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November 19, 2016 00:15

Erosion of the stomach and duodenum 12

erosion of the stomach and duodenum 12 - blemishes, without departing from the tunica muscularis of the gastric mucosa and 12 duodenal ulcer, and heals without scarring.

reasons erosions of the stomach and duodenum 12

main etiologic factors of erosion of the stomach and duodenum 12 are:

  • infection of the mucous membrane of H. pylori;
  • psycho-emotional stress situations (adaptation disease by H. Selye with erosive and ulcerative lesions of the gastroduodenal system);
  • use of coarse, spicy, hot food and alcohol;
  • receiving salicylates and other NSAIDs and glkzhokortikoidov, reserpine, digitalis, certain antibiotics;
  • stagnation in the portal vein of the liver cirrhosis or portal vein thrombosis (formed by erosion in the esophagus and stomach, chronic erosion more common in alcoholic and sharp - in viral cirrhosis of the liver);

reasons erosions of the stomach and duodenum 12

Pathogenesis erosions of the stomach and duodenum 12

Under the influence of etiological factors include the following me

chanisms of gastroduodenal erosions:

  • decrease in activity of protective factors of the mucous membrane of the gastroduodenal area.For protective factors include gastric mucus, optimal blood circulation in the stomach wall, cell regeneration, the inhibitory effect of gastrointestinal hormones on gastric secretion (primarily hydrochloric acid formation), saliva, alkaline kreatichesky pan juice.Particularly important are the violation of mucus production and slowing of gastric epithelial regeneration process, which reduces the resistance of the mucous membrane of the stomach and promotes erosion;

pathogenesis of gastric erosions and 12 duodenal ulcer

Classification erosions of the stomach and duodenum 12

Acute erosion are flat, the terms of which do not exceed epithelialization 2-7 days;chronic - erosion, not regress for 30 days or more.

Types erosions of the stomach and duodenum 12

clinical picture of erosions of the stomach and duodenum 12

Patients with erosions of the stomach and duodenum 12, complained of pain in the epigastric region, occurring1-1.5 hours after meals, heartburn, nausea, belching, vomiting often.An objective study of patients can be noted weight loss (with long-term existence of erosions), which is due to decreased appetite, sometimes refusal of food due to the fear of the appearance of pain and vomiting.On palpation of the abdomen can reveal local pain in the epigastric region.Thus, the characteristic of gastroduodenal erosions domain, the ulcer-like clinical symptoms.

Symptoms of gastric erosions and 12 duodenal ulcer

FEGDS allows you to distinguish between mature and immature chronic total erosion.For immature complete erosion include those who only have a corolla flare on top.Maturely considered complete if there are signs of erosion desquamation and necrosis.Immature erosion observed in remission, mature - in the acute phase.

erosion of the stomach must be carefully distinguished from erosive ulcerous form of cancer, which is required to be carried out biopsies of suspicious areas of the mucous membrane, followed by morphological examination.

Diagnosis erosions of the stomach and duodenum 12