Duodenal diverticulum obstructive jaundice syndrome

　　If the duodenal diverticulum compresses the duodenal orifice of the common bile duct, it can affect the excretion of bile and pancreatic juice, leading to stasis of bile and pancreatic juice, increasing the intraluminal pressure, and triggering pancreatitis or obstructive jaundice. In some patients, the common bile duct opens into the diverticulum, or has a partial opening towards the diverticulum, which is prone to the occurrence of this syndrome, especially when combined with diverticulitis, even canceration, which is more likely to occur in this syndrome, and is also prone to ascending infection.

　　Duodenal diverticulum obstructive jaundice syndrome can be complicated with diseases such as diverticulitis, acute necrotizing pancreatitis, and upper gastrointestinal bleeding. Therefore, once detected, active treatment is required, and preventive measures should also be taken in daily life.

　　Duodenal diverticulum obstructive jaundice syndrome clinically presents with intermittent abdominal pain, fullness, acid regurgitation, belching, and other symptoms. If diverticulitis occurs concurrently, the symptoms may be more pronounced, and occasional upper gastrointestinal bleeding may occur, leading to obstructive jaundice caused by diverticulitis. After the inflammation is controlled, jaundice may subside even completely. When the condition worsens, jaundice may reappear. Pancreatitis caused by diverticulitis is usually acute edematous type, and it can also cause purulent or necrotic pancreatitis due to severe ascending infection. Symptoms include abdominal pain, discomfort, nausea, vomiting, and diarrhea. The above clinical manifestations caused by diverticulitis are often exacerbated during meals.

　　Obstructive jaundice syndrome due to duodenal diverticula is caused by duodenal diverticula, so it is necessary to actively prevent the occurrence of duodenal diverticula. Duodenal diverticula often have no clinical symptoms, so when diverticula are found in gastrointestinal barium meal contrast examination, do not hastily combine them with 'upper abdominal symptoms' for judgment, but check the relevant organs in detail, and finally make a diagnosis of duodenal diverticula.

　　In addition, attention should be paid to regular diet in daily life, and more nutritious and easy-to-digest foods should be consumed, while spicy, greasy, cold, and cool foods should be eaten less.

　　When diagnosing obstructive jaundice syndrome due to duodenal diverticula, in addition to relying on its clinical manifestations, auxiliary examinations are also needed. This disease is mainly diagnosed by upper gastrointestinal contrast, abdominal flat film, and blood tests. Therefore, once discovered, active treatment should be carried out, and preventive measures should also be taken in daily life.

　　The diet for patients with obstructive jaundice syndrome due to duodenal diverticula should pay attention to the following two aspects:

　　Recommendation:Patients can consume foods rich in protein, vitamin C, vitamin B, and vitamin A, and nutritionally rich foods. The diet should include more easily digestible and absorbable foods such as milk, soy milk, eggs, lotus root starch, etc. To slow down gastric motility and secretion of gastric juice, more cheese and cream can be consumed. In terms of cooking methods, steaming, roasting, boiling, braising, and stewing should be the main methods.

　　Taboo:Avoid eating foods with strong刺激性, such as broths, spices, strong tea, strong coffee, etc. Foods rich in fiber and residue, such as celery, chives, pickled vegetables, bamboo shoots, soybeans, sprouts, ham, and dried fish, are also not suitable for consumption. Reduce or avoid cooking methods such as frying, frying, smoking, glue, and raw mixing to prevent food from becoming hard, difficult to digest, and absorb.

　　The treatment principles for obstructive jaundice syndrome due to duodenal diverticula are the same as those for duodenal ulcers. If gentamicin 80,000 units is administered three times a day. At the same time, antacids are added to alleviate symptoms, such as omeprazole 20mg, once a day. For those who do not respond well to conservative treatment, those with perforation, common bile duct, and pancreatic duct obstruction should undergo surgical treatment.