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ID number:476263
Evaluation:
Published: 07.12.2014.
Language: Latvian
Level: College/University
Literature: 8 units
References: Used
Extract

Klīniskā aina
Primāra pylorus stenoze pamatā norit bez simptomiem, dažos gadījumos kļūst simptomātiski mūža beigās
Sekundāra pylorus stenozei:
Vemšana bez žūlts piejaukuma gandrīz uzreiz pēc ēdienreizes (līdz 1h)
Sāpes vēdera augšdaļā, vemšana rada atvieglojumu
Ātra sāta sajūta
Slikta dūša
Vēdera pūšanās
Svara zudums, anoreksija

Diagnostika
Asins bioķīmija: elektrolītu disbalans (metabolā alkaloze)
Attēldiagnostika:
US vēdera dobumam
Rtg ar bārija kontrastvielu
CT vēdera dobumam
Augšējā endoskopija ar biopsiju (ļauj identificēt tumoru)

Ārstēšana
Piloromiotomija
Daļēja gastrektomija
Endoskopiska dilatācija (izmanto veciem cilvēkiem ar nopietnām blakusslimībām)
Jaunākā metode: endoskipiska piloromiotomija

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