gallstone colic syndrome
Introduction
Introduction to gallstone intestinal stagnation syndrome Bouver Syndrome is a recurrent episode of biliary tract inflammation and adhesion to the adjacent duodenum, colonic liver, stomach and biliary tract itself, gallstone incarceration, obstruction and compression, secondary bacterial infection, etc. Increased intra-biliary pressure, local blood circulation disorders, or necrosis, perforation can break into the adherent organs to form fistulas, if the stones block the intestines can cause this disease, the intrinsic rare account for about 1% of mechanical intestinal infarction ~ 3%. basic knowledge The proportion of illness: 0.002% Susceptible people: no specific population Mode of infection: non-infectious Complications: intestinal obstruction
Cause
Causes of gallstone intestinal stagnation syndrome
Causes:
Biliary tract inflammation recurrent and adhesion to the adjacent duodenum, colonic hepatic flexure, stomach and biliary tract itself, gallstone incarceration, obstruction and compression, secondary bacterial infection, etc., increased intra-biliary pressure, local blood circulation disorder, or necrosis, The perforation can be broken into the adherent organs to form the fistula. If the stone blocks the intestine, it can cause the disease.
Prevention
Prevention of gallstone intestinal stagnation syndrome
This disease is mainly caused by inflammation of the biliary tract, etc. Therefore, prevention of infection and inflammation is the basic measure to prevent this disease. Listed below:
(1) Pay attention to strengthening nutrition, pay attention to high sugar, high protein, high vitamin, low fat, easy to digest diet.
(2) When taking non-surgical treatment, attention should be paid to the changes of the condition. If the body temperature exceeds 39 degrees, the upper abdominal cramps should be notified to the medical staff. When taking the Chinese medicine, pay attention to observe the presence or absence of stones in the feces.
(3) Emergency patients should receive fasting and intravenous infusion, and pay attention to the location and nature of abdominal pain, whether there is chills, high fever, shock, etc. Cooperate with preoperative skin preparation, blood matching, etc.
(4) When itching, pay attention to keep the skin clean, bathe and change clothes, and receive intramuscular vitamin K1.
(5) Actively treat diseases of the biliary system and eat less high-fat and high-cholesterol foods.
Complication
Complications of gallstone enteric syndrome Complications, intestinal obstruction
Biliary tract inflammation, gallstone incarceration, obstruction and compression, secondary bacterial infection, acute non-stranded intestinal obstruction.
Symptom
Symptoms of gallstone intestinal stagnation syndrome Common symptoms Upper abdominal pain, intense fever, chills, gallbladder, tenderness, leukocytosis, chills, abdominal pain, nausea, vomiting, persistent pain, partial or wide abdominal abdomen
The intrinsic diagnosis is to increase vigilance. For middle-aged and elderly women with obesity, the disease should be thought of when acute non-stranded intestinal obstruction occurs. Abdominal plain film should be used to pay attention to the dendritic or Y-shaped product of the hepatic hilum, biliary tract and other parts. Gas, digestive tract barium examination or barium enema, visible sputum reversal into the biliary signs, B-mode ultrasound or ERCP, CT can make an early diagnosis.
Mainly manifested as persistent pain in the upper abdomen, may have paroxysmal fever, chills, frequent vomiting, vomiting is yellow or grass green liquid, can be coffee-like, abdominal soft, abdominal distension is obvious, Murphy sign is more positive, There may be muscle tension or rebound tenderness, and white blood cells increase significantly.
Examine
Examination of gallstone intestinal stagnation syndrome
Should do abdominal plain film, pay attention to the liver, biliary tract and other parts of the dendritic or Y-shaped gas, digestive tract barium examination or barium enema, can see the sputum reverse flow into the biliary signs, B-mode ultrasound or ERCP, CT can make early diagnosis .
Diagnosis
Diagnosis and diagnosis of gallstone intestinal stagnation syndrome
Can be diagnosed based on clinical performance and laboratory tests.
Should be distinguished from strangulated intestinal obstruction.
