Presentation
A bilateral truncal vagotomy plus pyloroplasty had been performed previously on 84% of patients, 44% revealed excessive intake of vegetable fiber, and 30% presented with bad dentition. [link.springer.com]
Benchimo Gastrojejunocolic fistulae, a late complication of gastroenterostomy, are presently uncommon. Patients can present with symptoms of a fistula 20 years or more after their original gastric surgery. [giornalechirurgia.it]
[…] are present[ 7, 71, 108 - 110 ]. [wjgnet.com]
Secretin was unavailable at the time this patient presented, but has recently again become available for clinical use. [oac.med.jhmi.edu]
Case: A 7-year old boy came to us with a history of periumbilical and epigastric pain abdomen, which started 2 years prior to presentation, and lasted for 6 months, and was being managed with proton pump inhibitors. [tropicalgastro.com]
Entire Body System
- Anemia
>1000 pg/mL Zollinger Ellison syndrome Pernicious anemia Increased gastrin level is seen in: Zollinger-Ellison syndrome. [labpedia.net]
Gastrin levels may be increased by as much as 1,000-fold in perniciaous anemia and Zollinger-Ellison syndrome. [beaumontlaboratory.com]
Octreotide for medical management Late dumping : 2 to 3 hours after a meal administer glucose, acarbose, metabolic disturbances : iron deficiency anemia and vitamin B12 deficiency anemia, impaired fat absorption (steatorrhea and osteoporosis and osteomalacia [examnnotes.com]
Prilosec), catecholamines, coffee Factors which can cause decreased levels Drugs: anticholinergics, tricyclic antidepressants Clinical Implications High levels indicate: ZE syndrome G-cell hyperplasia Pernicious anemia Atrophic gastritis Gastric carcinoma [ndhealthfacts.org]
Where gastric acid secretion is impaired, for example in pernicious anemia, gastrin levels are characteristically (and appropriately) increased. [unitslab.com]
Gastrointestinal
- Gastropathy
Menetrier disease Massive hyperplasia of surface mucous cells; metaplasia; excessive secretion of TGFa Hypertrophic gastropathy: hypertrophic-hypersecretory gastropathy hyperplasia of parietal and chief cells; risk ulcer Hypertrophic gastropathy: gastric [quizlet.com]
( K31.89 ) gastropathy K31.89 Hypertony, hypertonia, hypertonicity stomach K31.89 Hypertrophy, hypertrophic duodenum K31.89 stomach K31.89 Hypoacidity, gastric K31.89 Hypochlorhydria K31.89 Hypomotility gastrointestinal (tract) K31.89 stomach K31.89 [icd10data.com]
Known As Dyspepsia is also known as abnormal gastric acidity, achylia gastrica, chronic regurgitation, diminished gastrin secretion, drug-induced dyspepsia, dyspepsia, dyspepsia (indigestion), dyspepsia (indigestion) not from ulcer, erythematous gastropathy [healthresearchfunding.org]
Chapter: Diseases Of The Digestive System Block: Diseases Of Esophagus, Stomach, And Duodenum (530-539) Related Descriptions: Abnormal gastric acidity Achylia gastrica Chronic regurgitation Diminished gastrin secretion Drug-induced dyspepsia Erythematous gastropathy [emedcodes.com]
K30 Functional dyspepsia Approximate Synonyms Abnormal gastric acidity Achylia gastrica Chronic regurgitation Diminished gastrin secretion Drug-induced dyspepsia Dyspepsia Dyspepsia (indigestion) Dyspepsia (indigestion), not from ulcer Erythematous gastropathy [icd9data.com]
- Flatulence
[…] gastric acidity Achylia gastrica Chronic regurgitation Diminished gastrin secretion Drug-induced dyspepsia Dyspepsia Dyspepsia (indigestion) Dyspepsia (indigestion), not from ulcer Erythematous gastropathy Excessive gastric inhibitory peptide secretion Flatulent [icd9data.com]
[…] acidity, achylia gastrica, chronic regurgitation, diminished gastrin secretion, drug-induced dyspepsia, dyspepsia, dyspepsia (indigestion), dyspepsia (indigestion) not from ulcer, erythematous gastropathy, excessive gastric inhibitory peptide secretion, flatulent [healthresearchfunding.org]
Esophagus, Stomach, And Duodenum (530-539) Related Descriptions: Abnormal gastric acidity Achylia gastrica Chronic regurgitation Diminished gastrin secretion Drug-induced dyspepsia Erythematous gastropathy Excessive gastric inhibitory peptide secretion Flatulent [emedcodes.com]
Cramping abdominal pain Weight loss Flushing Tachycardia Rash Facial flushing Abdominal distention Abdominal tenderness in the right upper abdominal quadrant Elevated VIP levels Followed by imaging Lactose intolerance - + Abdominal pain Bloating Diarrhea Flatulence [wikidoc.org]
Skin
- Ulcer
During the past 10 years, attention has been focused on factors other than acid in the genesis and therapy of ulcer disease. Work done worldwide demon strated that acid hypersecretion is not a common event in peptic ulcer disease. [books.google.com]
A possible aid in differentiating retained gastric antrum from Zollinger Ellison syndrome in patients with recurrent peptic ulcer", author = "Chaudhuri, {Tuhin K} and Chaudhuri, {T. K.} and Shirazi, {S. S.} and Condon, {R. [uthscsa.influuent.utsystem.edu]
PGA: persistant gastric acidity; R: recurrent ulcer. [hon.ch]
Abstract Retained-antrum syndrome is a rare condition, occurring in Billroth II gastrectomised patients, in which an ulcer recurs associated with high levels of circulating gastrin. [ncbi.nlm.nih.gov]
Psychiatrical
- Fear
Feeling of unwell Appetite is maintained but fear of pain often prevent patient from eating Weight loss. Abdominal swelling 19. General examinationGeneral examination Wasted Dehydrated Pallor Shock 20. [slideshare.net]
Neurologic
- Stroke
High Test Anxiety among Nursing Students The current study is to assess the frequency and severity of test anxiety among college nursing Your risk of having a heart attack or stroke in the next 10 years is 7.5 percent or higher according to the guidelines [paleotraining.eu]
Workup
WORKUP Revisit the history. If the initial diagnosis was H pylori infection, consider whether treatment has failed because the patient did not take the medications. [consultant360.com]
Serum
- Hypochlorhydria
[…] gastric retention Primary chronic pseudo-obstruction of stomach Rapid gastric emptying Retained antrum syndrome Upset stomach Vagus indigestion 536.8 Excludes Applies To Achylia gastrica Hourglass contraction of stomach Hyperacidity Hyperchlorhydria Hypochlorhydria [icd9data.com]
[…] inhibitory peptide secretion, flatulent dyspepsia, friable mucosa of digestive system organ, gastric motor function disorder, gastric retention, gastric spasm, gastrointestinal hypomotility, granular mucosa of digestive organ structure, hyperchlorhydria, hypochlorhydria [healthresearchfunding.org]
Achlorhydria refers to absent and hypochlorhydria to reduced secretion of gastric acid in the stomach [4]. Achlorhydria is defined as pH in the stomach greater than 5.09 in men and 6.81 in women after maximal stimulus for acid secretion [5]. [nutrientsreview.com]
[…] gastric inhibitory peptide secretion Flatulent dyspepsia Friable mucosa of digestive system organ Gastric motor function disorder Gastric retention Gastric spasm Gastrointestinal hypomotility Granular mucosa of digestive organ structure Hyperchlorhydria Hypochlorhydria [emedcodes.com]
Because of the achlorhydria or hypochlorhydria inherent in these disorders, the usual acid inhibition of antral gastrin release is diminished or lost. [mitchmedical.us]
- Gastrin Increased
Precautions High protein diet can lead to an increase in the level of gastrin 2 to 5 times of the normal level. Diabetic patients on insulin may give a false raised level of gastrin. [labpedia.net]
Absolute increase in serum gastrin level above the basal figure is preferred to percent change. 4 I.V. secretin normally diminishes gastrin, but serum gastrin increases in gastrinoma patients. [labcorp.com]
Absolute increase in serum gastrin level above the basal figure is preferred to percent change.4 I.V. secretin normally diminishes gastrin, but serum gastrin increases in gastrinoma patients. [human-secretin.com]
Treatment
Significant updates on bariatric surgery, Barrett's esophagus, endoscopic ultrasound, endosonography, treatment of liver disease, and much more keep you current on the latest advances. [books.google.com]
Journeys getting a heartburn constipation abdominal pain treatment alternative infection gastric sleeve start before the surgery and will continue until long after the surgery forever. [paleotraining.eu]
[…] for lymphomas unresponsive to initial H. pylori antibiotic treatment remains unclear and includes the chemotherapy, radiotherapy, surgical resection, etc b) Almost all MALT-lymphoma may regress with conventional H. pylori treatment. c) Need for surgery [mcqsurgery.com]
Suggested first line treatment plan for infertile women with PCOS 64 pregnancy. [slideplayer.com]
Treatment. The 2 principal therapeutic strategies are to control the gastric acid hypersecretion and to inhibit neoplasia. 28 Surgical excision of the gastrinoma is the best treatment. [consultant360.com]
Prognosis
Isolated GI duplication has an excellent post surgery prognosis [4 ].Exact cause for large antral gastric ulcer is not known; however a rare physiological alteration similar to retained antral syndrome, a syndrome of uninhibited gastrin secretion and [tropicalgastro.com]
PrognosisPrognosis Age H pylori reserve Duration Co morbidities Previous surgeries Previous failed Medical therapy for H.pylori Overall prognosis is good with improved surgical and medical therapy 56. [slideshare.net]
Etiology
Aravind Endamu, CIVIL ASST SURGEON at Commissioner of public health and family welfare,Andhra Pradesh Published on Mar 27, 2014 etiology treatment management and treatment of complications Benign gastric outlet obstruction 1. [slideshare.net]
It's etiological, clinical, and surgical features were briefly discussed. Riassunto: Fistola gastrodigiunocolica dopo chirurgia gastrica per ulcera duodenale: caso clinico. G. D’Amata, A. Rahili, B. Karimdjee-Soilihi, E. Gelsi, S. Avallone, D. [giornalechirurgia.it]
Specific clinical clues to that suggest ZES include recurrent and persistent ulcers despite acid-suppressive therapy, persistent diarrhea of unknown etiology, and multiple ulcers (specifically distal ulcers) in the upper gastrointestinal tract. [oac.med.jhmi.edu]
Knowledge of the etiologies discussed here and a systematic approach when reviewing images can be helpful in both narrowing the differential and formulating a correct diagnosis. References Lev MH, Groblewski JC, Shortsleeve CM, Curtin HD. [appliedradiology.com]
The location of the ulcer provides clues to its possible etiology. [consultant360.com]
Epidemiology
National Library of Medicine Previous Document: Epidemiological analysis on the mechanism of cigarette smoking as a risk factor in cardiovascular di... [biomedsearch.com]
Pathophysiology
Fruit PubMed Central Achlorhydria pathophysiology BMJ Best Practice Mettler S et al, Osmolality and pH of sport and other drinks available in Switzerland Schweizerische Gesellschaft für Sportmedizin Treatment of distilled alcoholic liquors Google Patents [nutrientsreview.com]
Pathophysiology Gastrin is a hormone produced by the antral cells (G- cells) in the stomach mucosa. Other sources of production are G cell of duodenum and delta cells of the pancreas. [labpedia.net]
Gastric outlet obstruction (GOO) represents a clinical and pathophysiological consequence of any disease process which produces mechanical impediment to gastric emptying. Classification 2 groups Benign causes Malignant causes 3. [slideshare.net]
In the adipose tissue it is and increased aromatisation of peripheral androgens with increase extraovarian production of estradiol that in turn decreases FSH and rezults in chronic anovulation. 51 Polycystic ovary disease (syndrome) pathophysiology Irrespective [slideplayer.com]
Sleisenger & Fordtran's Gastrointestinal and Liver Disease: Pathophysiology, Diagnosis, Management. 7th ed. Philadelphia: WB Saunders Co; 2002:747-781. 5. Grossman MI. Peptic Ulcer: A Guide for the Practicing Physician. [consultant360.com]
Prevention
Post operative nursing interventions : Intravenous infusion to replace fluid loss and promote adequate renal function Antibiotic therapy to prevent infection. [examnnotes.com]
Tips that will help you avoid and prevent heartburn Those that are usually safe for heartburn sufferers salad dressing; Sweets / Desserts There are many natural ingredients found in grocery and health food stores which can The feeling often extends from [noptilus-fp7.eu]
Complication Prevention When performed in elective setting, preoperative optimization of the patient with correction of anemia, dehydration, and electrolyte imbalance with blood transfusion and adequate hydration can prevent complications. [thehealthscience.com]
Background: Pylorus-preserving gastrectomy (PPG) has the advantages of preventing dumping syndrome and duodenogastric reflux. However, time was required to reduce symptoms of gastric fullness or to improve food intake after surgery. [ingentaconnect.com]
[…] correction of anemia, dehydration, and electrolyte imbalance with blood transfusion and adequate hydration) can prevent complications. [emedicine.medscape.com]