Doudenal Strictures (Strictures of the Duodenum) ; Definition, Causes, Symptoms, Diagnosis, Treatmen скачать в хорошем качестве

Doudenal Strictures (Strictures of the Duodenum) ; Definition, Causes, Symptoms, Diagnosis, Treatmen

Duodenal Strictures Definition Duodenal strictures are abnormal narrowings of the duodenum, the first portion of the small intestine, which can obstruct the flow of food and digestive enzymes. Causes 1. Peptic ulcer disease 2. Crohn's disease 3. Ulcerative colitis 4. Infections (e.g., tuberculosis, histoplasmosis) 5. Tumors (e.g., adenocarcinoma) 6. Trauma 7. Iatrogenic (e.g., surgical complications) 8. Congenital Symptoms 1. Abdominal pain 2. Nausea and vomiting 3. Weight loss 4. Bloating and gas 5. Diarrhea or constipation 6. Abdominal tenderness 7. Fever Diagnosis 1. Endoscopy (EGD) 2. Imaging studies: CT scans MRI Ultrasound Barium swallow 3. Biopsy 4. Blood tests: Complete Blood Count (CBC) Electrolyte panel Liver function tests Treatment 1. Medical management: Proton pump inhibitors (PPIs) Antacids Antibiotics (for infections) 2. Endoscopic therapy: Balloon dilation Stent placement 3. Surgical intervention: Strictureplasty Resection of affected segment Gastrojejunostomy Complications 1. Malnutrition 2. Electrolyte imbalance 3. Dehydration 4. Bowel obstruction 5. Perforation 6. Sepsis #Duodenum