Atrophic duodenitis is a chronic form of the disease, which is characterized by atrophy of the mucosa of the duodenum, as well as a sharp decrease in the number of goblet enterocytes. This diagnosis is in no way associated with atrophic gastritis.
Atrophic duodenitis, as a rule, is characterized by such symptoms as substantial thinning of the tissues of the mucous membrane of the DPC.The condition of the mucous membrane with it, like in gastritis, is characterized by pallor, ashy color, thinning, in which vessels are visible through it. Atrophy of the mucous membrane, as a rule, occurs due to shortening the hairiness, and even possible their complete disappearance. Duodenitis with atrophy of the mucosa of the duodenum can also be characterized by the absolute smoothness of the mucosal relief due to shortening and widening of the villi of the intestine.
In addition, during the diagnosis, symptoms are noted, such as a reduced number of goblet cells of enterocytes, enterochromaffine cells and Panet cells( enterocytes with acidophilic granules).In addition, specialists often diagnose a sharp compaction of cells of the intestinal epithelium, as well as a sharp flattening of the cells of the upper layer of the skin of the duodenal glands. In connection with what is expanding their lumen, often the same type as retention cysts.
These changes during the chronic course of the disease often have a localized or focal character. However, as a rule, the atrophic form can be determined by specialists-gatroenterologists, solely on the basis of extensive histological examination of biopsy specimens.
In addition, with atrophic duodenitis, often, gastrointestinal peptides are produced with impairments. They have a fairly broad spectrum of effects, and also cause general disturbances in the functioning of the digestive system. In addition, they have a general detrimental effect on internal organs and the body. In this regard, patients often experience, as a symptom, vegetative, as well as psychoemotional disorders.
Causes and treatment of atrophic duodenitis
Often the onset of atrophic duodenitis is associated with abnormal development and structure of the PDC.In addition, the cause may also be secretory insufficiency( possibly as a consequence of gastritis).Often, this form of the disease occurs in elderly people, but there are also rare cases in people of younger ages. Sometimes the appearance of the disease is associated with a chronic bacterial gastritis, however, in general, the causes are still poorly understood.
At treatment of an atrophic duodenitis, as a rule, appoint a diet №1 on Pevzner. This food excludes irritant products. This relieves the digestive system from permanent harmful effects. The diet includes exclusively protein foods and fats. Carbohydrate food is also present, but in a very specific composition. Salt and the amount of liquid are also limited. The number of meals is equivalent to six meals a day.
Absolutely for all meals in the treatment of this disease, the products must be steamed, or welded. Then rubbed, or ground with a blender until homogeneous. You need to consume them in a semi-liquid state. If you follow a diet, take into account that the last meal should not be later than seven in the evening, or at least two hours before bedtime.
Medication should be administered exclusively by gastroenterologists, depending on the symptoms, the diagnosis of atrophic duodenitis, and the individual characteristics of this particular case. The prognosis is usually unfavorable.