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Intragastric diaphragm

  Intragastric diaphragm is rare in clinical practice, the mucosal diaphragm occurs in the antrum or pylorus, and runs around the gastric wall, causing the distal end of the antrum to narrow, but not occluding the gastric cavity. The membrane is squamous epithelium or columnar epithelium. It is caused by congenital developmental abnormalities, the abnormal cavitation process of the early embryonic digestive tract. The diaphragm is usually located 1.5 to 3 cm before the pylorus or close to the pylorus, and sometimes two occur simultaneously, one several centimeters away from the pylorus, far in the duodenum, separating the stomach from the duodenum.

Table of Contents

1. What are the causes of intragastric diaphragm disease
2. What complications can intragastric diaphragm easily lead to
3. What are the typical symptoms of intragastric diaphragm
4. How to prevent intragastric diaphragm
5. What kind of laboratory tests should be done for intragastric diaphragm
6. What diet should be avoided by patients with intragastric diaphragm
7. The conventional method of Western medicine for treating intragastric diaphragm

1. What are the causes of intragastric diaphragm disease?

  How is the intragastric diaphragm caused? Briefly described as follows:

  Due to congenital developmental abnormalities, the early embryonic digestive tract cavitation process is abnormal. The diaphragm is usually located 1.5 to 3 cm before the pylorus or close to the pylorus, and sometimes two occur simultaneously, one several centimeters away from the pylorus, far in the duodenum, separating the stomach from the duodenum. The central part of the diaphragm often has a hole, with a diameter of 3 to 10 cm. If there is no hole, it can cause internal obstruction and atresia in the stomach. The diaphragm is 2 to 3 mm thick, composed of mucosa, submucosal tissue, and muscular layer. Both sides of the diaphragm are covered with mucosa, and the space is filled with loose connective tissue. The hole is located in the center or slightly off-center, although there are no muscle fibers, it maintains an expanded state.

 

2. What complications can gastric septum easily lead to

  When the septum hole is large enough, food can pass through smoothly without symptoms. If the septum hole is small or secondary inflammation causes mucosal edema leading to narrowing of the septum hole, it can cause obstruction. The main manifestation is intermittent non-bilious vomiting, physical examination shows abdominal bulging in the upper abdomen, and visible peristalsis waves. If there is no hole in the septum, high-grade obstruction symptoms appear earlier, without the excretion of meconium.

3. What are the typical symptoms of gastric septum

  What symptoms does gastric septum have? Briefly described as follows:

  If the septum hole is large enough to pass food, there may be no symptoms; if the septum hole is small or secondary inflammation causes mucosal edema to narrow the hole, it can cause obstruction. The most common symptom is vomiting, which appears soon after birth, often occurs after eating, and the projectile content contains milk and milk curd, without bile and blood. There may be a feeling of abdominal fullness or abdominal pain, characterized by pain after milk intake, which relieves after vomiting. Vomiting is often intermittent and can be relieved for a long period of time, and may be accompanied by symptoms such as decreased appetite and weight loss. Physical examination shows abdominal bulging in the upper abdomen, with gastric peristalsis waves, and the middle and lower abdomen are flat. If there is no hole in the septum, high-grade obstruction symptoms appear earlier, without the excretion of meconium; if there are two septa, the isolated lower stomach and upper duodenum expand, filled with accumulated secretions, forming a cystic mass, which can be felt in the upper abdomen.

4. How to prevent gastric septum

  Gastric septum is a congenital malformation, and there are currently no effective preventive measures. Pregnant women with polyhydramnios should be vigilant about the possibility of congenital malformations. The simultaneous increase of amniotic fluid injection, alpha-fetoprotein, and acetylcholinesterase is helpful for prenatal diagnosis.

  

5. What laboratory tests should be done for gastric septum

  What examinations should be done for gastric septum? Briefly described as follows:

  X-ray examination shows the shadow of the gastric bubble, without gas shadow in the middle and lower abdomen. The size of the stomach is normal, and a narrow defect can be seen 1-2 cm before the pylorus. Barium can pass through the septum hole, and the shadow of the normal sphincter and duodenal ampulla appears.

6. Dietary taboos for patients with gastric septum

  What are the dietary recipes for patients with gastric septum? Briefly described as follows:

  1. White pepper stewed pork stomach soup

  White pepper slightly crushed 15g, pork stomach 1 piece (cleaned and cleaned), add an appropriate amount of water, slow-cooked, seasoned and eaten. Suitable for ulcer disease with deficiency cold.

  2. Lotus seed porridge

  Lotus seeds 30g, indica rice 100g. Cook porridge according to normal method, eat daily, and take for one month continuously. Suitable for ulcer disease with weakness of the spleen and stomach.

  3. Huangshan Yam porridge

  Huangshan Yam 100g, indica rice 100g. Boil the two together with water to make a thin porridge, take one dose per day, and divide it into three servings for drinking. Suitable for gastric and duodenal ulcers with weakness of the spleen and stomach.

  4. Glutinous rice porridge

  Glutinous rice or indica rice 100g, 7 jujube dates. Cook porridge according to normal method, until it is extremely soft, and eat regularly. Suitable for ulcer disease with weakness of the spleen and stomach, can treat gastric and duodenal ulcers.

  5. Panax Notoginseng and Egg Pudding

  3g of panax notoginseng powder, 30ml of lotus root juice, one egg, a little sugar. Break the egg and beat it in a bowl; mix with fresh lotus root juice and panax notoginseng powder, add sugar, mix well, steam until cooked and eat. It can treat blood stasis type gastric ulcer, duodenal ulcer, and hemorrhage.

  6. Silver Ear and Red Date Porridge

  20g of silver ear, 10 red dates, 150g of glutinous rice. Cook porridge as usual. Suitable for patients with ulcerative colitis of the spleen and stomach weakness.

  7. Peach Kernel and Pork Stomach Porridge

  Ingredients and preparation: 10g of peach kernel (peeled and de-tipped), 10g of raw earth, 50g of cooked pork stomach slices, 50g of rice, and appropriate amount of star anise. Cut the stomach slices into fine pieces; take twice the amount of water to boil and strain the juice, add the pork stomach and rice to cook into a thin porridge, season and eat when cooked, once a day. Effect: It can invigorate Qi and activate blood, remove blood stasis and relieve pain.

  8. Finger Citron and Job's Tears Porridge

  Ingredients and preparation: 10g of finger citron, 30g of white adzuki bean, Job's tears, and yam, appropriate amount of stomach soup and salt. Boil the finger citron in water, remove the dregs, add the adzuki bean, Job's tears, yam, and stomach soup, cook into a thin porridge, add a little salt for seasoning, and eat it once a day. Effect: It can relieve heat and harmonize the stomach, suitable for burning pain in the epigastrium, dry mouth and bitter taste, irritability, constipation, etc.

  9. Egg and Panax Notoginseng Soup

  Ingredients and preparation: one egg, 30ml of honey, 3g of panax notoginseng powder. Beat the egg in a bowl and mix in the panax notoginseng powder, mix well, steam until cooked, then mix in honey and eat. Effect: It can soothe the liver and regulate Qi, harmonize the spleen and stomach, suitable for upper abdominal pain, vomiting, accompanied by nausea, belching, etc.

  10. Cactus Stir-fried Beef

  Ingredients and preparation: 50g of cactus, 100g of tender beef, and appropriate seasonings. Peel and wash the cactus, remove the spines, and cut it into fine pieces; wash the beef, slice it, and fry it in hot oil until cooked, then season and eat. Effect: It can promote blood circulation and remove blood stasis, relieve Qi and relieve pain, suitable for fixed pain, or pain like needles and pins, etc.

7. Conventional western treatment methods for stomach septum

  What are the treatment methods for stomach septum? Briefly described as follows:

  1. Treatment

  This disease must be treated surgically, resecting the septum. If obstruction symptoms still occur after resection of the edematous part of the septum, gastrojejunal anastomosis can be performed.

  2. Prognosis

  Surgical operation, resection of mucosal septum, and at the same time or not performing pyloroplasty. Some authors now propose that the mucosal septum can be incised endoscopically to relieve obstruction. The prognosis is generally good.

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