Anastomotic complications

Introduction Anastomotic ulcer is a long-term complication after gastric surgery. Anastomotic ulcer refers to ulceration in the anastomosis or a nearby mucosa after gastric jejunostomy, also known as recurrent peptic ulcer.

Cause

Cause: A history of peptic ulcer gastrectomy.

an examination

Related inspection

Fiber endoscopy

Diagnosis: Medical history question: There is a history of peptic ulcer gastrectomy. The symptoms are similar to those of peptic ulcer before surgery. The most common abdominal pain is episodes. The nighttime pain is significant. It is often radiated to the place. Long, and the remission period is shorter, eating or antacids can be temporarily relieved, anorexia, nausea, vomiting and weight loss are more common, and some patients may have perforation, obstruction and bleeding.

Physical examination found: abdominal tenderness often with abdominal pain, abdominal pain may sometimes have abdominal muscle tension, the course of the disease is long, the abdominal complex can touch the mass.

Differential diagnosis

Wound healing and itching: It is actually related to the skin structure of the human body and the ability of the tissue to regenerate. It turns out that the human skin is divided into two layers, the epidermis and the dermis, and the subcutaneous tissue is under the dermis. In addition, the skin also has appendages such as hair, sebaceous glands, sweat glands, and nails. Different skin structures have different feelings about the wound. Because the regenerative capacity of various tissues of the human body is different, the nerve tissue is less regenerative. Generally, when the nerve is fast and long, it is also a good time for the wound to grow fast. When the nerve endings grow into the connective tissue, the wound can feel itchy and painful.

Wound infection: It is a pathological reaction in which the pathogenic microorganisms grow and reproduce in the body after invading the body through the wound, causing the normal function, metabolism and tissue structure of the body to be destroyed, causing tissue damage. After being attacked by pathogens, the body can mobilize various defense functions to eliminate pathogens and their toxic products to restore the relative stability of the body. Whether the pathogen can cause infection after invading the body depends mainly on the virulence of the pathogen and the resistance of the body.

The wound does not heal after the umbilical cord falls off and the discharge: the initial symptom of neonatal umbilical cord disease is that the wound is delayed and there is an overflow after the umbilical cord falls off. For bacteriological examination, the wound secretion can be taken for smear staining or bacteriological culture as a guide for clinical use. Blood culture examination is feasible when suspicious sepsis is suspected.

The bite-healing wound is itchy or numb: abnormal healing such as itching or numbness in the healing wound often occurs in mental disorders caused by rabies. It is a kind of mental disorder caused by physical infection. In the early stage, the patient felt headache, uneasiness, low heat, and healed wounds had abnormal feelings such as itching or numbness. After 2 to 3 days, the violent type shows fear of water, fear of the wind, and fear of light. Water, wind, and light can all stimulate the onset of reflex throat. The patient is nervous, fearful, and irritable. The condition gradually worsened, and there were generalized sputum, neck stiffness, increased salivation, high fever, heart failure, and respiratory paralysis. Ineffective treatment can suddenly die. The sputum type mainly manifests as limb paralysis, coma and death.

Diagnosis: Medical history question: There is a history of peptic ulcer gastrectomy. The symptoms are similar to those of peptic ulcer before surgery. The most common abdominal pain is episodes. The nighttime pain is significant. It is often radiated to the place. Long, and the remission period is shorter, eating or antacids can be temporarily relieved, anorexia, nausea, vomiting and weight loss are more common, and some patients may have perforation, obstruction and bleeding.

Physical examination found: abdominal tenderness often with abdominal pain, abdominal pain may sometimes have abdominal muscle tension, the course of the disease is long, the abdominal complex can touch the mass.

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