咨询十二指肠溃疡浅表性溃疡

网友性别：男年龄：0 婚育情况：未婚

2015-01-05 15:48:25 | 浏览：755

我爸爸胃偶尔不舒服很多年，没怎么用药，从2013年10月十二指肠穿孔后一直不是很好，日见消瘦，但吃饭还行，从2014年10月饭量减少了，前后输液住院快两个月，效果还是不佳，现在喝一点粥就涨，时不时呕吐，10月到12月做过两次胃镜，第一次说十二指肠有息肉，第二次结果差不多，之前有胃和十二指肠溃疡严重，浅表性溃疡伴糜烂胃潴溜
请问医生；像现在这种情况我们现在不知道怎么办，该用什么药，看着爸爸吃不了东西，日见消瘦，万分着急！麻烦你在百忙中希望能给予建议和帮助。感谢你了！

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陈一斌医生回复发表于 2015-01-09 23:54:32

你父亲是因为长期反复溃疡，导致疤痕形成，引起肠道不全梗阻，进而出现胃潴留，可能只能考虑手术治疗。具体可以向普外科咨询。

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陈一斌 | 向该医生提问

厦门中医院 - 副主任医师

郑建玮医生回复发表于 2015-01-12 09:32:57

吃不下，呕吐！要注意胃排空是否有受影响？如反复球部溃疡引起的狭窄，这种情况下胃镜往往通不过，不能到达十二指肠降部（不知您的胃镜结果如何？）如系这种情况可采取内镜下球囊扩张或手术治疗。如胃镜能通过，要考虑其球部下段有无不全性梗阻或胃动力障碍如胃轻瘫（糖尿病病人易致胃轻瘫）。建议到医院就诊，必要时做个胃肠排空检查！如排空是正常的，还需警惕精神性或中枢性或代谢性（如肝肾功能不全、甲状腺功能亢进等）。

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郑建玮 | 向该医生提问

厦门大学附属第一医院 - 主任医师

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