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Management of Patients With Gastric and Duodenal Disorders Part 3. Miss Iman Shaweesh January 2008. An individual’s nutritional status depends not only on the type and amount of intake but also on the functioning of the gastric and intestinal portions of the gastrointestinal (GI) system.
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Miss Iman Shaweesh
(inflammation of the gastric or stomach mucosa) is a common GI problem. Gastritis may be acute, lasting several hours to a few days, or chronic, resulting from repeated exposure to irritating agents or recurring episodes of acute gastritis.
serologic testing for antibodies against the H. pylori antigen, and a breath test.
Hypersecretion of stomach acid (HCl)
May have weight gain
Pain occurs 2–3 hours after a meal; often awakened between 1–2 AM;
ingestion of food relieves pain
Normal—hyposecretion of stomach acid (HCl)
Weight loss may occur
Pain occurs 1⁄2 to 1 hour after a meal; rarely occurs at night; may be relieved by vomiting;
ingestion of food does not
help, sometimes increases
Vomiting commonSigns, Symptoms, and Clinical Findings
Hemorrhage less likely than with gastric ulcer, but if present melena more common than Hematemesis More likely to perforate than
Hemorrhage more likely to occur than with duodenal
ulcer; hematemesis more common than melenaComparing Duodenal and Gastric Ulcers
after 12 to 16 weeks of medical treatment), include vagotomy, with or without pyloroplasty, and the Billroth I and Billroth II procedures
them less responsive to gastrin. May be done via open surgical approach,
laparoscopy, or thoracoscopy
incision is made into the pylorus and transversely sutured closed to enlarge the outlet and relax the muscle
the cells that secrete gastrin) as well as a small portion of the duodenum
and pylorus. The remaining segment is anastomosed to the duodenum (Billroth I) or to the jejunum (Billroth II)
Removes gastrin-producing cells in the
antrum and part of the parietal cells.
and nausea and vomiting.