Nonspecific ulcers of the small intestine: causes, symptoms, diagnosis, treatment

Nonspecific ulcers of the small intestine are extremely rare. In the literature, you can find only a few descriptions of this disease. These are nonspecific ulcers in contrast to ulcers of established nature, which can be tubercular, syphilitic and cancerous. It is believed that this disease is about 3 times more common in men than in women, and is found in people of mostly middle and old age.

The causes and pathogenesis of the disease are unknown. Since the phenomena of acute necrosis are more prevalent in the pathomorphological picture than the changes characteristic of the chronic (peptic) gastroduodenal ulcer, local vascular factors (embolisms, thromboses), local mechanical damage to the mucosa or focal inflammatory process can be the cause of these diseases.

Symptoms, course and complications. Ulcers of the small intestine can flow acutely or chronically, asymptomatically or with atypical pain in the para-ulbical region. However, most often for the first time they manifest suddenly the symptoms of perforation of the intestine and the clinic of the acute abdomen. Thus, after analyzing 130 reports described in the literature on primary non-specific ulcers of the small intestine, it was found that in 81 cases this was a perforation of the ulcer.

In more rare cases, small intestinal ulcers are complicated by intestinal bleeding.

Clinical diagnosis is difficult. Only in rare cases in the presence of ulcerative pains and signs of repeated intestinal bleeding by the method of excluding peptic ulcer and other gastroduodenal diseases, as well as lesions of the colon, the doctor can come to the conclusion about a possible disease of the small intestine and orient the radiologist on the targeted examination of this part of the intestine. However, due to known difficulties due to the known difficulties due to the peculiarities of the structure of the small intestine mucosa, and also the location of the intestine, the ulcer of the small intestine is difficult to identify. If the ulcer perforated or there was massive intestinal bleeding, with laparotomy and resection of the gastrointestinal tract, ulcers of the small intestine can often be detected.

Symptoms of perforation of small intestine ulcers do not differ from those in perforation of peptic gastroduodenal ulcers.

With chronic ulceration, a rare complication is stenosis of the lumen of the gut.

Treatment of small intestine ulcers is therapeutic, in uncomplicated cases is poorly designed. Since there is never any certainty that the ulcer represents a pitting tumor, it is more expedient to surgical treatment. In complicated and diagnostic doubtful cases - surgical treatment.

[1], [2], [3], [4], [5], [6], [7], [8], [9], [10], [11]