How do uzi of the stomach and intestines
What does the ultrasound of the stomach show and why?
Ultrasound of the stomach is used in ultrasound diagnostics relatively recently, but almost all clinics offer this method along with other ultrasound options. Ultrasound is not as informative as a gastroscopy, but it does not cause any discomfort to the patient and is recommended for patients of all ages. So, ultrasound scanning of the stomach is primarily prescribed to children since infancy. There are also a number of medical indications, in which the doctor prefers to send the patient to ultrasound.
Why is there an ultrasound of the stomach?
The stomach belongs to the hollow organs, and for a long time the ultrasound of such parts of the body was simply impossible. Today, thanks to the latest equipment, this research has become a reality, but the list of pathologies that can be discerned with ultrasound is still limited.
Ultrasound allows you to assess the state of such parts of the stomach, as large and small curvature, sphincter and the canal's channel, the body part of the organ itself, the ampulla of the duodenum, the pyloric cave.
What does the ultrasound of the stomach show? When scanning, you can determine the following pathologies:
- any foreign bodies in the gastric cavity;
- edema and thickening of the walls;
- varicose expansion of the gastric veins;
- any tumors (malignant and benign);
- hernia, polyps and ulcers;
- gastric ulcer;
- esophagitis (inflammation of the gastric mucosa);
- GERD (reflux disease);
- aberrant tumor vessels, etc.
Indications for ultrasound of the stomach
The procedure for ultrasound scanning of the stomach is necessary if the patient complains of constant heartburn and eructation, vomiting, difficulty with digestion, pain in the upper abdomen. Ultrasound is also used for prophylaxis after treatment of gastrointestinal diseases and for preventing exacerbations in chronic ailments.
Make ultrasound is necessary for such indications:
- diagnosed (or suspected) gastritis or ulcer;
- suspicion of a malignant tumor;
- pyloroduodenal stenosis (narrowing of the pylorus of the stomach);
- intestinal obstruction (as part of a comprehensive diagnosis);
- congenital anomalies of the gastrointestinal tract.
There are separate indications for children. To assign an ultrasound diagnosis of the stomach to children, the doctor can with constant bronchitis and asthma, and also if a small patient suffers from a dry cough and spews up a lot. Pain in the abdomen, stools, nausea and vomiting for no apparent reason - also a weighty reason to send the child to ultrasound.
Method of ultrasound of the stomach
In answer to the question, how do ultrasound of the stomach, the only option is an external, transabdominal method. The patient lays on his side or stomach (sometimes sits down), baring his stomach. The doctor uses a sensor to scan, and the image of the gastric cavity is displayed.
Like any other ultrasound, this analysis allows you to get your hands on not only decoding, but also photos. On the pictures in the stomach there is always liquid, and many patients are interested in - why is it there and what for?Water is an excellent conductor of ultrasound waves, and without it, scanning of hollow organs would be impossible. Therefore, ultrasound diagnosis is always carried out in 3 stages, using fluid.
- 15 minutes before the procedure, the patient should drink a liter of liquid. Option 3 - juice, boiled water or juice in half with water. After this, the organ expands, and ultrasound allows you to consider all possible pathologies.
- Then the doctor gives the patient to drink the liquid again through the tube and scans the stomach already with water inside. Analyzing all the changes - both the organ itself and the duodenum.
- After 20 minutes, the specialist makes the third ultrasound - to assess the rate of emptying, that is, the motor function of the organ.
How to prepare for an ultrasound of the stomach
Preparation for ultrasound of the stomach for adults is fairly simple and resembles the measures before ultrasound of the abdominal cavity. The main requirement is a strict diet.
3-4 days before the diagnosis, all dishes that cause gases must be eliminated. Each person has this list of individuals. The main products are peas with beans, sour milk and milk, cabbage, fresh fruit, sweets, etc. Two days before the procedure, you can drink "Espumizan" or "Enterosgel the dosage will tell the doctor or pharmacist.
Scanning must be carried out on an empty stomach, so the last meal - for 12-14 hours for ultrasound. Smoking on the day of analysis is also prohibited. Drinking before the procedure is not allowed, except as juice or water 15 minutes before the test.
If you need to do an ultrasound scan of the stomach to a child, you can allow some relief. Pre-schoolers and junior schoolchildren are allowed to fast only 6-8 hours before ultrasound. To drink before the procedure you need only 500 ml of liquid. Bring to the analysis of babies can be immediately after the next feeding - the "hungry" period should be only 3 hours.
Ultrasound of the stomach is still a rare procedure for diagnosing gastrointestinal diseases, more often a more informative gastroscopy is used.But ultrasound diagnosis has obvious advantages - this method does not cause the patient any inconvenience, it is ideal for children, allows you to see the sick body from all sides, assess the condition of the vessels. Decide what procedure is required by the patient, should exclusively the attending physician. In doubtful cases, both analyzes are immediately assigned as complementary.
What shows uzi stomach and how to prepare for it
One of the best ways to get a complete picture of how well this or that organ functions is its ultrasound. Ultrasound of the stomach, as well as the esophagus, is used during examination of the digestive system for certain diseases.
Indications and methods of preparation for the study
The ultrasound of the stomach is done after ten hours from the moment of the last meal. In addition, a few days before the examination, the patient should give up:
- Rye bread;
- Carbonated water;
- Sour cabbage.
Another rule is the ban on smoking before the procedure. To such norms it is necessary to be prepared, that at the last moment not to break.
Indications for conducting:
- Preventive control of diseases of the digestive system.
- Chronic or acute gastritis.
- Stomach ulcer.
- Suspicion of the presence of polyps.
- Oncological diseases.
- The appearance of pain of unclear origin in the stomach.
How is the procedure performed
Ultrasound of the stomach can be carried out in two ways. The first of these is examination on the surface of the anterior abdominal wall, and the second involves the insertion of a probe. After the equipment is prepared, the person is laid on his back and after lubricating the sensor with a special gel hold it, pressing him to the body. During the examination, the patient drinks a little water, and the examination continues. This is necessary in order to see how the liquid enters the stomach.
The whole procedure lasts no more than 7 minutes, for which the doctor has time to make all the necessary observations. When the probe is inserted, the patient lies on the right side and an endoscopy device is inserted through the esophagus. This method allows you to make more detailed observations. The duration of the examination with this method is 15 minutes.
Features of ultrasound with contrasting
Ultrasound of the stomach with contrasting is carried out in three stages. On the first of them preparation is carried out: examination is carried out at a time when a person is hungry and his stomach is empty. At this time, the device shows the thickness of the walls, as well as the diameter of the cross section.
In the second stage, the patient drinks 500 ml of boiled water. After this, the doctor observes the changes in the digestive system. After 20 minutes, the stomach is emptied. This method is important in the diagnosis of motor function. Throughout the process of ultrasound of the stomach, the rate of filling and emptying of this organ is estimated.
What does the examination show? During the ultrasound of the stomach the doctor can find:
What is better to do - ultrasound or gastroscopy?
Each of these methods has its own disadvantages and advantages. For example, some changes occurring in tissues can be observed only with ultrasound examination, while others show only the method of insertion of the endoscope.
One of the main advantages of ultrasound of the stomach is the possibility of determining the blood flow of blood vessels. In addition, with the help of equipment, the organ is seen very well from many angles. And the ability to record research procedure makes this method one of the best.
Plus for patients is the lack of the need to enter anything inside. Prepare for this option is much easier, it relieves the experience and unpleasant physical sensations. At the same time, much less time is spent on the procedure.
The disadvantages are:
- Inability to take biological fluids from the body for investigation.
- Ultrasound does not show the entire body cavity.
The result of the performed actions is ready immediately after the manipulations. After a short period of time, the doctor prints his opinion on the letterhead and saves the record of the ultrasound. In conclusion, the general condition of the patient, as well as the revealed pathologies, is indicated. In addition, a video recording that shows the whole process is saved.
Use of an endoscope
When doing gastroscopy, it is possible to take a biopsy, and also to consider the stomach in its natural form, but it is observed only from one angle. In any case, the choice of a doctor is based on the need for a better survey.
Prepare for ultrasound of the esophagus as well as to a similar procedure carried out with the stomach. On the instruments, the doctor pays attention to changes in the diameter of the organ during swallowing, as well as the presence of various pathologies.
Indication for this procedure:
- Frequent heartburn after eating, as well as pain that appears behind the sternum.
- Suspicions for the appearance of such a disease as esophagitis. In this case, the state of the esophagus walls is evaluated.
- Suspicion of achalasia.
- Assessment of the condition of organs that are located near the esophagus.
- Asphyxiation of stomach contents.
Such diagnostic procedures are prescribed only by a doctor who, after the examination, will put the correct diagnosis and write out the treatment. On our website you can consult the doctor free of charge.
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Ultrasound examination of the stomach and duodenum
This information can not be used for self-treatment!
It is necessary to consult with a specialist!
Features of the study of the stomach and duodenum by ultrasound
The method of ultrasound diagnostics is based on the differentiated interaction of ultrasonic waves with various tissues of the organism. With its help, it is possible to evaluate both the anatomical and functional state of the stomach and duodenum. When a pathological process is detected, it is possible to establish its prevalence. However, ultrasound is most often used for the purpose of primary diagnosis of diseases of these organs, since it does not always provide complete information about the revealed pathology.
For better visualization of some diseases, for example, tumors or polyps, and for detecting motor disorders stomach and 12 duodenal ulcers are performed with a preliminary introduction into the stomach of a physiological solution or another substance.
Indications for ultrasound of the stomach and duodenum
Ultrasonography of the stomach and duodenum is prescribed for suspected ulcers of these organs, duodenogastric reflux, various neoplasms. The technique allows to reveal anatomical abnormalities of the structure of the stomach and duodenum, compression of the stomach by the mesenteric artery, hypertrophic form of gastritis.
The study helps to assess the consequences of abdominal trauma, allows you to make a plan for the upcoming operation, and also to adjust the treatment. It reveals such a life-threatening pathology as perforation (perforation) of the wall of the stomach or intestine. Under the control of ultrasound, some diagnostic procedures are carried out.
Gastroenterologists, therapists, surgeons, and oncologists are referred for examination. You can go through it in any medical center equipped with an ultrasound machine with the necessary technical characteristics. To conduct a study should a doctor who has experience in examining the stomach and duodenum.
How to prepare for ultrasound of the stomach and duodenum?
A few days before the procedure, it is recommended to limit the consumption of fresh fruits and vegetables, beans, carbonated drinks, since the presence of gases in the intestines can reduce the information content research. You should include porridge, low-fat meat and fish in the menu. It is forbidden to drink alcohol on the eve. At least a few hours before the study is recommended not to smoke, as nicotine can cause biliary tract spasm, which will negatively affect the results of the study.
The procedure is desirable to be done in the morning, because for 6-8 hours before the study can not be taken food. Immediately before the examination, the doctor may ask the patient to drink, -1 liter of fluid. In addition, as a rule, intravenously administered pharmacological drug that increases the contractile function of the gastrointestinal tract.
Methods of ultrasound of the stomach and duodenum
In order to visualize all parts of the stomach and duodenum, the doctor conducts a study in five different positions of the patient's body. The person being examined is asked to turn from one side to the other, change the position of the head, lie down and get up. Usually, ultrasound of the stomach and the duodenum use sensors of different frequencies.
To assess the evacuation function of the stomach apply a special technique. First, the dimensions of the antral part of the stomach are measured on an empty stomach, then after taking still mineral water.
Who should I contact with the results of the survey?
With the obtained interpretation of the results of ultrasound, it is necessary to come to the doctor who sent the doctor to the examination, in the absence of a referral - to the gastroenterologist. Based on the findings, the doctor may prescribe an additional examination, for example, endoscopy.
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Sources: http://uzigid.ru/zhkt/chto-pokazyvaet-uzi-zheludka.html, http://myzheludok.ru/procedury/uzi-zheludka.html, http://www.apreka.ru/?i=uzi_ultrazvukovoe_issledovanie_jeludka_i_dvenadtsatiperstnoy_kishki
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