What causes decrease in the size of duodenum in an elderly person?
Bypass preferably. To rule out cancer
Thanks for your query and an elucidate history.
Noted the history related to your husband about colectomy for diverticulitis and and stricture of the duodenum.
The commonest cause is stricture after an ulcer which on healing causes fibrosis and permanent small size.
Another most important reason to be ruled-out is a cancer of the area considering the age of 72.
Hence I would advise you the following:
First of all to confirm that this is benign. This is possible by Endoscopic biopsy and CT scan.
As you already know the stent will have its own complications, it is always better to go for Gastrojejunostomy, this again gives the chance to prove or disprove the presence of malignancy and act accordingly.
I hope this answer helps you getting the correct diagnosis and the proper treatment. Please feel to ask for further relevant queries if you feel tat there is a gap of communication.
To make the diagnosis certain
Since the scope can not be passed through the stricture, how can one be sure about what is lying distally?
Hence it is necessary to be sure before going for further actions.
Your Family Doctor will let you know which Specialist will be the correct choice in your country, whether the General Surgeon or Gastro Surgeon or even the Onco-Surgeon if there is suspicion on CT and/or Biopsy.
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