[Verse 1] Radiation enteritis, the aftermath of beams Mucosa getting torched in ways worse than it seems Acute phase hits fast, crypts ablated, villi stripped Chronic fibrosis follows, mesenteric vessels gripped Telangiectasia bleeds, strictures choke the lumen tight Malabsorption, fistula formation overnight Manage conservatively first, elemental feeds and rest Resection's the last card dealt when all else fails the test [Chorus] Seven other conditions, each one got a name Duodenal pockets, radiation, SMA syndrome's game Blind loop fermenting, pneumatosis on the scan Diverticulosis scattered, learn to read the plan R-D-S-B-P - etch it in your memory Rare but lethal, miss one and you'll feel the scrutiny [Verse 2] Duodenal diverticula, mostly periampullary zone Ninety percent asymptomatic, leave the silent ones alone But perforation's the crisis — retroperitoneal spread Contained by anatomy, CT pinpoints what you dread Conservative first: nil by mouth, antibiotics, drain Surgery reserved when peritonitis won't restrain Lemmel syndrome lurks when diverticula compress the duct Obstructive jaundice, pancreatitis — clinically bad luck [Chorus] Seven other conditions, each one got a name Duodenal pockets, radiation, SMA syndrome's game Blind loop fermenting, pneumatosis on the scan Diverticulosis scattered, learn to read the plan R-D-S-B-P - etch it in your memory Rare but lethal, miss one and you'll feel the scrutiny [Verse 3] Superior mesenteric artery syndrome — mechanical compression Aortomesenteric angle narrows, duodenum under oppression Third part of duodenum caught between the aorta and SMA Weight loss, cast immobilisation, burns — the triggers day to day Bilious vomiting, distension, postprandial agony Prone positioning, nutritional rehab, fluid strategy If conservative measures falter, Strong's procedure cuts the tether Duodenojejunostomy bypasses altogether [Bridge] Small bowel diverticulosis — jejunum takes the hit Acquired false diverticula, muscularis doesn't quit Bacteria colonise the pockets, bile salts fall apart Blind loop syndrome, SIBO bred within that hollow heart Breath test catches hydrogen, bacteria overgrown Rifaximin cycles clear what culture never shown Pneumatosis intestinalis — gas within the wall Benign in scleroderma, but ischaemia means a crash call Portal venous gas alongside it, surgical emergency Stripped of context it deceives — read the full history [Chorus] Seven other conditions, each one got a name Duodenal pockets, radiation, SMA syndrome's game Blind loop fermenting, pneumatosis on the scan Diverticulosis scattered, learn to read the plan R-D-S-B-P - etch it in your memory Rare but lethal, miss one and you'll feel the scrutiny [Outro] Enteritis scarred, diverticula perforated, SMA compressed SIBO fermenting quietly, pneumatosis context-assessed Every presentation's layered, anatomy holds the clue Surgical curriculum complete — the rare belongs to you
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