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Sometimes gastric problem.
My endoscopy impression: LAX LES. Narrowing noted at D1 D2 junction. Scope could not be passed beyond. BC taken. Doctor suggested bypass surgery.
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Dr. Kumar Parth
Gastroenterologist
19 yrs exp
Bangalore
Hi dear, as per your symptoms and the endoscopy findings this looks like a chronic duodenal ulcer which led to narrowing of the 1 st/2nd part of duodenum.
Before surgery a CT SCAN OF ABDOMEN WITH ORAL AND I.V CONTRAST is must to define the lesion/ its extent and outside lumen picture.
Tuberculosis should be ruled out.
If after all diagnosis excluded then a Laparoscopic Truncal vagotomy and a Gastro-jejunostomy is the choice of surgery, where you will find it as a scarless surgery ,we work with a 5 mm size of 3- 4 holes.
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.