Retained antrum syndrome
Retained Antrum Syndrome
Retained Antrum Syndrome (pronunciation: re-tayned an-trum sin-drome) is a medical condition that occurs post gastrectomy, when a portion of the antrum is left behind. The etymology of the term is derived from the Latin word "retinere" meaning "to hold back", and "antrum", a Latin word for "cave". The term "syndrome" is derived from the Greek word "syndromē", which means "concurrence".
Definition
Retained Antrum Syndrome is a rare complication that arises after a Billroth II gastrectomy, where the antrum, or the lowermost part of the stomach, is unintentionally left behind. This remaining antrum continues to secrete gastric acid, which can lead to peptic ulcer disease in the jejunum.
Symptoms
The symptoms of Retained Antrum Syndrome can be similar to those of peptic ulcer disease and may include abdominal pain, nausea, vomiting, and weight loss. In severe cases, it can lead to gastrointestinal bleeding or perforation.
Diagnosis
Diagnosis of Retained Antrum Syndrome is often challenging due to its rarity and non-specific symptoms. It is usually confirmed through endoscopy and biopsy of the antral tissue.
Treatment
Treatment typically involves surgical removal of the retained antrum. In some cases, proton pump inhibitors (PPIs) may be used to reduce gastric acid secretion.
Related Terms
- Gastrectomy
- Antrum
- Billroth II
- Peptic ulcer
- Jejunum
- Gastrointestinal bleeding
- Endoscopy
- Biopsy
- Proton pump inhibitors
External links
- Medical encyclopedia article on Retained antrum syndrome
- Wikipedia's article - Retained antrum syndrome
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