Duodenal bulge is considered to be caused by duodenal inflammation, duodenal polyps and duodenal carcinoid tumor, etc. Treatment measures include medication and surgery.
1. Duodenal inflammation: acid-suppressing drugs such as omeprazole and lansoprazole as well as bismuth colloidal bismuth and other bismuth agents can be taken for treatment, and antibiotics such as penicillin and metronidazole can be used to eradicate Helicobacter pylori if necessary.
2. Duodenal polyps: patients with small size duodenal polyps can be resected endoscopically; patients with duodenal polyps that are difficult to be resected endoscopically can be resected by conventional surgery.
3. Duodenal carcinoid tumor: patients with carcinoid syndrome can use codeine and ergonovine to control the symptoms, and if necessary, doxorubicin, methotrexate and other chemotherapeutic drugs can be used for treatment, and surgical resection can also be performed.
Patients presenting with duodenal bulge are advised to go to the hospital and ask the doctor to make judgment and formulate treatment plan.