Duodenitis

Duodenitis is an acute or chronic inflammation of the mucous membrane of the duodenum ( duodenum ). In 2010, an average of 1.44 cases per 100 years of insurance of gastritis and duodenitis occurred that led to the inability to work.

Causes

For a duodenitis, there are different causes:

  • Infectious diseases of the intestinal tract with other bacteria, such as Salmonella or Shigella, viruses and amoebas ). From the protozoa Giardia persistent symptoms described are longer,
  • The action of harmful substances such as alcohol or certain anti-rheumatic drugs ( NSAIDs),
  • Shock, stress, and central nervous system and
  • Other diseases of the neighboring organs ( bile ducts, pancreas or stomach).

Symptoms

The signs of inflammation consist of nausea, vomiting, pressure or stinging pain, loss of appetite, indigestion and disorders in the autonomic nervous system.

Diagnosis

The diagnosis is made after the endoscopic and histological findings:

  • Normal findings: Here are cases of not correctly associated other diseases are often detected, which are classified as "light" or "chronic " duodenitis.
  • Mild duodenitis with marked change in plasma cell count, edema (usually with multiform intraepithelial infiltration) and transformation ( metaplasia ) to gastric mucosa.
  • Severe duodenitis with multiform changes and shrinkage (atrophy ) of the villi in decrease of plasma cells - this may be an important indicator of ulcer disease.

Therapy

The treatment of duodenitis is essentially to eliminate the underlying causes, so infection -fighting or avoiding the NSAIDS, etc.

Swell

  • Disease in gastroenterology
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