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Duodenal dyskinesia: treatment
Last reviewed: 23.04.2024
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Treatment of violations of motor and evacuation function of the duodenum should be complex and strictly individual, with the aim of eliminating the aggravation of the underlying disease and restoring its function. The diet largely depends on the nature of the underlying and accompanying diseases. In those cases where motor disorders are accompanied by a violation of the drainage function of the gut, frequent fractional nutrition (5-6 times a day, in small portions) is necessary. Food should be easily digestible, rich in vitamins, contain little fiber. With severe symptoms of duodenal obstruction, repeated vomiting effectively parenteral nutrition. One of the most effective means of therapy of duodenosis is the washing of the duodenum: with a duodenal probe, once in 3-4 days, in the small bowl, up to 300-350 ml of mineral water is gradually added in small portions.
With hypermotor dyskinesia, the appointment of peripheral antispasmodics, holinoblokatorov, suppressing the motor activity of the duodenum is justified. In particular, intravenous administration of gastrocepin has an inhibitory effect on intestinal peristalsis. A similar effect on the motor function of the gut is also possessed by E2. A peculiar, initially short-term stimulating, and then prolonged, suppressive effect on the motor function of the duodenum is provided by the intravenous administration of dalargin, a synthetic analogue of enkephalins. With hypomotor dyskinesia, proserine, metoclopramide and its analogues (raglan, cerucal) are shown, which stimulate motor activity, increase the rate of evacuation of the contents through the duodenum. Somewhat different - normalizing - effect has another drug from the group of orthopramids - euglon (sulpiride), which can be taken in any form of duodenal dyskinesia. Eglonil also has neuroleptic properties, so it is effective in neurotic disorders, often accompanying duodenosis. Surgical intervention is recommended only with unsuccessful use of all means of conservative therapy.
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