagogastroduodenoscopy ( EGD ) and H. pylori detection (via biopsy or non-invasive testing). [amboss.com]

    Dyspepsia can include pain in the upper abdominal region ("epigastric" pain), an early feeling of fullness, nausea, and even vomiting. [courses.washington.edu]

    Although epigastric pain was the commonest presenting symptom in all the patients, it was significantly more frequent in those with an anterior wall ulcer (Table II). [jpma.org.pk]

    CLINICAL FEATURES Typical symptoms of peptic ulcer disease include episodic gnawing or burning epigastric pain; pain occurring two to five hours after meals or on an empty stomach; and nocturnal pain relieved by food intake, antacids, or antisecretory [aafp.org]

  • Epigastric Mass

    Weight loss, dehydration, and a hypo-chloremic, hypokalemic metabolic alkalosis may result; a tympanitic epigastric mass representing the dilated stomach with visible gastric peristalsis also may be observed. [aafp.org]

  • Abdominal Rebound Tenderness

    On admission, the patient was noted to be in acute distress with diffuse abdominal rebound tenderness. A chest x-ray showed free air under the diaphragm and a computed tomography scan (CT Scan) with contrast was ordered. [sages.org]

  • Epistaxis

    Differential diagnosis Epistaxis – evaluate for nasopharyngeal source Variceal UGI bleeding – see Liver Chapter – evaluate for liver disease Foreign body – often present for weeks Mallory-Weiss tear – if history of vomiting is present 4. [clinicaladvisor.com]

Provides all the necessary tools to make a comprehensive diagnostic workup including data from ancillary techniques and molecular findings whenever appropriate. [books.google.com]

Similar to other treatments for CD, the objective is to avoid surgical treatment as long as possible in order to prevent short bowel syndrome and other complications related to surgical resection. [healio.com]

For example, for an NSAID-induced ulcer, treatment is quite different from the treatment for a person diagnosed with an ulcer caused by the bacterium, H. pylori. [chop.edu]

Ulcer with clean base – NO ENDOSCOPIC TREATMENT – medical managment. [clinicaladvisor.com]

Treatment Treatment should be determined by your doctor and may include: Lifestyle changes – no particular diet is helpful for most ulcer patients. Limit or avoid foods that cause you heartburn or indigestion. [giforkids.com]

Surgical treatment for congenital duodenal obstruction. J Med Assoc Thai. 2001;84:842-49. Inasir GA, Rahma S, Kadim AH. Neonatal intestinal obstruction. East Mediterr Health J. 2000;6:187-93. Lawrence MJ, Ford WD, Furness ME, et al. [rarediseases.org]

Prognosis The prognosis of an adequately treated peptic ulcer in children is excellent. Copyright 2017, 2013 Decision Support in Medicine, LLC. All rights reserved. [clinicaladvisor.com]

Treatment and prognosis Treatment depends on the clinical presentation. [radiopaedia.org]

The poor prognosis of gastric cancer also makes ascertainment bias an unlikely explanation. [nejm.org]

Helicobacter pylori-negative duodenal ulcers: prevalence, clinical characteristics and prognosis-result from a randomised trial with 2-year follow-up. Am J Gastroenterol 2001;96:1409-16. 29. Qureshi A, Jamshaid, Siddiqui M, Zafar SA. [pjmhsonline.com]

Etiology Risk factors Chronic gastritis caused by H. pylori, a curved, flagellated gram-negative rod Duodenal ulcers : up to 90% are due to H. pylori infection Gastric ulcers : up to 80% are due to H. pylori infection Chronic gastritis of other etiology [amboss.com]

[…] is unknown, but spirochetes, fusiform bacilli, and other bacteria are often present in the developing lesion, and protein and vitamin deficiency with lowered resistance to infection may play a role in the etiology. venereal ulcer a nonspecific term referring [medical-dictionary.thefreedictionary.com]

Etiology of duodenal ulcer. I. Relation of specific psychological characteristics to rate of gastric secretion (serum pepsinogen) Psychosomatic Medicine 19 ( 1 ), 1 – 10. Wolcott, D. L., Wellis, D. K., Robertson, C. R. & Arthur, R. J. ( 1981 ). [cambridge.org]

Etiology of the ulcer disease was determined in 15 of the children, but the cause was unknown in 12. Our series is concerned only with duodenal ulcers which, admittedly, comprise the greatest percentage of peptic ulcers. [pediatrics.aappublications.org]

The epidemiology is then described followed by the main clinical as sociations, which are gastritis and dyspepsia, peptic ulcers, can cers and lymphoma. [books.google.com]

For GERD, non-epidemiological studies have reported that coffee causes a relaxation of the lower esophageal sphincter [17], [18], which could increase the risk of both RE and NERD. [journals.plos.org]

E.H.); the Division of Cancer Epidemiology and Genetics, National Cancer Institute, Bethesda, Md. (A.W.H., J.F.F.); the International Epidemiology Institute, Rockville, Md. (W. [nejm.org]

Curbside Consultation Linda Tang, MD Previous epidemiological studies have shown that Crohn’s disease (CD) is limited to the small bowel in 31% of patients. Most of the small bowel disease is located in the ileum. [healio.com]

American Journal of Epidemiology 111 ( 1 ), 37 – 58. Jackson, D. N. ( 1967 ). Personality Research Form Manual. Research Psychologists Press : New York. Jenkins, C. D., Rosenman, R. H. & Friedman, M. ( 1967 ). [cambridge.org]

General Considerations • 2-3 times more frequent than gastric ulcers • 3:1 male :female ratio Pathophysiology • Excessive acidity in duodenum from • Abnormally high gastric secretion • Inadequate neutralization Predisposing factors • Steroids • Severe [learningradiology.com]

References: [12] Pathophysiology Clinical features Gastric ulcer Duodenal ulcer Findings common to both Dyspepsia : postprandial heaviness, early satiety, and gnawing, aching or burning epigastric pain Pain relief with antacids Potential signs of internal [amboss.com]

Pathophysiology: The duodenal mucosa resists damage from theeffect of aggressive factors, such as gastric acid and theproteolytic enzyme pepsin, with the help of several protectivefactors such as a mucous layer, bicarbonate secretion, andprotective prostaglandins [gastrointestinalatlas.com]

This obstruction can prevent food from leaving the stomach and entering the small intestine, resulting in vomiting the contents of the stomach. [chop.edu]

Preventing duodenal cancer, the second leading cause of death in FAP patients, requires frequent removal and biopsy of polyps that develop. [livestrong.com]

Destruction of this organism with antibiotics, together with the use of proton pump inhibitor drugs such as OMEPRAZOLE (Losec), has been shown to cure many ulcers and to prevent recurrence. [medical-dictionary.thefreedictionary.com]

Similar to other treatments for CD, the objective is to avoid surgical treatment as long as possible in order to prevent short bowel syndrome and other complications related to surgical resection. [healio.com]