Duodenal siltation exercise method?

summary

Duodenal siltation exercise method? Duodenal stasis refers to the clinical syndrome of duodenal obstruction caused by various reasons, resulting in the expansion of the proximal part of duodenal obstruction and the accumulation of chyme. The main symptoms are epigastric pain and fullness, which often occur during or after eating. Nausea and vomiting of bile like substances, sometimes due to epigastric fullness and self vomiting to relieve symptoms.

Duodenal siltation exercise method?

There are many causes of this disease, most of which are superior mesenteric artery compression of duodenum (50%), which is also called superior mesenteric artery syndrome. Other reasons are: 1) congenital abnormality; ② Tumor; ③ Infiltrative diseases and inflammation of the distal or proximal duodenum; ④ Adhesions occurred after gallbladder and stomach operation, and duodenum was pulled. Adhesions, ulcers, strictures or input loop syndrome occurred after gastrojejunostomy; ⑤ Other congenital malformations: duodenal inversion, duodenal obstruction caused by gallbladder duodenal cord, etc.

The main symptoms are epigastric pain and fullness, which often occur during or after eating. Nausea and vomiting of bile like substances, sometimes due to epigastric fullness and self vomiting to relieve symptoms. The disease was recurrent and gradually aggravated. Constipation often occurs. The stomach type and peristaltic wave can be seen, the upper abdomen water vibration sound is positive, the intra-abdominal water beat sound and bowel sound are high.

Dyspepsia should be differentiated from peptic ulcer, sometimes both can coexist. Extraduodenal tumors, such as carcinoma of the head of pancreas or huge pancreatic cysts, can be differentiated by endoscopy or retrograde cholangiopancreatography. Occasionally, abdominal aortic aneurysm may cause duodenal compression. This disease should also be distinguished from duodenal obstruction caused by stones, fecal stones, Ascaris mass and foreign bodies in the duodenum.

matters needing attention

Patients without obvious symptoms need not be treated. Intravenous nutrition including fat emulsion, nasogastric tube decompression and antispasmodic drugs were given to treat acute gastric distention. Usually should be a small number of meals, after half an hour for knee chest position, strengthen abdominal muscle exercise. If conservative treatment is not obvious, surgical treatment can be used. Methods of operation: ① free duodenal ligament; ② Duodenojejunostomy; ③ Duodenal reduction.