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ulcer disease
Ulcer disease
multifactorial
reduced nutrition
loss of weight
Symptoms of duodenal ulcer disease:
pyrosis
good nutrition
obstipation
A penetration B perforation
C bleeding D - stenosis
Therapy:
Conservative
regular lifestyle
prohibition of the smoking and alcohol
diet (proteins, milk and milky products)
pharmacology (antagonists of H2 receptors,
antacids, anticholinergics
Surgical
BI, BII resection
proximal selective vagotomy
vagotomy with pyloroplastic
suture of perforated or haemorrhagic ulcer
Stomach resections:
Billroth I
Zeman, M. et al., Speciln chirurgie, ISBN 80-7262-260-9, 2004
Billroth II
Zeman, M. et al., Speciln chirurgie, ISBN 80-7262-260-9, 2004
Gastro-enteroanastomosis on
Roux Y crankle
Zeman, M. et al., Speciln chirurgie, ISBN 80-7262-260-9, 2004
Vagotomy
Complications after stomach resection:
often asymptomatic
Diagnosis:
gastrofibroscopy biopsy - histology
X-ray, USG, CT - metastasis
Wirchows nodule enlargement of left supraclavicular
nodule
Stomach cancer
Etiopathogenesis:
Praecancerosis: adenomatous polypus, chronic atrofic
gastritis, foveolar hyperplasia (Mntrier disease), stub
of the stomach after BII resection
Division:
Macroscopic: exofytic polypoid form, diskyform
ulcerous form, diffused infiltrating form
Therapy: