residual sinus syndrome
Introduction
Introduction to residual sinus syndrome Residue Sinus Syndrome refers to the anastomotic ulcer syndrome caused by residual gastric antrum in the case of Billroch II surgery. The incidence of residual gastric antrum recurrent ulcers was 40%. Typical symptoms are excessive secretion of gastric juice, and a series of symptoms caused by anastomotic ulcers, such as long-term, periodic, hunger upper abdominal pain, upper abdominal burning sensation, acid reflux, and suffocation. basic knowledge The proportion of sickness: 0.002%-0.003% Susceptible population: more common in patients with peptic ulcer Mode of infection: non-infectious Complications: recurrent ulcers
Cause
Causes of residual sinus syndrome
The intrinsic disease causes a large amount of gastrin to be stimulated by the refluxing alkaline duodenal juice in the mucous membrane of the residual gastric antrum. It is absorbed into the blood, acts on the mucosa of the stomach, stimulates the parietal cells of the stomach, and promotes gastric juice. Excessive secretion, gastric acid is too high, postoperative anastomotic ulcer.
Prevention
Residual sinus syndrome prevention
The preventive measures for this disease are mainly the operation specifications of stomach surgery.
Complication
Sinus syndrome complications Complications, recurrent ulcers
Residual gastric antrum is prone to recurrent ulcers.
Symptom
Symptoms of residual sinus syndrome common symptoms hyperacidity upper abdominal pain heartburn heat
Diagnosis can be based on the history of surgery and clinical manifestations. Gastroscopic examination can help to confirm the diagnosis, and some patients are diagnosed in the second operation.
Typical symptoms are excessive secretion of gastric juice, and a series of symptoms caused by anastomotic ulcers, such as long-term, periodic, hunger upper abdominal pain, upper abdominal burning sensation, acid reflux, and suffocation.
Examine
Examination of residual sinus syndrome
Fiber endoscopy and upper gastrointestinal barium meal examination were not satisfied with the diagnosis of residual gastric antrum. Preoperative diagnosis of residual sinus syndrome was difficult. Most patients were diagnosed when the duodenal stump was surgically explored.
Diagnosis
Diagnosis and diagnosis of residual sinus syndrome
diagnosis
Can be diagnosed based on clinical performance and laboratory tests.
Differential diagnosis
The disease should be differentiated from Zollinger-Ellison syndrome, the latter gastrin is increased, generally 280 ~ 500ng / L, the intrinsic gastrin level is generally 30 ~ 176ng / L, insulin test can make serum gastrin significantly decreased To identify.
