ABSTRACT
This paper reviews data on the prevalence and clinical significance of syndrome of chronic duodenal obstruction (CDO), duodenal anatomy and physiology. The definition of CDO is proposed along with classification of its organic and Functional forms, their characteristics, and clinical manifestations at the stages of compensation, sub- and decompensation. Instrumental and laboratory diagnostic methods are discussed, their effectiveness and informative value are assessed. Comprehensive review of the principles of treatment of functional and organic forms of CDO (nutritional treatment, physiotherapy, drug therapy, remedial gymnastics, surgery) is presented.
Subject(s)
Duodenal Obstruction , Anastomosis, Surgical , Chronic Disease , Duodenal Obstruction/classification , Duodenal Obstruction/diagnosis , Duodenal Obstruction/therapy , Duodenum/surgery , Endoscopy, Gastrointestinal/methods , Gastrointestinal Agents/therapeutic use , Humans , Jejunum/surgery , Prognosis , SyndromeABSTRACT
Presentarnos dos casos de hernias internas paraduodenales izquierdas localizadas en la fosa de Landzert, diagnosticadas mediante tomografía computarizada (TC). Las hernias internas son una causa muy infrecuente de abdomen agudo, provocan cuadros de suboclusión intestinal. Las paraduodenales izquierdas representan alrededor del 50 por ciento de las hernias internas. La TC permite demostrar el grupo de asas herniadas, enmarcadas entre el estómago, la cuarta porción de duodeno, el colon descendente y la cola pancreática. La identificación de las asas en posición atípica, unida a los desplazamientos vasculares (vasos mesentéricos) y colónicos que provocan, les confieren una semiología radiológica típica, que una vez conocida se muestra como fácilmente identificable. (AU)
Subject(s)
Adult , Humans , Hernia/complications , Hernia , Duodenal Diseases , Duodenum/pathology , Duodenum , Tomography, Emission-Computed/methods , Contrast Media/administration & dosage , Intestinal Obstruction/complications , Intestinal Obstruction/diagnosis , Intestinal Obstruction , Hernia/classification , Hernia/epidemiology , Hernia/physiopathology , Abdomen/pathology , Abdomen , Mesentery/pathology , Mesentery , Duodenal Obstruction/classification , Duodenal Obstruction/physiopathologyABSTRACT
A new variant of esophageal atresia (EA) with tracheoesophageal fistula (TEF) associated with duodenal atresia is reported. The TEF was between the lower pouch and the trachea, with a cystic dilatation in the midportion. The tracheal end of the fistula was obstructed by a membranous septum at both ends of a cystic dilatation, leading to a diagnosis of pure EA (gasless abdomen). After the lower pouch was opened beyond the cystic dilatation, 100 ml nonbilious fluid was obtained. A laparotomy revealed a type III atresia of the first part of the duodenum.
