What is possible and not possible during the Nativity Fast?
In 2018, the Nativity Fast will begin on November 28. During this period, Orthodox believers prepare to celebrate Christmas...
The antrum of the stomach, or, as doctors also call it, the antrum, is a large area occupying 30% of the total area of the stomach. It is located next to the duodenum, but they are separated by the pyloric sphincter (a muscular organ that provides one of the stages of peristalsis). The process of digesting food directly depends on the state of the antrum, since it is responsible for grinding the food consumed and moving it to the next section. In addition, a special mucus is synthesized in this section, which neutralizes hydrochloric acid. Thanks to this, the acid-base balance (balance) is constantly maintained in the stomach. This article will talk about what the antrum of the stomach is, where it is located and what diseases can affect it.
The antrum is located at the bottom of the stomach, right near the transition to the duodenum. It occupies about a third of its total volume. There is no consensus among doctors where there is a clear boundary between the antrum and the body of the stomach. Let's consider the main properties of this department. Food enters it in the form of a mass processed by gastric juice.
Next, this lump is crushed, ground and pushed further through the pyloric sphincter. Food particles at this stage should not be larger than 2 mm. Otherwise, they will not be able to go further and will be detained in the antrum, which can provoke illness.
Among others, one can highlight the property of the antrum to produce useful substances. These include gastrin, serotonin and somatostatin.
The human stomach consists of three sections, each of which differs in its functional and morphological characteristics. Let's consider them separately:
In the area of the fundus and body there are parietal cells that contribute to the production of internal factor or, as doctors also call it, Castle factor. The antrum contains the most bacteria Helicobacter pylori, so the development of gastritis in this area is usually accompanied by the formation of ulcers.
All functions of the antrum of the stomach are associated with the digestion process. Here's what happens:
Despite the established opinion, the active process of digestion does not take place in the antrum. The main task of the antrum is to form and push a bolus of food after it has been processed by gastric juice. For this purpose, mechanical mixing and grinding are used, which makes it possible for complete fermentation.
With active grinding of food waste, small particles no more than 0.2 cm in diameter are formed. After which the resulting porridge is pushed through the pyloric canal into the duodenum. Such movement is possible thanks to subtle antispasmodic contractions of the inner walls of the stomach.
Some of the areas of the antrum can perform a secretory function, which contributes to the production of such important trace elements as:
The mucous membranes of the antrum have an alkaline environment, which helps stabilize the balance of gastric juice. Also in this area, the harmful effects of certain bacteria are neutralized.
Factors in the development of diseases of the antrum are varied. Let's divide them into several groups:
These reasons provoke an aggressive attitude towards the mucous membrane of the organ, impaired motor function and innervation. Active, young males are more often affected.
Most gastrointestinal problems appear as a result of poor nutrition or a person’s inattention to their health. Pathological processes in the digestive tract can be successfully treated at the initial stage, but become chronic if you do not consult a doctor in a timely manner. Diseases that result from antral dysfunction are described below.
They are an inflammatory process in which the integrity of the mucous membrane is disrupted. With a prolonged course, damage to the deep layers or an ulcerative defect occurs. The root cause may be individual for each patient, however, among the most likely are the following:
The disease is easily eliminated with timely treatment. In this case, doctors distinguish four types of erosion:
Polyps are considered benign neoplasms of the glandular epithelium. The antrum accounts for 6 out of 10 gastric polyps. Polyps are characterized by both a solitary and colonial arrangement. According to the typology of polyps, they are divided into:
Usually the appearance is associated with a hereditary predisposition to them or the consequences of chronic gastritis of the antrum. The main contingent of patients are people of pre-retirement age and the elderly. Diagnosing polyps is not technically difficult. A simple gastroendoscope can determine their number, shape, etc. Only in severe cases of multiple polyps, surgery is prescribed. Most cases of treatment are treated with medication, taking into account the causes of its appearance and the symptoms that appear after the polyp. Their drugs for polyps are prescribed Motilium, Ranitidine, Phosphalugel, etc.
One of the most common diseases of the antrum of the stomach is the so-called superficial gastritis.
It can occur regardless of a person’s age. This disease is an inflammatory process of the part of the gastric mucosa that covers the antrum. The reasons may be: prolonged stress, frequent overeating, drinking alcohol, spicy or sour foods. All this leads to a decrease in the acidity of gastric juice, which creates a favorable environment for the growth of bacteria. The main symptoms of antral gastritis include pain in the epigastric region, discomfort and heaviness in the stomach. These signs do not always force a person to see a doctor; many prefer self-medication. As a result, the disease progresses.
Atrophy of the antrum mucosa leads to a sharp decline in the functionality of the department, which is expressed by a number of clinical signs: diarrhea due to dysbacteriosis, intolerance to dairy products, constant flatulence and rumbling in the stomach. The patient feels an unpleasant taste in the mouth, heaviness is felt in the stomach area, but there is no sharp pain even on palpation. Typically, heaviness in the abdomen is accompanied by aching, mild pain.
In the treatment of mucosal atrophy, general means of treating stomach diseases are used, and specific drugs are also used: natural gastric juice and drugs to stimulate the secretion of hydrochloric acid.
Unfortunately, many people have had to deal with gastric ulcers, but often this pathology affects the antrum of the organ. The main factors that can provoke the development of pathology include severe stress, hormonal imbalance, diseases of the cardiovascular system, blood diseases, etc. Blood in the stool, constant heartburn, nausea and pain in the abdomen - all this may indicate that you have an ulcer.
This is the name for a pathological increase in cell growth, which leads to a change in their functional ability and neoplasms. The antrum is the lower part of the stomach, which bears a fairly heavy load.
Often, in the presence of concomitant pathologies, the mucous membrane grows, revealing multiple small growths. Provoking factors include:
A certain percentage of neoplasms are malignant in nature. The following symptoms will help you suspect cancer:
More often, life-threatening consequences result from polyps, erosions and ulcers that were not eliminated at the initial stage of development. The prognosis of treatment depends on the detected phase of the cancer, as well as the presence of metastases. Modern medicine continues to search for effective drugs in this area and improve methods of radiation and radiotherapy, however, not a single approach provides a 100% guarantee.
Cancer (cancer in Latin or abbreviated as c-r) of the antrum accounts for up to 70% of malignant tumors of the stomach. There are:
Specifics of antral cancer localization:
🚫 If you suspect the development of pathological processes, you must urgently contact a treating specialist who will prescribe diagnostic examinations. Early diagnosis will help avoid serious complications.
At the first stage of the examination, the doctor collects the patient’s indicative complaints, including anamnesis and information about relatives. Further laboratory tests are aimed at detecting anemia, deficiency episodes, as well as involvement of nearby organs.
The most effective instrumental diagnosis is fibroesophagogastroduodenoscopy (FEGDS), which allows you to assess the condition of the stomach using a special hose and camera.
Additional procedures may also be prescribed:
If the patient’s symptoms are specific to certain diseases, the doctor may prescribe other tests aimed at diagnosing certain organs or body systems.
The type of therapy will directly depend on the diagnosis. Treatment can be carried out in two directions. These are conservative methods (taking medications, physiotherapy, sanatorium courses) and surgical intervention.
Drug treatment of antrum diseases is complex and long-term. If the presence of an infectious agent is confirmed, then a regimen of several antibiotics must be prescribed to suppress Helicobacter. Drugs from the Tetracycline group, Metranidazole, and Clarithromycin are active against bacteria. Related funds include:
🔥 Operative methods of therapy are used for voluminous formations and severe complications.
Regime measures play an important role. The patient is required to change his lifestyle and habits:
The duration of drug therapy is 1-1.5 months. Follow a strict diet for up to 2 weeks. If the disease becomes chronic, then therapy is periodic, lifelong.
The human stomach is a digestive reservoir, bounded on one side by the duodenum and on the other side by the esophagus. Being part of the digestive tube of endodermal origin, the stomach begins to separate early during human embryonic development. The volume of an unfilled stomach does not exceed 500 ml; when filled with food, it can increase the volume to 4 liters. When the food mass arrives, mechanical processing continues and the chemical process of food digestion begins.
The stomach can be divided into several parts according to its structural and functional characteristics:
The antrum of the stomach makes up approximately 30% of the total volume of the empty stomach, and it is not possible to draw a clear anatomical boundary between the antrum and the main part of the digestive organ.
The antrum is highlighted in green.
The specific function of the antrum is to finally grind food into a pulp state so that the maximum size of a food particle is no more than 2 mm. During mechanical grinding there is also constant mixing of food. After receiving a portion of uniform consistency, the food mass rushes through the pyloric sphincter and undergoes further processing in the duodenum.
The mechanical function of the antrum is not the only one. If the main section of the stomach produces more hydrochloric acid, then the task of the antrum is reduced to neutralizing acidity by producing alkaline mucus, concentrated in the pylorus area. This action is necessary to prepare the food mass for processing in an alkaline environment that will be created in the duodenum. The transition from acidic contents to an alkaline environment should not be too abrupt.
Another function of the antrum should be considered endocrine: individual cells produce the hormone gastrin, which has an effect on hydrochloric acid.
Insufficient gastric peristalsis contributes to food stagnation, fermentation and rotting, which causes the acidity of the environment to increase to a greater extent. The gastric mucosa is designed for a certain acidity level, corresponding to the normal production of hydrochloric acid by the parietal cells. When acidity increases, the mucous membrane is destroyed, which is accompanied by diseases of the entire digestive system of varying degrees of severity. If the effect of too acidic gastric juice is not stopped in a timely manner, the pathological condition becomes chronic.
The most common cause of the occurrence and development of diseases of the stomach and all its parts is the presence of a pathogenic bacterium - Helicobacter pylori. This is a gram-negative type of bacteria, often found in the cavity of the stomach and duodenum, causing ulcerative conditions of the digestive organs, gastritis, and duodenitis. Helicobacter pylori has been proven to be involved in carcinoma and lymphoma of the antrum and pylorus.
The pathogenic effect of Helicobacter pylori is based on its penetration into the gastric environment and, during its “permanent residence” in the glandular epithelium, the release of ammonia, which causes frequent excessive neutralization of the acidic environment with ammonium hydroxide. Ammonia is obtained as a result of the chemical transformation of urea, an enzymatic start for which the products secreted by Helicobacter pylori are used. Bacteria, multiplying, form a large lesion of the mucous membrane, leading to an inflammatory process and ulceration.
Provoking factors for the disease are:
With gastritis of the antrum, signs are found:
If you do not consult a doctor in a timely manner, persistent destructive and degenerative diseases develop. metamorphoses leading to chronic pathologies and cancer.
Gastritis differs not only in the nature of its course (acute and chronic), but also in the type of destructive disorders. There are:
With all types of antral gastritis, there is a violation of the duodenum - bulbitis, which occurs due to the reflux of an excess amount of hydrochloric acid into the intestinal cavity. The bulbar part of the intestine, the bulb, is usually affected by inflammation.
Treatment of gastritis is complex; it must necessarily include antibiotics to destroy Helicobacter pylori, agents that reduce irritation of the mucous membrane, and antispasmodics. It is also important to normalize the patient’s diet.
Stomach ulcers account for approximately one-fifth of all ulcerative conditions in the body. Distinctive symptoms are the acidic nature of the vomit, increased acidity in the stomach, and frequent reflux of hydrochloric acid into the esophagus, causing heartburn. Since the pathogenesis of the disease is diverse, the choice of a single treatment method that is universal for all types of disease is wrong. When choosing the main method of treatment, one should not shy away from other methods that will complement the treatment of a dangerous pathology.
During the period of acute ulceration, it is necessary to adhere to all areas of complex treatment:
Sometimes these methods alone are not enough, and severe forms of ulcers must be treated with a radical method.
Polyps are considered benign neoplasms of the glandular epithelium. The antrum accounts for 6 out of 10 gastric polyps. Polyps are characterized by both a solitary and colonial arrangement. According to the typology of polyps, they are divided into:
Usually the appearance of polyps is associated with a hereditary predisposition to them or the consequences of chronic gastritis of the antrum. The main contingent of patients are people of pre-retirement age and the elderly. Diagnosing polyps is not technically difficult. A simple gastroendoscope can determine their number, shape, etc. Only in severe cases of multiple polyps, surgery is prescribed. Most cases of treatment are treated with medication, taking into account the causes of its appearance and the symptoms that appear after the polyp. Their drugs for polyps are prescribed Motilium, Ranitidine, Phosphalugel, etc.
When the integrity of the mucous membrane changes, they speak of erosion, which are the initial stages of peptic ulcers. It is not easy to identify a clear cause of erosion in each specific case. Provoking factors may include poor diet, cardiovascular diseases, chronic stomach pathologies, and taking medications that are aggressive to the gastric mucosa. Timely treatment of erosion prevents the development of more severe conditions. Types of erosion can be as follows:
External signs of stomach cancer manifest themselves in a person’s sudden weight loss, systematic vomiting after eating food, intolerance to protein foods, and pain after eating. Stomach cancer develops in place of untreated polyps, erosions and ulcers. Treatment of gastric carcinoma takes into account the extent of the lesion, its focus, stage, the presence of metastases and the age of the patient. The list of leading methods of treating stomach cancer includes radical, chemotherapy, and radiological. 9 out of 10 patients with dangerous stomach disease are completely cured in the first stage of cancer. The prognosis for malignant neoplasms in the antrum of the stomach at the next two stages depends on the presence of metastases. The fourth stage of cancer, when metastases penetrate to distant organs, has the most negative prognosis, although with the complete destruction of malignant cells (which is extremely difficult!) the prognosis improves.
The danger of cancer is also associated with its recurrence after surgery in the same area.
Atrophy of the antrum mucosa leads to a sharp decline in the functionality of the department, which is expressed by a number of clinical signs: diarrhea due to dysbacteriosis, intolerance to dairy products, constant flatulence and rumbling in the stomach. The patient feels an unpleasant taste in the mouth, heaviness is felt in the stomach area, but there is no sharp pain even on palpation. Typically, heaviness in the abdomen is accompanied by aching, mild pain.
In the treatment of mucosal atrophy, general means of treating stomach diseases are used, and specific drugs are also used: natural gastric juice and drugs to stimulate the secretion of hydrochloric acid.
This type of pathology accompanies chronic forms of gastritis and is not an independent disease according to the medical classifier. The mucous membrane of the entire antrum becomes covered with redness, which is why it is often called erythematous gastropathy. Massive redness of the antrum mucosa has the same causes as the disease itself. Doctors ascertain the condition of the mucous membrane as an endoscopic finding.
When eliminating provoking factors, antacids and (or) astringent drugs are prescribed. The radical method of treating antral gastropathy is surgery.
The antrum of the stomach, or, as doctors also call it, the antrum, is a large area occupying 30% of the total area of the stomach. It is located next to the duodenum, but they are separated by the pyloric sphincter (a muscular organ that provides one of the stages of peristalsis). The process of food digestion directly depends on the state of the antrum, since he is responsible for grinding the consumed products and moving it to the next department. In addition, a special mucus is synthesized in this section, which neutralizes hydrochloric acid. Thanks to this, the acid-base balance (balance) is constantly maintained in the stomach. This article will talk about what the antrum of the stomach is, where it is located and what diseases can affect it.
Antrum of the stomach - where is it located?
Active digestion of food does not occur in this department, as some people may mistakenly assume. The main task of the antrum is to form a food bolus from food processed under the influence of gastric juice. To create a bolus, the contents of the stomach are thoroughly mixed and ground, which allows the stomach enzymes to finish their work. During food processing, small particles with a diameter of less than 2 mm appear. Mucus is secreted by epithelial cells, which reduces the activity of hydrochloric acid. This mucus is necessary for the normal functioning of stomach enzymes, but it can also harm the small intestine, which has a slightly alkaline environment than the stomach.
Later, the resulting pulp passes through the cavity of the pyloric sphincter into the human small intestine. This pushing is ensured by slight antispasmodic contractions of the gastric walls. Thanks to secretory functions, some antrum cells can synthesize certain substances onto the surface of the stomach.
Substances produced include:
The antrum plays an important role in the digestive process, so it is necessary to take various preventive measures that can prevent diseases of the antrum.
The human stomach consists of three sections, each of which differs in its functional and morphological characteristics. Let's consider them separately:
In the area of the fundus and body there are parietal cells that contribute to the production of internal factor or, as doctors also call it, Castle factor. The antrum contains the most bacteria Helicobacter pylori, so the development of gastritis in this area is usually accompanied by the formation of ulcers.
There are many different pathologies affecting the antrum of the stomach. Some of them are viral in nature, others are bacterial. Let's look at the most common of them.
Table. Major diseases of the stomach.
Name of the disease, photo | Description |
---|---|
An extremely dangerous disease, accompanied by the appearance of a malignant tumor in the antrum, which is aggressive and develops very quickly. As cancer develops, the patient may experience symptoms such as vomiting, nausea, loss of appetite, and sudden weight loss. The pathology is curable, but provided that therapy begins at an early stage of cancer development. According to statistics, in 90% of cases patients recover. |
|
Unfortunately, many people have had to deal with gastric ulcers, but often this pathology affects the antrum of the organ. The main factors that can provoke the development of pathology include severe stress, hormonal imbalance, diseases of the cardiovascular system, blood diseases, etc. Blood in the stool, constant heartburn, nausea and pain in the abdomen - all this may indicate that you have an ulcer. |
|
Damage to the mucous membrane or erosion is a precursor to peptic ulcer disease. As a rule, the cause of erosion can be an unbalanced diet, stomach diseases, the consequences of taking certain medications, and so on. There are two types of erosions: acute and chronic. If the former can be cured with the right approach in 7-10 days, then curing the chronic form is very difficult. The most dangerous to the patient’s health are erosions accompanied by the appearance of blood in the stool or vomit. |
|
A very common gastroenterological disease, which is accompanied by inflammation of the walls of the antrum of the stomach. Gastritis is bacterial in nature, since the previously mentioned bacterium Helicobacter pylori is the main source of damage. Its peculiarity lies in the fact that this bacterium is able to survive in almost any conditions, including in the human gastric environment. The disease is dangerous, but completely curable. |
|
It is accompanied by the growth of gastric tissue in the antrum, as a result of which the mucous membrane of the organ thickens. As a rule, hyperplasia is not accompanied by any symptoms, and if they do appear, they are only mild (digestive disorders, stomach pain). |
|
These are benign formations that arise on the mucous membrane of the antrum of the stomach. As a rule, they do not grow more than 3 cm, but without high-quality and timely treatment, polyps can degenerate into a cancerous tumor. The main reasons for the development of polyps include unbalanced nutrition, the development of inflammatory processes, and genetic predisposition. The clinical picture of polyps is similar to the symptoms of other gastrointestinal pathologies (nausea, increased gas formation, abdominal pain, etc.). To prevent polyps from degenerating into cancer, they must be removed surgically. |
Of course These are not all diseases that affect the antrum, since there are a lot of them. When the first suspicious symptoms appear, you should not self-medicate. In such cases, you should immediately consult a doctor for a diagnostic examination. Timely treatment of a particular disease will prevent the progression of the disease.
All of the above diseases have one thing in common - the most common reason for their development is infection of the patient’s body with Helicobacter, for which the antrum is considered an excellent place for development. The bacterium enters the body through the oral cavity, but only when it enters the stomach, having found convenient conditions for localization, it begins to act actively. This bacterium is not afraid of the effects of gastric juice, neutralizing it independently with the help of secreted enzymes.
On a note! Doctors note the connection between damage to the antrum of the stomach and diseases of the genitourinary system, heart, lungs and bronchi, and endocrine organs. It is worth noting that the presence of chronic infectious diseases can also cause stomach damage. This includes adnexitis, caries, sinusitis, tonsillitis.
At the first suspicion of a disease of the antrum of the stomach, you should consult a doctor for a diagnostic examination. This will help determine the disease and the severity of damage to the patient’s internal organs. The main diagnostic methods include:
Diagnosing stomach cancer based on the first symptoms
To identify the presence of decaying formations or bleeding ulcers on the walls of the stomach, it is necessary to testing the patient's stool for occult blood. When diagnosing, many specialists perform an x-ray analysis, which can be used to detect the presence of polyps, cancer or antrum ulcers. The presence of pathologies may be indicated by altered contours, excess or deficiency of tissue, and folding of the walls of the organ.
Depending on the disease, the doctor prescribes a specific course, because there must be an individual approach to therapy. First of all, the patient must give up bad habits for the period of treatment, and in some cases for the rest of his life. This also applies to proper nutrition, so you will need to exclude junk food from your diet. The diet should be moderately strict, without breaks and without the use of hot seasonings and spices.
To stabilize the acidity of the stomach, doctors prescribe enveloping drugs, the most effective of which are Hefal, Denol and Almagel. If the patient has a chronic form of the pathology, then therapy should be aimed at eliminating the original source of the disease, that is, Helicobacter. For this purpose, a course of eradication therapy using antibacterial drugs is used.
During the recovery period after illness, doctors prescribe wound-healing medications:
On a note! When treating a gastric ulcer, it is extremely important to make sure that there are no signs of internal bleeding and symptoms of tissue degeneration. If no signs were detected and the disease proceeds well, doctors prescribe a physiotherapeutic treatment method (phonophoresis, electrophoresis, etc.).
In rare cases, doctors are forced to resort to surgery. As a rule, surgery is required when:
It is much easier to prevent stomach diseases than to cure them. This applies to absolutely all its departments, including the antrum. As a rule, prevention consists of regular examination by doctors in order to identify possible disorders in the early stages of development. We are talking about specialized specialists, that is, you need to contact not a therapist, but, for example, a gastroenterologist.
There are also other preventive measures, including:
If you follow all these recommendations, you can prevent diseases not only of the stomach or its antrum, but also pathologies of the entire gastrointestinal tract. And constant adherence to a diet will allow you to get rid of extra pounds (if any) and tone your body.
For humans, the successful functioning of the digestive system is of great importance and the antrum of the stomach occupies a special position in it. The functioning of all organs of the gastrointestinal tract depends on its normal functioning. It weakens the effect of hydrochloric acid and achieves acid-base balance.
The organ is part of the digestive tract, which is an expanded hollow muscle tissue. The function is to grind food into a pulp and push it further through the digestive system. The glands of the department synthesize mucus, which protects the walls of the stomach from the negative effects of hydrochloric acid. Individual cells that synthesize and release microelements to the surface have a secretory function.
Located in the upper part of the abdominal cavity under the diaphragm and left hypochondrium. Conventionally divided into two sections:
Pathology of the digestive system leads to slowdown, stagnation and fermentation of food. As a result of this process, the production of hydrochloric acid increases, which has a long-term effect on the gastric mucosa. If measures are not taken to prevent these phenomena, they can transform into chronic diseases of the antrum. The main reasons include smoking, alcohol, poor diet, stress, and infections. A common cause of diseases of the stomach and its parts is the presence of Helicobacter pylori.
The occurrence of pain means the presence of a disease. Based on the location and nature of the symptoms, one can assume the development of pathology:
To reduce stomach pain, you should not use a heating pad. Heat can really reduce pain, but in some diseases (purulent inflammatory processes, bleeding) it can speed up the process and worsen the condition.
Stomach polyps
Benign formation from epithelial tissue cells.The disease is widespread. Formation occurs without symptoms. It is discovered by chance during examination of another pathology. The neoplasm is benign. The cause is gastritis, Helicobacter pylori infection, and heredity. It most often affects people over 50 years of age.
There are two types of polyps:
- . This polyp is formed by uncontrolled division of the epithelium. Polyps are not true tumors and they practically do not develop into malignant formations.
- Adenomatous. They are formed from glandular cells and form a benign neoplasm, with a high probability of transformation into a low-quality one.
How do gastritis manifest?
The disease is accompanied by inflammatory processes of the mucous membranes. Gastritis can be acute or chronic, with high, normal or low acidity. Signs of the disease include worsening digestion, heartburn, bloating, and bad breath. The main cause of disorders is considered to be Helicobacter pylori infection. The diagnosis is made by endoscopic examination. Therapy comes down to fighting the pathogens, taking enzymes and a special diet.
Erosion of the mucous membrane
Untimely treatment can cause ulcer formation.The disease is expressed by damage to the membrane. Erosion is a sign of an impending ulcer. Accompanied by the appearance of pathologies in the form of swelling and redness of the membrane, small growths, flat formations surrounded by a narrow rim or bordered by small red dots. The disease can have an acute and sluggish form. The chronic course requires special attention. This is due to the appearance of bleeding.