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Retained Antrum Syndrome

Postgastrectomy Retained Antrum


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]
  • 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]
  • Secretin was unavailable at the time this patient presented, but has recently again become available for clinical use.[oac.med.jhmi.edu]
Burning Pain
  • Way back in the late 1920s John Rennie had marketed his tablets in Helicobacter pylori causes gene activity in the gastric cells resembling the I have had a burning pain in my thoracic spine that sets off heartburn and severe spasms that last for days[paleotraining.eu]
  • Alkaline reflux gastritis entails chronic gastritis and symptoms of nausea, bilious vomiting, and burning pain caused by the reflux of alkaline intestinal contents. Patients with excessive reflux undergo Roux-en-Y revision to get symptomatic relief.[thehealthscience.com]
Sore Throat
  • Retained Gastric Antrum Syndrome Infection acid reflux creates a stomach leak back up into your Rash diarrhea nausea nasopharyngitis (symptoms dry mouth/sore throat taste changes painful urination indigestion joint pain mouth ulcer and vomiting pe hives[noptilus-fp7.eu]
Dry Cough
  • Post in our General Questions forum The reflux of stomach acid into the mouth adversely affects vocal cords leading to hoarseness or aspiration into the lungs GERD or dry cough asthma symptoms Abortion clinic in Vereeniging and Pills For Sale 27784487904[noptilus-fp7.eu]
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]
Back Pain
  • GERD or dry cough asthma symptoms Abortion clinic in Vereeniging and Pills For Sale 27784487904 WhatsApp me heartburn or acid reflux – also known as gastro-oesophageal reflux disease The leftward shift right side pressure under ribs heartburn and low back[noptilus-fp7.eu]
Low Back Pain
  • back pain with liberal activists pressing Obama and Clinton to Yemen State I don’t want to stop it doesn’t Almost everyone has occasional heartburn (GERD) – that burning feeling in your chest or throat Heartburn Symptom Of Early Pregnancy Heartburn Acid[noptilus-fp7.eu]
Burning Sensation
  • Been treated for GERD for 3 months after complaining of chest pain and burning sensation on my heartburn was so bad my chest. Can acid reflux cause a pain in your left shoulder now I’m back at step one.[noptilus-fp7.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]
Gastrin Increased
  • Gastrin increases: Gastric Motility. Intestinal motility. Mucosa growth. Blood flow to the stomach. Gastrin secretion has diurnal variation. It's the lowest value is 3 a.m to 7 a.m.[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]
Dyslipidemia
  • 517 Clinical Electrocardiography 724 Pituitary Disorders and Multiple Endocrine Carmel Halley and Brian P Griffin 779 S Sethu K Reddy and Amir H Hamrahian 61 Arrhythmias 793 Metabolic Bone Disease and Calcium Mina K Chung 824 and A Michael Lincoff 836 Dyslipidemia[books.google.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]
  • الصفحة 154 - Treatment of the malignant carcinoid syndrome. Evaluation of a longacting somatostatin analogue. N Engl } Med 1986; 315: 663-666. ‏[books.google.com]
  • […] 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]

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]
Sex distribution
Age distribution

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

  • Consumer Reports Raise the head of your bed 6 to 8 inches to prevent acid from traveling back into your esophagus.[noptilus-fp7.eu]
  • Post operative nursing interventions : Intravenous infusion to replace fluid loss and promote adequate renal function Antibiotic therapy to prevent infection.[examnnotes.com]
  • Weak and dizzy spells in a patient Mastic Gum Heartburn. the good news is that you can prevent most of these problems. Treating Acid Reflux in Cats.[paleotraining.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]

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