How can gastric volvulus not treat?
summary
Crohn's disease is also known as localized ileitis, localized enteritis, segmental enteritis and granulomatous enteritis, also translated as Crohn's disease. We need to seize the time to treat it. It is a kind of intestinal inflammatory disease with unknown causes. This disease and chronic nonspecific ulcerative colitis are collectively referred to as inflammatory bowel disease. So what will happen to patients with gastric volvulus without treatment?, Now let's take a concrete look.
How can gastric volvulus not treat?
First, the cause of intestinal obstruction is often seen in the formation of fibrous stenosis, but also due to acute inflammation and edema. A few of them were caused by abscess or adhesion mass compression. Intestinal obstruction is incomplete at the beginning, which can be quickly relieved by conservative treatment. It can occur repeatedly and eventually complete intestinal obstruction.
Second, the fistulae are formed, and the lesions invade the muscular layer and serosal layer. If the fistulae develop further, they will adhere to another small intestine segment, colon or adjacent viscera and penetrate to form an internal fistula. If the fistula leads to the bladder and vagina, the intestinal contents are discharged from the urethra and vagina. Fistulas can be asymptomatic or have large amounts of diarrhea (depending on the amount of fluid in the digestive tract). The fistula can extend outward to the skin, which is called external fistula. It often occurs in the anastomotic stoma after operation, and may also occur in patients without operation, often around the anus, occasionally in the groin or waist. External fistula indicates extensive perienteritis and is often considered as an indication for surgical treatment. The incidence of fistula was about 40% in foreign countries, and 11.7% in Beijing.
Third: abdominal abscess, abdominal fistula, such as secondary infection of the sinus will form abdominal abscess. The most common site is in the right lower abdomen, which is equivalent to the terminal ileum, followed by the liver and spleen flexure. The clinical manifestations are fever and abdominal pain, with tenderness mass. With leukocytosis. CT and B-ultrasound are helpful for diagnosis. Most of the pus cultures are Gram-negative bacteria.
matters needing attention
There is evidence that the risk of canceration is higher when the lesion is larger.