Which examination is best for the intestine
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Modern methods of diagnosing intestinal diseases allow you to accurately determine the disease and conduct effective treatment.
Various diagnostic methods, which are actively used in modern medicine, allow maximize the accuracy of visualizing a variety of intestinal pathologies that are now being faced many people. Recently, such intestinal diseases as: fistulas, tumors, ulcers, inflammations of the mucous membrane, malformations, diverticula, polyps and oncological diseases are incredibly widespread.
To examine the intestinal cavity, doctors use different methods, each of which has its own advantages and purposes, and each of which gives a complete picture of the condition of the organ being examined. One of the most accessible methods of diagnosis of the intestine is considered a colonoscopy. But it is not always possible to hold it. In addition to this diagnostic method, there is also the possibility to check the intestines with the help of palpation; magnetic resonance imaging and computed tomography (MRI); ultrasound examination; anoscopy.
Therefore, many people are wondering - which of the survey methods is the safest and most effective? In general, the choice is between conducting a colonoscopy and an MRI. In order to answer this question, it is necessary to better understand how the diagnostics and examination of the intestine in each case, when the anatomical features of the patient are also taken into account, clinical signs of illness.
When conducting a colonoscopy, you can examine the condition of the entire thick intestine, make a biopsy of those areas where there is even the slightest suspicion of pathology. That is why this diagnostic method is the most popular. And with the help of a colonoscopy, doctors remove adenomatous polyps using anesthesia. Before the examination, the patient is carefully prepared: sometimes anesthetics are prescribed for parenteral use. The drawbacks of this method include its low efficiency in the so-called "blind zones" (folds and bends) of the intestine. The complexity of determining malignant neoplasms in the thick intestine is the unsystematic growth of the tumor, which can only be diagnosed at later stages of development.
Each patient can make a colonoscopy with complaints about problems with the thick intestine. But traditionally, colonoscopy is performed with intestinal obstruction; suspicion of the presence of foreign objects; constipation; a sharp loss in weight; suspected polyps and neoplasms; inflammatory processes in the thick section intestines;
revealing the source of gastrointestinal bleeding; frequent bloating; Crohn's disease.
It is impossible to carry out a colonoscopy if the patient has the following pathologies: acute myocardial infarction; peritonitis; acute intestinal and catarrhal diseases; shock state; pulmonary and heart failure; perforation intestines.
When MRI is performed, a more accurate, three-dimensional image of the organ can be obtained. Before the procedure, the patient is carefully prepared: spend cleansing enemas, prescribe laxatives. MRI reveals benign and malignant neoplasms; ruptures in the walls of the intestine; abscesses; internal bleeding; an obstruction of an intestine. It is impossible to carry out MRI during pregnancy, the presence of a pacemaker in the patient's body; hyperkinesis; claustrophobia; severe renal failure; presence of metal implants, shot, fragments and bullets.
Painless examination of the intestine
Painless examination of the intestine is very popular among patients today.
Many patients panically fear the very procedure of a colonoscopy, during which it is necessary to swallow a long probe, and then fight against its rejection.
Magnetic resonance examinationallows early recognition of benign formations (polyps), and then monitor the growth of the tumor and, if possible, remove it. The second place in the world, after oncology of the lungs, is cancer of the large intestine.
Cancer develops from polyps formed on the intestinal walls, early detection of which and proper diagnosis can save a patient's life and health.
Modern methods of examination of the intestineinclude a virtual colonoscopy that replaces the traditional colonoscopy and allows non-invasive examination of the large intestine without the use of a colonoscope (a long, flexible tube with a one end).
The newest computer equipment allows you to look into such remote areas of the intestine and discover there polyps that it was simply impossible to talk about before.
How to prepare for an intestinal examination?
The patient does not need to engage in long and complex preparation for intestinal examination using the methodvirtual colonoscopy.The day before the procedure, it is necessary to clean the intestines well.
Before the procedure of examination in the intestine, you must enter a certain amount of water and scan the patient (in lying on the stomach and on the back). In a few minutes, during which the patient is scanned, they manage to get more than 1000 consecutive photos of the large intestine. At the same time, images have time to undergo detailed analysis and computer processing.
Many patients can not swallow the probe, and are interested in alternative methods of examination of the intestine.
Today they are offeredcapsular endoscopy- a new method of research of the duodenum and stomach.
Efficacy of the capsular endoscopy procedure reaches 90%. The examination is carried out using a disposable video clip, the cost of which is included in the total cost of the procedure. In addition, this technique allows you to conduct a study of the small intestine, which remains inaccessible to standard techniques used before.
German scientists conducted a study with a group of volunteers and found thatcapsule endoscopy methodtoday is the safest procedure that allows to detect the smallest polyps of the intestine, which can cause cancer.
Capsule endoscope is available for remote control. thanks to which it is possible to carry out a computer examination of the intestines, dealing with their ordinary affairs, simultaneously showing color images of the intestinal mucosa on the computer screen in the doctor.
Video: capsular endoscopy
How to examine the intestines? Diagnosis of the intestines and diagnosis of the stomach (examination of the stomach) with a capsule
Many people ask themselves: how to examine the intestines? Capsular endoscopy - the best diagnosis of the intestine
Capsular endoscopy is designed to produce a video of the intestinal mucosa.
A new modern method for diagnosing the small and large intestine.
It allows you to examine the mucosa of the esophagus, to conduct examination of the stomach, duodenum, small intestine and colon.
The first studies in the world using video-capsular endoscopy began in 2001.
Capsular endoscopy, in view of its safety, simplicity and accessibility, took the leading place in the diagnosis of diseases of the esophagus, examination of the stomach, diagnosis of the small intestine.
Early diagnosis of tumors, diverticula, ulcerative or erosive process in the intestine allowed determine the further tactics of treatment by a doctor and determine the amount of therapeutic or surgical treatment. Despite the novelty of this method of diagnosis, in the world practice there are already more than 200 thousand studies.
The capsule consists of a video camera with a light source, a transmitting and recording device, a system support for verifying video images by an endoscopist.
Unlike analogues, the capsule recommended by us spends 3 photos per second for 1 day; thus, the number of studiesmakes 72 000 pictures for 12 hours of work of a videocamera.
Especially high diagnostic value of the method in the presence of bleeding, especially in the postbulbarnomu department of the intestine, where gastroscopy is not reachable, and the colonoscopy in this case is difficult, insecure and laborious in view of the severity of the patient's condition and the risk of relapse bleeding.
Videos of the intestine departments were evaluated jointly by an endoscopist and gastroenterologist.
According to different authors (Delvaux, 2004, Costamagna, 2002) sensitivity and specificity of video-capsular endoscopy reaches 75 - 95%.
The main contraindication for carrying out the method of video-capsular endoscopy is obstruction or stenosis of the intestine, as well as the presence of a pacemaker in the patient. With specific ulcerative colitis and terminal ileitis (without the presence of stenosis and fistulas), the doctor determined the indications.
Systemic diagnostics has several advantages: a capsule, naturally, disposable, is swallowed easily, does not induce vomiting reflex, is not present danger of mucosal damage, no allergy to anesthesia, as in gastroscopy, high diagnostic accuracy, possibility analyze the results repeatedly; in disputable cases there is the possibility of holding a consultation, an analytical review without a re-examination. research.
The main disadvantage of capsular endoscopy for our patients is the high cost of the procedure, although, in comparison with the world medical research, the cost of the service in the Clinic is significantly less.
Cost of capsular endoscopy11 500UAH
The recorder is located with the patient, it is convenient to operate, does not cause any inconvenience to the patient, does not have a harmful effect on the body. The capsule during the observation period passes the entire gastrointestinal tract due to intestinal peristalsis, it leaves by itself, naturally. The video cassette has a size smaller than the barberry.
PREPARATION FOR RESEARCH
The standard method for preparing for the procedure is to take laxatives, for example, "Fortrans" or "Forlax" - 4 packages. At the rate of 1 packet of the drug dissolve in 1 liter of water.
The day before the study from 4 pm to exclude the intake of any food, and 16.00 to 19.00 to drink 3 liters of a solution of 250 ml every 15 minutes. On the day of examination of the sutra from 8.00 to 9.00 to drink 1 liter of solution.
For 3-5 days, to exclude from the diet vegetables, fruits, bread, beans, cabbage in any form.
Since morning: Do not eat
The procedure can be carried out for children.
For the procedure you need to register by phone
575-32-20; 558-34-28; 574-10-88.
It is not recommended to carry out video-endoscopy without prior consultation with the leading specialist or gastroenterologist of the Clinic.
From the spent cleaning of the intestine the percentage of diagnostic accuracy depends.
Representative of IntroMedic Henry Kim is satisfied with the results of videocapsular endoscopy, visiting the Clinic in Kiev, January 2010. and May of the year.
Fig.1. Ulcerative process of the small intestine during passage of the video capsule. Fig. 2. Pronounced ulcerative-necrotic process
Sources: http://hronika.info/medicina/101509-diagnostika-kishechnika-chto-luchshe-kolonoskopiya-ili-mrt.html, http://hvatit-bolet.ru/bolezni-kishechnika/bezboleznennoe-obsledovanie-kishechnika.html, http://www.efferent.com.ua/ru/iagnostikailechenie/diagnostic_division/capsule_endoscope.html
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