It is very important for the proper evaluation of the esophagus to conduct proper diagnosis.Thus, it is possible to eliminate errors in treatment and to accelerate recovery of the patient.Instrumental study that assigns a physician is very necessary, because the Physical methods do not allow you to see the full picture of the disease.All the more so in this time of bowel disease, most common stomach.In a healthy human esophagus undergoes virtually no irritation, while a patient having problems with stomach cramping were frequent, there is an inflammatory process, constriction etc.
- 1 If any symptoms appoint a study of the esophagus
- 2 manometry - a detailed study of the esophagus outpatient
- 3 Method of manometry
- 4 Other methods of manometry
If any symptoms appoint a study of the esophagus
When a patient complains of pain during or after a meal, then you must go through a study of the esophagus to determine the cau
pain when consuming any food indicates that the patient has impaired motility of the esophagus, the patient has esophageal burns, various damage through corrosive acid or alkali, esophagus struck infections, etc.On the development of cancer or reflux - esophagitis indicates a strong pain when eating in the sternum.
esophageal diseases require diagnosis.Research your doctor may prescribe different, depending on the symptoms that the patient feels.Thus, the diagnosis is performed by the following methods:
- using ezofagofibroskopii;
- using X-ray examination;
- using computer tomography or spiral;
- carried out endoscopic ultrasound;
- via esophagoscopy using hard esophagoscope;
- using pH - meters and ezofagotonokimografiyu.
Among all possible studies of the esophagus and stomach particular attention should be paid to esophageal motility study.
manometry - a detailed study of the esophagus outpatient
With outpatient studies - gauge, measure how much the reduced esophageal muscle, and how they interact with each other in the process of swallowing.Depending on the type of lesions of the stomach and esophageal symptoms, the first signs of the disease may differ or be contrary great similarity, but by manometry can establish an accurate diagnosis, pointing to a specific disease.
This study evaluate the performance of certain of the esophagus, including the department responsible for swallowing, the lower and upper esophageal sphincter, esophagus itself.Manometry allows you to plan antireflux surgery, to control the patient in the postoperative period.Esophageal motility study patient is prescribed in the case where:
- impaired swallowing;
- in systemic diseases observed dysphagia;
- necessary preparatory stage prior to surgery;
- need to monitor the patients in the postoperative period;
- necessary before pH - meters to assess the functioning of the lower esophageal sphincter.
Despite the fact that the diagnosis allows for precise and correct results, the study has some limitations.It is not suitable for everyone, there is a category of patients who are contraindicated manometry.Thus, it is impossible to carry out for people suffering from mental disorders, and those who have some esophageal diseases, including ulcers, varicose veins, etc.It is also forbidden to carry out a study in patients who have poor blood clotting, patients suffering from esophageal tumor or suspected risk of its development.
Method of manometry
manometry is performed using special equipment - a catheter, which requires an appropriate service.A catheter is placed in the esophagus to measure the rate of pressure.Equipment equipped with capillary tubes, the inner diameter is 0.8 mm.Most often used for research catheter having eight capillary tubes that surround a centrally located tube with a slightly larger diameter.All capillary tubes individually connected to the pressure sensors.
study is best done in the morning on an empty stomach of a patient.In addition if the patient uses the medicines needed for 24 hours prior to manometry to abandon their reception, as some drugs may change the performance of the work of the esophagus.Catheter transnozalno in a supine position, thereby improving the perception of the patient procedures.Also, the catheter can be introduced through the mouth.
To procedure was less painless, local anesthesia is used.In this case spray irrigate the nasal cavity, or xylocaine containing lubricant is applied to the probe with xylocaine.
If the procedure is carried out through the mouth, while the probe is pushed into the throat until until all capillary tubes with sensors do not fall into the stomach.Likewise, the procedure is carried out through the nose.Once all the sensors are located in the esophagus, the probe slowly recovered.In the process of its recovery sensors are the lower esophageal sphincter, thus registering a peristaltic signals that pass down the esophagus.
Thanks to the information that is recorded sensors can be learned about the relationship of peristaltic contractions and relaxation of the sphincter, the relationship contractions and relaxation of the pharynx upper esophageal sphincter.
Other methods of manometry
addition esophageal manometry, which is used most often, there are other ways of carrying out this study.Thus, it is possible to carry out, multichannel intraesophageal impedance, which is held in diseases such as reflux - esophagitis and esophageal motility violation.With this technique examine the path that runs as a bolus of food and stomach contents into the esophagus falls high.
When a patient suffers from constipation or unable to hold stool, then prescribe rectal manometry.The study can be found in what tone are the internal anal sphincter and at rest.Also evaluated as responsive relaxed internal sphincter stretching the rectum exposed to feces or inflated balloon.The findings help to detect the development of diseases or pathologies of the internal or external anal sphincter.
very rarely with the use of manometry, when there are violations of intestinal motility, are conducting a study of small and large intestine, stomach.Manometry is performed for 30-40 minutes.At this time, the patient may be asked to make a few sips of water to get more accurate results.Sometimes the patient may experience undesirable effects such as nausea, then the procedure is carried out through the nose.Processing and interpretation of the results obtained in a few days, after which the doctor sets the cause of the disease and assign the appropriate treatment.
study is not as terrible as it seems from the name, but it helps you to quickly find out the reasons why there is discomfort in the esophagus.In some cases, using manometry can prevent the development of serious diseases and start early treatment.
How is the gauge, can be found in this video:
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