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Treatments For Duodenal Stricture
The duodenum is the: 12 inches of small bowell after the gastric antrum. The ducts from the liver and pancreas enter quickly and the remainder sweeps below/behind the pancreas. The work up needs to determine the blood vessels (aorta, ivc, sma, smv, portal vein). The biopsy usually is deon endoscopically. The treatment is whipple, pancreatoduodenectomy, with roux-en-y loops to drain bile. ...Read more
Surgery: Perforated doudenal ulcer is a surgical emergency and needs surgical intervention, as the ulcer can burn through the wall of the stomach and it is life threatening and needs surgical intervention and fluid replacement. ...Read more
What is treatment for repeated vomiting diagnosed with closed duodenum for man 47 years old having diabetes?
Complex issue: Need to find out why a closed duodenum-scarred, ulcer, tumor mass of stomach, duodenum, pancreas, other. Diabetes can slow stomach emptying, but not close duodenum. May need some manner of bypass procedure if truly obstructed. Definitely needs to see doc with some experience in this. ...Read more
What is the risk of having multifocal carcinoid tumors in stomach and duodenal type-1 and what is the latest news about available treatments?
REcurrence: Type i gastric carcinoids are the most common and usually do not metastasize. They require careful surveillance with endoscopic resection for the smaller lesions and antrectomy for multifocal and larger recurrences. Reduction of gastrin levels felt to be helpful. ...Read moreSee 1 more doctor answer
Considering possible complications and treatment-difficulties, is a gastric ulcer more worrisome or a duodenal ulcer?
3-4 meds: Studies show diet plays no role in eradication of h pylor infection of he stomach (a possible cause of stomach ulcers). However , avoidance of smoking, alcohol, caffeine will help lower the levels of stomach acid. The usual treatment for h pylori includes 3-4 drug regimens including antibiotics and ppi (anti-acid meds, e.g. Prilosec, prevacid). Hope you are better soon! ...Read more
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