Digestive organs study

Digestive organs study(It does, the ょ う scratching the く, EnglandGastroenterology)Internal medicine studyOne field.

Originally as become origin of a word, at one time "Stomach studyIt kept developing "as.

It starts in the buccal cavity, esophagus、 stomach、Duodenum、 small intestine (jejunum and ileum),Appendix、 colon、 anus and the likeAlimentary canalIt relatesDiseaseYou diagnose and treat research mainly. In addition digestive organs liver、Gall bladder、 pancreas.

Typical disease

• ゾリンジャー ･ エリソン syndrome(Zollinger-Ellison syndrome) (ICD-10:E16.8)

  ゾリンジャー ･ エリソン syndrome (phosphorus - the collar そ it is to do, the ょ う like this the ぐ it is),GastrinProduction tumor (ICD-10:D37.7) The syndrome which it attracts with and is caused.

  • Sick condition
    • The meal and the regardless of tumor produces the gastrin.
  • Classification
    • pancreasG cell origin, stomach pylorus front yard section G cell origin,DuodenumSphere section G cell origin, and so on it is divided.
  • Cause
    • tumor
  • Statistics
    • As for 9 tenths or more occurs in the pancreas, remains and under of one tenth occurs from the duodenum.
    • Above half malignant tumor.
    • The parathyroid adenoma, it combines with the pituitary gland tumorOccurring frequently characteristic incretion tumor symptomI type is many.
  • Condition
    • Because the gastrin is the hormone which helps the digestion activity of the stomach, with gastrin excessStomach acidAnd pepsin is secreted excessively occurs. From stomach peroxy acid symptomDigestion characteristic ulcerOccurring, the stomachache, evil intention, vomiting, hematemesis and the lower blood, duodenum perforation occurs. In addition, from stomach peroxy acid symptom small intestine going down, the dyspepsia occurring, the water way the characteristic diarrhea flight is caused.
  • Inspection
    • Function inspection
      • Secretin load test

        Secretin load test (the せ giving ちit is to blow, the け it is) with,SecretinPrescribing, the test which measures the gastrin density in the blood.

        • Object

          Secretion control of gastrin

        • Principle

          Because secretin is the hormone which holds down the function of the stomach, if it is normal, when the food moves to the duodenum from the stomach, secretin is secreted from the duodenum, holds down the secretion of the gastrin.

        • Method

          Gastrin density in the blood is measured.

        • Decision

• • • • • • With the incretion tumor the behavior of opposite to original function (paradoxical rise) there are times when it does.
  • History
    • Discovery of sickness
      • ゾリンジャー doctor and エリソン doctor reported in 1955.
• WDHA syndrome

  WDHA syndrome (the way of is the ぃ - to be to obtain with the ゅ, the ちyou obtain and - do and the ょ う like this the ぐ are) with,Blood vessel ctive small intestine peptideThe syndrome which it attracts the production tumor (the VIP production tumor, VIPoma) with and is caused. Taking the initial of condition, you could attach this symptom name. Taking the name of the reporterヴァーナー ･ Morrison syndrome(Verner-Morrison syndrome) also.

  • Sick condition
    • Meal and regardless of tumorBlood vessel ctive small intestine peptideIt produces.
  • Cause
    • It attracts with the blood vessel ctive small intestine peptide production tumor and is caused
  • Condition
    • Water way characteristic diarrhea (WAter DIarrhea)
    • It is low the kalium blood symptom (HYpokalemia)
    • Non acid symptom (AChlorhydria)

      And so on.

  • History
    • Discovery of sickness
      • It was reported by Doctor ヴァーナー doctor and Morrison.

Relation

• Internal medicine study
• Surgical study
• digestive organs course