Esophagography - Causes, Symptoms and Treatment .MF .
esophagography - is a method of diagnosing diseases of the esophagus with the help of X-rays.Because the tissue of the esophagus is completely passed, delaying, X-rays, this method is based on the ingestion of radiopaque substance - barium sulfate suspension.
barium suspension of the esophagus if swallowed tightly envelops its walls, allowing the screen to see the tiniest flaws and shadows in the lumen of the organ.In addition, when a sequence of rapidly receiving multiple pictures in a row receive information on the status of esophageal motility, which is especially important with gastroesophageal reflux.
method is indicated for a wide range of complaints on the part of the digestive system, and thanks to affordable hardware and technically simple method is widespread.X-ray of the esophagus can be administered repeatedly and is absolutely secure, as the radiation dose received in the survey, is significantly below that which can harm health.
esophagography may be imposed in addition to
- foreign esophageal body,
- gastroesophageal reflux disease,
- congenital esophageal anomalies in infants,
- diaphragmatic hernia,
- tumor, stricture (spike), diverticulitis, polypsesophagus,
- violation of the motor function of the esophagus of different nature (primary and secondary esophageal dysmotility).
study is contraindicated in pregnancy, especially in the early stages, as well as in patients with acute surgical pathology - intestinal obstruction, acute appendicitis, pancreatitis and other diseases that require emergency surgery.Also, it does not recommend that you study in acute myocardial infarction, pulmonary edema, severe respiratory failure and other emergencies.
Preparation for the study.
esophagography eve of the patient should be observed light diet for two to three days.Do not eat fatty, fried and spicy food as irritating substances may affect esophageal motility.It should also be taken to cancel the medicines (omez, famotidine, nitrate, nifedipine, etc.) for 24 hours prior to the study on the recommendation of the attending physician.
the evening before the test can receive a light dinner and not even allowed to drink water in the study day.A baby in the morning and are not fed, because the procedure must be carried out on an empty stomach.If esophagography performed on an emergency basis, for example, in cases of suspected foreign body esophagus, it may be non-compliance with these rules.
esophagography can be carried out in the clinic routinely or in a hospital, where the patient is delivered by emergency indications.Once the patient clarify what are the features of the study, he signed informed consent to the procedure, he was asked to remove dentures, jewelry and other metal objects that may cause the appearance of shadows in the pictures.Next, the patient goes to the x-ray room, the person gets to the screen, and produced the first panoramic shot of the chest.Then he offered to drink a barium aqueous solution of a thick consistency and a little lime flavor.
immediately made the first shot.If the survey is conducted in connection with a suspected foreign body, only one - two shots.If you want to detect esophageal dysmotility, performed a series of images in rentgenokinografii mode within the first two seconds after a sip of barium - that for a time in the normal fluid flows through the esophagus into the stomach.
The patient then takes a sip of barium again followed by taking pictures in a straight line, lateral and oblique projections, performed sighting shots if necessary.After another sip of the patient's suspension is placed on a table with a raised foot end.It is necessary to assess the viability of the lower esophageal sphincter, if suspected reflux, as well as to detect hiatal hernia.When all images to the patient suggest waiting a doctor's certificate or escorted to the police station from where he was sent.
The entire procedure takes about 10-15 minutes, without causing the slightest discomfort among surveyed.After the examination, the patient can go home, if they are conducted in a planned and there was no evidence of conditions requiring emergency care.
Within two or three days the patient observed a white chair, called barium excretion from the body.At this time, it may cause minor bloating, mild pain in the abdomen.If the barium was not removed from the body for three days, and the unpleasant symptoms of pain and discomfort expressed delivered should notify the physician, as a dense slurry of barium in the intestine can lead to constipation.To prevent this, the patient should drink plenty of fluids after esophagography procedure.
Explanation esophagography results.
Normally barium slurry in the study swallowed in one gulp, reaches the stomach in two seconds.The contours of the esophageal mucosa, kontrastiruemyh barium, smooth, free of defects and other shadows.Their appearance may indicate a tumor, diverticulitis, or ulcers on the mucous membrane, and if the patient has dysmotility, the slurry is retained in the esophagus longer.
Normal X-ray pattern with contrasting esophagus.
esophagography is a safe procedure, and complications in its conduct does not occur.In rare cases, possible aspiration (inhaling) barium suspension in patients with impaired swallowing and breathing act.
therapists Sazykina OJ