Examination of the small intestine

Treatment and diagnosis is performed by a gastroenterologist.

Types of examination of the small intestine:

• endoscopy;
• radiography;
• fibroscopy;
• Irrigoscopy;
• ultrasound.

In order to go through all these procedures you will need to get a referral from the therapist to the gastroenterologist.

Try to observe a two-week diet before the examination. It is required to release the gastrointestinal tract as much as possible from food. We must eat liquid mashed porridge, cooked on the water. Every day, in the morning and at night, do not forget to put yourself enemas. One day before the examination of the small intestine it is necessary to completely abandon the meals, and six hours from the intake of water.

Let's take a closer look at the types of examination of the small intestine.

Radiography .

The examination is carried out after ingestion of a barium mixture( 400 mg).First, you will be offered to drink it, and then( in a few hours) will be invited to make an X-ray. This type of examination allows you to establish an accurate diagnosis for dyskinesia, obstruction, enteritis.

ultrasound of .

This type of examination is assigned to each patient, without exception. Ultrasound examination can detect foreign inclusions in the cavity of the small intestine and determine its location relative to the stomach, colon and other organs of the abdominal cavity. For obese patients, this type of study is recognized as not effective, therefore other types of diagnostics are applied to them.

Irrigoscopy.

This type of examination is used mainly to diagnose various diseases of the duodenum. Before the examination, the patient is administered barium directly into the rectum through an enema.

Fibroscopy.

Examination is done with a fibroscope. If necessary, internal tissues are taken for analysis for histological examination. Also, the doctor can stop the bleeding with the help of a fibroscope.

Endoscopy.

Examination means checking the small intestine with an endoscope through which the video recording chamber passes. On a computer monitor you can observe the condition of the mucous walls of the small intestine. The doctor monitors the presence of inflammation and their localization. This type of examination is not assigned to all patients, because endoscopes are present only in some medical institutions.

There are several other methods for examining the small intestine.

For example, intestinoscopy( synonym for enteroscopy) is a procedure that allows an endoscopic examination of the small intestine. It also allows you to perform a biopsy with a histological and cytological examination.

You can perform various medical procedures:

• stop bleeding;
• polyp removal;
• installation of a food probe;
• extraction of foreign objects.

The newest method in the examination of the small intestine is the two-gallon enteroscopy , which opens a wide visual view of the small intestine along its entire length. This procedure requires a telescopic system of an endoscope( an enteroscope) and an external tube connected to a system of cylinders and an air pump. General anesthesia is required for the procedure.

Balloon enteroscopy is used to establish an accurate diagnosis:

• with small intestinal bleeding( with their possible stop);
• for small intestinal tumors( with the possibility of biopsy);
• for adenomatoses;
• for endoscopic extraction( excision) of small intestine polyps;
• for extracting all kinds of foreign bodies.

Capsular endoscopy is a modern method that allows diagnosing small bowel disease with the help of a small video camera.

Test method: the patient swallows a sterile disposable video camera-capsule( 11 mm x 24 mm), which passes naturally through the intestines and stomach, making automatic color photographs on the move. The time of passage of the capsule through the gastrointestinal tract is 9 hours. During this time, she manages to make more than 65 thousand coded pictures, which are automatically sent to a recording device, mounted in the clothes of the patient. After the examination, the capsule is naturally removed from the body, and the resulting video information is transferred to the computer. The doctor scans and evaluates the video information, and then puts a diagnostic conclusion.

The cost of the capsule endoscopy procedure ( including the cost of the video capsule) in Moscow is about 40,000 rubles.

Reviews of the capsule endoscopy are the most flattering. Here is one of the typical responses:

Valya.

How I decided to do it - I do not know. Today she underwent examination with capsular endoscopy and immersion in the state of artificial sleep. I was preparing for the survey for a week. In the morning I went to the procedure, as if to be executed. I was constantly shaking, there was a lump in my throat. The thought flashed: "Turn around and run away."But all fears were in vain. I was met as an old acquaintance. A big thank you for it! The anesthesiologist sent me to a state of sweet medical sleep. When I woke up, it was all over and I had to go home. By the way, I did not find any sores. How much I'm a coward, but I'll tell you honestly: "Do not be afraid of endoscopy, take care of your nerves and good luck to you!"