Penetration: what is it? You will learn the answer to the question from the article. In addition, we will tell you what symptoms accompany such a deviation and what it can lead to.
General information
Penetration: what is this pathology? This word is derived from the Latin "penetratio" and literally translates as "penetration". In medical practice, this term refers to the spread of the pathological process to other parts of the body, that is, beyond the boundaries of already affected organs.
Digestive organ disease
Penetration of a stomach ulcer is a peculiar complication of peptic ulcer, which spreads as an infiltrative-destructive process from the said organ (or duodenum) into the very thickness of neighboring tissues (for example, liver, omentum, gall bladder, pancreas, etc.) .
The main stages of the disease
Penetration of an ulcer, or rather, its development, proceeds in three stages:
- intra-wall penetration;
- fibrous fusion;
- penetration into the adjacent organ.
Clinical manifestations
Penetration: what is this pathological change? This is a rather difficult independent complication, which has its own characteristics. The clinical manifestations of such a deviation depend on the proceeding stage and the organ into which the ulcer spread.
So, a patient with a similar diagnosis may observe incessant pain in his epigastric region and an increase in its intensity.
Penetration of an ulcer into the pancreas is most often manifested by the appearance of pain in the back (more often of a shingles character). If the disease spreads through the body of the stomach, then pain can be observed mainly in the left side of the chest, in the region of the heart.
Jaundice in a patient develops only if the ulcer spreads to the head of the pancreas or to the hepatic-12 duodenal ligament.
Diagnostics
Penetration: what is it? You have received an exhaustive answer to this question above. Now I want to talk about how they diagnose such a pathological phenomenon.
When examining a patient (primary), doctors immediately note a particular tension in the muscle tissue of the abdominal wall or the so-called visceromotor reflex. Also, the patient may complain of local pain.
With this deviation, a blood test often shows the presence of leukocytosis, as well as an increase in ESR. After radiography, specialists carefully study the picture. A sign of penetration of an ulcer may be the presence of a rather deep “niche” in the duodenum or stomach, which extends beyond the borders of the organ itself.
What is dangerous
Such a complication may well be accompanied by the further formation of a cancerous tumor. That is why, if ulcer penetration is suspected, you should immediately seek help from your doctor. Although some experts still argue that even a modern examination (gastroscopy with biopsy) does not always allow us to establish the onset of the development of cancerous ulcer degeneration.
Conservative treatment of the disease and surgical intervention
Conservative therapy of such a disease is carried out only in stationary conditions. This treatment should include an antiulcer diet, taking antacids, as well as drugs that can normalize gastric motility.
The treatment of such ulcers is carried out under compulsory and endoscopic radiological control.
If there is no improvement after such therapy, then the patient is undergoing surgery. Upon its successful completion, the rehabilitation period should be at least 8-12 months.