When it comes to inflammation of the duodenal mucosa and the pyloric part of the stomach, gastroduodenitis is diagnosed, its types are classified by endoscopic pattern. Until recently, this pathology was not allocated to a separate group. In the International Classification of Diseases( ICD-10) there is a diagnosis of gastritis( K29.3) and a diagnosis of duodenitis( K29).Now, gastroduodenitis also has a code for ICD-10.A possible combination of gastritis and duodenitis is allocated in ICD-10 by K29.9 and is indicated by the phrase "gastroduodenitis, unspecified", what is it, we will tell in the article.
In ICD-10, unspecified gastroduodenitis was isolated only recently. Physicians are still arguing about whether it is justified to combine the two pathologies( inflammation of the stomach and duodenal ulcers).Those who vote "for" pay attention to the general pathogenetic mechanisms:
- The development of both diseases depends on the level of acidity of the environment.
- Inflammation begins with a background of an imbalance in the protective functions of the body.
- The causes of the inflammatory process are also the same.
- Very rarely, when duodenitis occurs, as a separate symptomatic disease. It often happens that it becomes a consequence of chronic gastritis, and vice versa. Therefore, it was decided to isolate gastroduodenitis in a separate group, ICD-10 classifies it as XI class diseases, K20-K31 block number, K29.9 code.
Domestic medicine, considering that the pathological processes in the stomach cause and support pathological processes in the duodenum, treats the disease as a whole. Such a disease as gastroduodenitis is classified according to various factors, so it makes sense to list them all.
Detailed classification of gastroduodenitis:
- Given the etiologic factor, the disease is divided into primary and secondary pathologies.
- By prevalence - common and localized.
- Depending on the level of acidity, there is gastroduodenitis with a decreased acidity, with an increased and normal secretory function.
- According to histological indices - a slight form of inflammation, moderate, severe, to the degree of inflammation with atrophy and with gastric metaplasia.
- Based on the symptomatic manifestations of the following types are distinguished: the phase of exacerbation, the phase of complete remission and the phase of incomplete remission.
- According to the endoscopic picture, surface, erosive, atrophic and hyperplastic types of disease are isolated. Depending on the type, the treatment regimens are determined.
So, for example , , superficial gastroduodenitis is diagnosed if the inflammation affects only the walls of the gastric mucosa, while the walls of the intestine simply thicken, its blood vessels are filled with blood, this causes swelling. In this case, the pastel regimen and the therapeutic diet will be effective.
Erosive type is accompanied by the appearance of painful scars, erosions and ulcers all over the gastrointestinal tract. They can be formed for various reasons: due to insufficient allocation of mucus, the presence of reflux, the penetration of infections. Treatment should help to eliminate the root cause of the disease. It is this stage that distinguishes ICD 10, gastroduodenitis in this case is capable of provoking the development of peptic ulcer.
Catarrhal gastroduodenitis is diagnosed during an exacerbation, when the inflammatory process affects the walls of the stomach and the initial part of the duodenum. It can be caused by malnutrition or excessive use of medication. And here the therapeutic diet becomes the right life-saving circle.
The erythematous variety is diagnosed when the inflammation of the mucosa of the gastrointestinal tract is of the nature of focal formation. In this case, a large amount of mucus is formed, it causes swelling of the walls. Such a clinical picture signals that the disease goes to a chronic stage. Treatment in this case will be complex.