Diverticula may be congenital or acquired (adhesions). Most often develop on the inner surface of the descending part of the duodenum . Sizes from a few millimeters to 3-4 cm. Diverticula may be multiple. More common in men. The disease can be asymptomatic at first, but over the years, pain, dyspeptic disorders appear. When ulceration appears signs characteristic of peptic ulcer disease. The diagnosis is based on radiological data.
Treatment: diet food (tables of medical nutrition № 1, 5), antispasmodic drugs - atropine (0.1% solution 0.5 ml 2 times a day subcutaneously), platifillin (0.5% solution of 10 drops 2 times a day) , 10% solution of magnesium sulfate on 1 table. l 3-4 times a day after meals, repeated warm washings of the duodenum through a thin probe with mineral water ( Essentuki No. 4, 17, Jermuk, arsni). With the failure of treatment, with complications (obstruction of the duodenum, bleeding, etc.) - an operation.
Duodenal ulcer - see. Peptic ulcer .Go
Duodenitis - inflammation of the mucous membrane of the duodenum. Duodenitis are primary and secondary (with peptic ulcer, cholecystitis , etc.). In etiology, infection , intoxication , and allergic reactions are important. Predisposing factor is duodenostasis. According to the clinical course distinguished acute and chronic duodenitis. The first is rare (with burn disease, severe intoxication) and is manifested by bleeding as a result of ulceration of the mucous membrane. Chronic duodenitis is characterized by periods of exacerbation and remission . Clinically distinguish dyspeptic, pseudo-ulcer, hemorrhagic and cholecystopodobnuyu form. Complications: jaundice , periduodenitis. The diagnosis is based on the examination of the duodenal mucosa by a fibroscope with subsequent biopsy, X-ray data. Differential diagnosis is carried out with peptic ulcer disease (see), cholecystitis (see), pancreatitis (see). Treatment: if possible, eliminate the cause of the duodenitis.
Periduodenitis - inflammation of the peritoneal cover of the duodenum. It occurs during the transition of the inflammatory process to the peritoneum from the duodenum (ulcer, diverticulum, duodenitis) or from neighboring organs ( gallbladder , etc.). Periduodenitis often asymptomatic. Sometimes there is a constant dull pain or paroxysmal pain in the epigastric region on the right. Palpation of the abdomen is a significant pain above the navel on the right. Mendel's symptom is positive (areas of pain sensitivity detected by jerky percussion with a fingertip). The diagnosis is difficult due to the absence of typical symptoms. Fluoroscopy is essential. Treatment: the use of heat in any form.