Is duodenal diverticulum serious?

summary

Duodenal diverticulum is mainly caused by congenital dysplasia, which constitutes the secondary diverticulum caused by the cystic protruding of duodenal wall or the scar traction caused by gastroduodenal ulcer. Most diverticula were not found by X-ray barium meal or gastroscopy. As long as a small number of patients can present obstruction, perforation, bleeding and other manifestations, or secondary cholangitis, pancreatitis, cholelithiasis and other complications. It is caused by congenital intestinal wall limited muscular layer hypoplasia or thin, so we should pay attention to it. Let's share my experience with you.

Is duodenal diverticulum serious?

Some intestinal walls have congenital anatomical defects, because of the increase of intestinal pressure, the intestinal mucosa and submucosa are arranged to protrude outward to form diverticulum. The muscular arrangement of the diverticulum wall is mostly absent or thin. It is because duodenal ulcer scar shortens or slow cholecystitis adhesion is pulled to cause more.

In case of sudden high pressure or prolonged or repeated high pressure, the thin part of the intestinal wall, the mucosa and submucosa of the intestinal wall are arranged to prolapse and form a diverticulum. It can also cause the attack of diverticulum because of the adhesion scar caused by the inflammatory arrangement outside the intestinal wall. It is a congenital developmental abnormality that exists at birth.

The pain is irregular and can't be alleviated by antacids. Disgust or vomiting are also common. When the diverticulum is filled with food and distended, it can squeeze the duodenum and present some obstruction. At first, the contents of stomach, then bile, and even mixed with blood, can be alleviated after vomiting.

matters needing attention

Medical treatment should be used first, including diet conditioning, antacids, antispasmodics, etc., and lateral position or different postures can be adopted to assist the emptying of accumulated food in the diverticulum. Because diverticulum is mostly located in the second part of the duodenum, or even buried in the pancreatic arrangement, surgical resection is difficult. But after the day after treatment, duodenal diverticulum patients can be cured.