Duodenal Diverticulum Obstructive Jaundice Syndrome
Introduction
Brief introduction of duodenal diverticulum obstructive jaundice syndrome Lemmel Syndrome refers to the duodenal diverticulum and compresses the common bile duct, affecting the excretion of bile and pancreatic juice and causing obstructive jaundice or pancreatitis. In 1934, Lemmel first proposed the intrinsic, and the case of obvious common bile duct and pancreatic duct obstruction in the intrinsic is called Pepiller Syndrome. Clinically, there are intermittent abdominal pain, feeling of fullness, acid reflux, belching, etc., such as complicated diverticulitis, the symptoms will be more obvious. basic knowledge The proportion of the disease: the probability of the population is 0.004% Susceptible people: no specific population Mode of infection: non-infectious Complications: upper gastrointestinal bleeding
Cause
The cause of duodenal diverticulum obstructive jaundice syndrome
Cause:
The predilection site of the duodenal diverticulum is on the inside of the duodenum. It is generally free of symptoms and is easily overlooked. Once the diverticulum presses the duodenal opening of the common bile duct, it can affect the bile and pancreatic juice. Excretion, bile and pancreatic juice stasis, increase the pressure in the lumen, induce inflammation of the pancreas or obstructive jaundice, individual patients open the common bile duct to the sac, or open to the diverticulum, which may lead to the occurrence of Lemmel syndrome, especially Diverticulitis, and even cancer, is more prone to intrinsic and easily lead to ascending infection.
Prevention
Prevention of duodenal diverticulum obstructive jaundice syndrome
The disease is caused by duodenal diverticulum, so the occurrence of duodenal diverticulum should be actively prevented. There are no clinical symptoms in the duodenal diverticulum. Therefore, the diverticulum is found in the digestive tract barium meal examination. Do not sloppyly combine with the "upper abdominal symptoms" to judge, but to examine the organs in detail, and finally make the duodenum. Diagnosis of the diverticulum.
Pay attention to regular diet, eat well-digested food, taro rice porridge vegetables can eat more, eat spicy greasy cold food, like pepper, fat, raw onions, garlic, eat less or not.
Complication
Duodenal diverticulum obstructive jaundice syndrome complications Complications upper gastrointestinal bleeding
Diverticulitis, suppurative or necrotic pancreatitis, upper gastrointestinal bleeding, Lemmel syndrome and other diseases.
Symptom
Symptoms of duodenal diverticulum obstructive jaundice syndrome Common symptoms Nausea sensation Upper abdominal pain Duodenal dilation Upper gastrointestinal bleeding Abdominal discomfort Edema Bile excretion blocked
Clinically, there are intermittent abdominal pain, fullness, acid reflux, hernia, etc., such as complicated diverticulitis, the symptoms will be more obvious, even upper gastrointestinal bleeding, obstructive jaundice caused by diverticulitis, after the inflammation is controlled Astragalus can alleviate or even completely disappear. When the condition deteriorates, jaundice can reappear. Pancreatitis caused by diverticulitis is usually acute edema type, or it can cause suppurative or necrotic pancreatitis due to severe ascending infection, showing abdominal pain. Abdominal discomfort, nausea, vomiting and diarrhea, the above clinical manifestations caused by diverticulitis often induce or aggravate the condition during eating.
1. There is a history of intermittent upper abdominal pain, and the possibility of jaundice should be considered.
2. Upper gastrointestinal angiography confirmed total bile duct dilatation.
3. Exclusion of cholelithiasis, biliary tract infections and other causes of obstructive jaundice and pancreatitis.
Examine
Examination of duodenal diverticulum obstructive jaundice syndrome
Upper gastrointestinal angiography, abdominal plain film, blood routine examination, etc.
Diagnosis
Diagnosis and diagnosis of duodenal diverticulum obstructive jaundice syndrome
It can be diagnosed based on medical history, clinical symptoms and laboratory tests.
Should pay attention to the identification of jaundice caused by other diseases, such as hemolytic jaundice, hepatocellular jaundice, cholestasis jaundice.
