Gastric prolapse refers to the gastric mucosa H. pylori prolapse through the duodenum to the bulb. This disease mainly with gastric inflammation; more common in 30-66 year-old male patient.
Prolapse, gastric symptoms can be re-light, the overwhelming majority of the gastric prolapse can be reset, this feature as a "complex of." If gastric prolapse in a short period of time can be reset, then the patient will be of no symptoms or only mild abdominal distention, Heating, and so if they can not immediately reset, it may appear abdominal pain, burning sensation. Serious gastric prolapse may even occur incarcerated, the Department of pyloric muscle contraction, prolapse of the mucous membrane Shangbu Qu Xia Bulai, a pyloric obstruction.
Prolapse of gastric prolapse depends on the performance of the mucous membrane of the number and level of severity. About 1 / 3 of patients do not have any symptoms, only the regular prolapse or severe prolapse of the patients, some of the following symptoms to appear after the signs.
(1) sternum lower abdominal pain or pain: the cause of the abdominal pain yuan laws, and have no fixed location. Pain in the abdomen or the upper-right in the abdomen, may also appear in the lower sternum. Upper abdominal pain generally occurred in 0.5-1 hours after a meal. Abdominal pain is the nature of diverse, pain, pain, burning pain or a strangulated pain, and back after the radiation. Some patients can appear intense abdominal pain at night, causing patients throughout the night Nanmian.
(2) nausea and vomiting: This is the common symptoms of gastric prolapse. Vomit for more food. Part of the patient vomiting, would feel more comfortable, will also reduce the pain.
(3) dyspepsia: heavier prolapse patients, often Baozhang, abdominal discomfort, Heating and loss of appetite and other symptoms of dyspepsia, this is food stranded in the Department of H. pylori caused. Long course of the patients, often in malnutrition, anemia, or even reduce the weight gradually.
(4) upper gastrointestinal bleeding: This may occur with prolapse of the mucous membrane of the erosion or Pokui. According to reports, about 20% of patients with gastric prolapse upper gastrointestinal bleeding. Often in patients with bleeding before nausea, vomiting and abdominal pain. Such as the amount of bleeding small bowel disease although still yellow, but the latent blood stool test Changcheng positive if the amount of bleeding, high speed, there may be black and hematemesis.
(5) pyloric obstruction: only a small number of patients with gastric prolapse have this symptom. Before the attack, patients often Baozhang, upper abdominal pain and nausea associated with repeated, Ou, the patient swivel or stand up, they will feel the stomach "Gudong, Gu-yin," Chun-acoustic. This is because the door You prolapse of the gastric mucosa was blocked, stomach and Lu have Susi because of gastric juice.
(6) signs: gastric prolapse patients in general non-specific signs. Only strict prolapse patients, sometimes in the Department of H. pylori have a soft mass. In addition, some patients in the supine to the right, will aggravate the pain, and lying to the left, then the pain will reduce or disappear. Gastric prolapse X-ray diagnosis can be made, gastroscopy not very meaningful. The disease mainly to medical treatment, the use of tranquilizers, such as atropine and 654-2 cholinergic receptor blocker. Shaochiduocan patients to the left supine ease symptoms.
However, once the pyloric obstruction and bleeding, it is necessary to consider surgery.
5/7/08
Subscribe to:
Post Comments (Atom)
No comments:
Post a Comment