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Dumping syndrome develops in patients operated on for duodenal ulcers, and less frequently in patients operated on for gastric ulcers or cancer. Patients with duodenal ulcer often have a psychosomatic predisposition to develop dumping syndrome. This fact forces us to take elavil pills into account, when choosing the type of operation, not only the pathological changes caused by the ulcer, but also the psychosomatic state of the patient. Dumping syndrome, early or late, should be treated conservatively, given its nature. Surgical treatment of dumping syndrome is indicated in exceptionally rare cases and gives controversial results.
Dumping syndrome is usually mild and gradually disappears spontaneously. There is a small group of patients who are disabled due to severe dumping syndrome. Pathogenesis of disorders of the motor function of the stomach in dumping syndrome. The use of somatostatin prevents the development of symptoms of both early and late dumping syndrome or leads to the disappearance of existing symptoms.
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This hormone is administered subcutaneously 20 minutes before meals, as is the long-acting somatostatin analog octreotide. For the treatment of early dumping syndrome, many types of surgical interventions have been proposed, especially in cases where the patient's ability to buy elavil online is impaired. Unfortunately, none of these methods have been proven effective.
Here are some of these operations. 1. Interposition of a segment of the jejunum 20–25 cm long in an isoperistaltic position between the gastric stump and the duodenum. This operation should always be supplemented with a stem vagotomy to prevent the development of anastomotic ulcer. 2. Interposition of a double segment of the jejunum 10-12 cm long, one in the isoperistaltic direction, the other in the antiperistaltic direction, with the creation of a jejuno-jejunoanastomosis between them. 3. Interposition of an anti-peristaltic segment of the jejunum 10 cm long between the stomach and the duodenal stump.
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Roux-en-Y gastrojejunostomy, supplemented with antrectomy and stem vagotomy to prevent the development of anastomotic ulcers. 5. Transformation of Billroth II gastric resection into Billroth I. Dumping - syndrome - description, causes, symptoms (signs), diagnosis, treatment. Dumping syndrome is a pathological condition that occurs after resection of the stomach (especially according to buy amitriptyline modification of Billroth - II), gastrectomy, vagotomy, pyloroplasty due to the rapid entry of gastric contents into the small intestine.
Widespread use of organ-preserving operations (for example, selective proximal vagotomy) in the treatment of duodenal ulcer. If necessary, resection of the stomach should strive for the imposition of a direct gastroduodenoanastomosis.
It develops in 10–50% of amitriptyline 50mg after surgery to remove part of the stomach or after gastrectomy. The data is very contradictory. different sources provide information on the incidence of dumping syndrome after gastric resection in 3.5–80% of cases.
The most common pathologyis used during the operation by the Billroth-II method. It involves blind suturing of elavil pills of the stomach and duodenum, followed by the formation of a bypass (anastomosis) between the stomach and jejunum. Dumping syndrome after resection of the stomach by the named method develops in 1/3 of patients (according to other sources - in 1/2).
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The pathogenesis of the pathological condition is not completely clear. Due to the removal of the pyloric part of the stomach, its reservoir function (accumulation of food mass) suffers. Undigested food is rapidly evacuated to the small intestine, where a high concentration of osmotically active substances is created, resulting in the transport of fluid from the bloodstream into the intestinal lumen - transient dyspeptic disorders and hypovolemia develop. Hypovolemia, in turn, provokes the activation of the sympathetic-adrenal system and a powerful release of catecholamines into the systemic circulation.
- The syndrome is less common in patients who have undergone vagotomy with stomach-draining operations.
- Risk factors for the development of a dumping reaction.
- In rare cases, dumping reactions can also occur in healthy people who have not undergone surgery.
- Depending on the severity of the dumping syndrome happens.
- As a rule, the dumping reaction has a moderate severity and spontaneously stops or transforms into a mild form over time.
- Clinical variants of pathology.
- By the time of development, the syndrome can be.
Signs of dumping syndrome vary depending on the severity and clinical variant. The disease can debut as a few days after surgery, and after a few years. The average duration of an attack is 20-30 minutes, in severe cases - up to 1-2 hours. After eating dairy or carbohydrate-rich foods, the following symptoms appear. The dumping reaction in this case is weakly expressed and has a fleeting character. The patient's ability to work practically does not suffer, the quality of life does not decrease. Manifestations of mild dumping syndrome are successfully neutralized by correcting the diet.