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TAMESIDE HOSPITAL NHS FOUNDATION TRUST Dueodenitis Patient information Leaflet October 2013 • Dueodenitis is basically inflammation and irritation of the wall of the first part of the small intestine. Normal • Dueodenitis is a diagnosis usually made by endoscopy, in which a camera is inserted into the stomach and first part of the intestine. It can cause abdominal pain or bleeding from the intestine. It is similar to ulcers but less severe. Treatment is similar to ulcers. • Symptoms are similar to Peptic Ulcer Disease or dueodenal ulcers. There can be stomach pain, bleeding from the intestine, nausea, vomiting, loss of appetite, and, rarely, intestinal obstruction. • Dueodenitis GMED 5.0 Abnormal Page 1 of 5 TAMESIDE HOSPITAL NHS FOUNDATION TRUST • • • • • Dueodenitis GMED 5.0 Dueodenitis is usually due to things that irritate the wall of the intestine. For example, aspirin, non-steroidal antiinflammatory agents (NSAIDs), and high acid secretion can all lead to Dueodenitis. Diagnosis is usually made by endoscopy. The doctor will be able to look into the first part of the small intestine (called the duodenum) and see any abnormalities. Usually, there may be some redness and nodules in the wall of the small intestine. Sometimes, it can be more severe and there may be shallow, eroded areas in the wall of the intestine, along with some bleeding. This is slightly more severe than simple Dueodenitis and is sometimes called erosive Dueodenitis. • Diagnosis of a problem/condition and further information • Risk factors include taking aspirin, nonsteroidal anti-inflammatory agents, or having a disease (such as Zollinger-Ellison Syndrome) that causes excess acid production by the stomach. • Any alternatives can be discussed with your doctor. Length of stay dependent on the doctors but any investigation needs could be completed as an out-patient. Page 2 of 5 TAMESIDE HOSPITAL NHS FOUNDATION TRUST • • • • Dueodenitis GMED 5.0 The first step in the treatment of this condition is to stop all medications that can make things worse. Therefore, aspirin and non-steroidal anti-inflammatory drugs must be discontinued if possible. Also, medications such as H2 receptor blockers (for example ranitidine or Cimetidine) or proton pump inhibitors (for example Omeprazole) can be given to help reduce the acid secretion by the stomach. Conditions such as Zollinger-Ellison Syndrome that can cause the problem must be treated appropriately. If you have any problem concerning your procedure please speak to the department/doctor. • • • • • • Intestinal bleeding Intestinal perforation Nausea Vomiting Abdominal pain If the inflammation is severe, it can lead to intestinal obstruction. However, this is fairly uncommon. • Avoid prolonged use of aspirin or non-steroidal anti-inflammatory medications. Page 3 of 5 TAMESIDE HOSPITAL NHS FOUNDATION TRUST • • • • • • • • Crohn's Disease Gastric Ulcer Gastritis Varices Dyspepsia Gastroesophageal Reflux Disease Pancreatitis Oesophagitis • Discharge arrangements will depend on where the procedure takes place. If you have the procedure as an outpatient, you will need to be collected by someone. Further information will be made available when you receive your appointment. • Medication may be commenced when diagnosis is confirmed If There Is A Problem If you have any problems concerning your procedure please contact either your G.P. or telephone the hospital on 0161 922 6000 and ask to be connected to the ward/department where the procedure took place. Alternatively if you are very concerned please attend the Accident and Emergency Department. Other Useful Contacts or Information NHS Direct: 0845 4647 http://www.nhsdirect.nhs.uk Patient Information Centre TGH: 0161 922 5332 If you have any questions you want to ask, you can use this space below to remind Dueodenitis GMED 5.0 Page 4 of 5 TAMESIDE HOSPITAL NHS FOUNDATION TRUST you If you have a visual impairment this leaflet can be made available in bigger print or on audiotape. If you require either of these options please contact the Patient Information Centre on 0161 922 5332 Document control information Author: Division/Department: Date Created: Date Reviewed: Reference Number: Version: Dueodenitis GMED 5.0 J. Butterworth (Staff Nurse) /L. Penny (Matron) ES&CC October 2009 October 2013 GMED 5.0 Version 1.2 Page 5 of 5