Esophagus and stomach radioscopy

It is done, as a rule, in the morning. The day before thediagnostics the patient should not eat much. Supper in quantity and quality should be light (porridge, tea). In the morning on the day of examination smoking, eating and drinking, taking medicine is forbidden.

Stomach X-ray can be obstructed by gases accumulated in intestine in case of meteorism, long and persistent constipations. In such cases gases push intestinal loops up, pressing the stomach. So that the accumulated gases and fecal masses in intestine do not obstruct X-ray examination the patient has twocleansing enema,the night before and next day 2 hours before examination.

For duodenum X-ray hypotonia is applied nowadays. According to the prescription of the doctor the patient is injected with an antispastic agent: 1 ml of 0,1% methacinsolution, 1 ml of 0,1% of atropine sulfatesolution subcutaneously or 10 ml of 10% of calcium chloride solution intravenously. Then using Janet's syringe through the duodenal probe 150-200 ml of baric suspension is introduced. After a series of X-ray films the radiopaque substanceis sucked out. The intestine is extended with air, and the probe is taken out. Further diagnostics is done in the artificial conditions of duodenalhypotonia.

Following the physician’s orders the radiologist monitorsthe movement of radiopaque mass in small and large intestine. This is doneon the day of gastric radioscopy and the next day, in case of retention of stool and slow advance of barium in large intestine - onthe 3rd day as well. For radiologic diagnosticsof caecum 8 h before the examination the patient drinks a glass of baric suspension. During this time the baric contrastive mass gradually fillsthe ileum, and in some casesvermiform appendix as well.

Irrigoscopy

For irrigoscopyexamination the patient is prepared as follows: a) all products causing gas-formationare excluded from nutrition 3 days prior to examination; b) at 3 p.m.onthe day before examination the patient takes 30 gr of castor oil; c) at 6 p.m. and 8 p.m. on the day before examination cleansing enemas are applied; d) l,5-2 h before diagnostics siphon clyster is applied, and then flatus tube.

During the examination according toindications ofradiologist baric suspension is introducedfrom the Esmarch mug into large intestine. To improve the study of mucosa relief tanin is added to baric suspension (5-10 grper1 l of water).

After irrigoscopy it is necessary to monitor the condition of the patient, because in some cases after fast emptying of large intestine of contrastive suspension abdominal pains and weaknesscan develop.

Date: 2016-07-18; view: 287; Нарушение авторских прав