Erosive bulbit - causes, symptoms, diagnosis and treatment

Erosive bulbit - Pathology department bulbar duodenum characterized by the formation of surface defects in the mucosa. The main clinical symptom is pain in the epigastric region, possible diarrheal phenomenon, bleeding. The most informative method of diagnosis - esophagogastroduodenoscopy; also used X-ray techniques to identify H. pylori. Treatment in most cases, conservative, aimed at eliminating the causes of erosion (H. pylori therapy, correction of primary diseases); with no effect neepiteliziruyuschihsya performed surgical removal of tissue.

  • Reasons erosive bulbita
  • Symptoms erosive bulbita
  • Diagnosis erosive bulbita
  • Treatment of erosive bulbita
  • Prediction and prevention of erosive bulbita
  • Erosive bulbit - treatment

  • Erosive bulbit


    bulbit - bulbs defeat (ampoules) 12 duodenal ulcer, accompanied by a single or multiple foci of mucosal damage with minimum perifocal inflammation. The disease is found in 1-3% of patients who underwent gastroscopy about pain in the upper abdomen, but it is believed that the prevalence of erosive bulbita much higher. The pathology is diagnosed with equal frequency in both sexes, chronic form is more common in older than 40 years. The urgency of the problem of erosion bulbita in gastroenterology and surgery saved as among the causes of bleeding from the upper gastrointestinal tract to share this nosology accounts for about 4%. There are acute and chronic forms of erosive bulbita that are different form factors, morphology and clinical presentation.

    burns, post-operative, under the action of toxic substances including alcohol, patients with kidney disease, respiratory and cardiovascular systems of the liver.

    The main role in the occurrence of chronic erosive bulbita given to Helicobacter pylori, and immune disorders. Some experts believe this form of pathology result of ulceration hyperplastic polyps. Chronic erosive bulbit also associated with a long (for more than two years) receiving corticosteroids and NSAIDs.

    dizziness, pale skin. The clinical picture of secondary erosion bulbita with single lesion duodenal mucosa is usually masked by symptoms of underlying pathology.

    Evaluation of symptoms of chronic erosive bulbita in most cases is difficult because this pathology is often associated with other diseases of the gastrointestinal tract, which is dominated by signs. Patients concerned about pain in the epigastric region, appearing some time after a meal and on an empty stomach, a tendency to constipation, rarely - nausea. Bleeding for chronic erosive bulbita not typical.

    Gastroenterologist finds out whether there was NSAIDs or corticosteroids, alcohol, there were signs of bleeding from the gastrointestinal tract; Specialist also determines whether a patient has the disease, which can lead to the formation of erosions. In general, the analysis of the blood to change characteristic of anemia (in the case of bleeding). Fecal occult blood test; necessarily performed on Helicobacter breath test, ELISA or PCR.

    The main method of instrumental diagnosis of erosive bulbita is esophagogastroduodenoscopy. Acute erosion department bulbar duodenum during endoscopic visualization takes the form of rounded or irregular shape of the mucous defect with hemorrhagic or fibrinous raid, sometimes with congestion zone on the periphery. If you have four or more foci of talking about multiple erosion.

    In chronic erosive lesions Bulba often multiple, resemble polyps with a defect in the center, covered with bloom, up to 1.5 cm. The mucous membrane around the erosion can be hyperemic or changed. This endoscopic picture is characteristic of periods of exacerbation. During remission erosion bulbar department become flatter, with their tops disappear raid, and they look like multiple erythematous education, slightly elevated above the mucosal surface. In some cases, the dynamic endoscopic observation is determined by an independent complete regression of chronic erosive bulbita. In the course of endoscopy necessarily performed endoscopic biopsy followed by morphological study of the resulting tissue to differentiate malignant neoplasms izyazvivshimisya polyps, benign submucosal tumors.

    If unable to perform endoscopy for the diagnosis of erosive bulbita held X-ray with contrast, but this method is less informative. Defects appear as erosion of mucosa bulbar depot card with barium in the central zone.

    gastric ulcer, chronic pancreatitis, cholecystitis and other diseases that can cause the formation of erosions department bulbar duodenum. Patients with chronic disease twice a year must undergo preventive treatment: we recommend compliance №1 diet, the use of drugs, normalizing motility. It is extremely important exception ulcerogenic drugs (non-steroidal anti-inflammatory drugs, corticosteroids).