Diagnosis of chronic duodenitis
For the diagnosis of chronic duodenitis inAt present, endoscopy is used with the help of which it is possible to determine the visible and characteristic changes in the damage of the duodenum. Endoscopy is a method of examining internal organs using special devices of endoscopes (flexible plastic or metal tubes with a lighting and optical system).
Abdominal pain and dyspeptic disorders(heartburn, nausea, belching, vomiting), similar to diseases of the duodenum, can be caused by compression from the outside of the duodenum. To clarify what and how the duodenum is affected, duodenoscopy is used - a method for examining the mucous membrane of the duodenum by examining it with a special device - a gastroduodenoscope, and also a biopsy - studying the structure of pieces of tissue of the duodenum (this allows you to determine the shape, stage of the disease).
When the disease is associated with pathologypancreas, biliary tract, liver and help such diagnostic procedures such as ultrasound (study of the state organs and tissues by using ultrasonic waves), ERPHG (this X-ray endoscopy bodies pancreatobiliary zones: the duodenum, duodenal papilla, bile duct, pancreatic duct) , MRPHG (magnetic resonance cholangiopancreatography allows you to see the bile ducts and the ducts of the pancreas in a three-dimensional image without the use of contrast), CT (research method based on obtaining images of tissues and organs by means of electromagnetic waves), MRI (method of investigation of human internal organs with the use of the physical phenomenon of nuclear magnetic resonance) and other modern diagnostic methods, which are in connection with the relevant indications can give accurate information about the nature of the defeat of these bodies.
X-ray examination in chronic duodenitis
X-ray study allowsdiagnose deformation body, including scar. In addition, when X-ray contrast study may evaluate its characteristics, the condition of the stomach. X-ray study of the gastroduodenal zone allows to identify and duodenal reflux. Duodenal reflux - is casting content duodenal (Bile) in stomach.
X-ray examination helps to identify induodenum areas in which there is a process of degeneration of tissue and areas with a high growth of the glands, where the tumor can be formed later.
Respiratory test for Helicobacter pylori infection
Since the main cause of duodenitis is causing bacterium Helicobacter (Helicobacter pylori), it is necessary to use the breath test.
Research is often used for diagnosis.tissue sample taken from the duodenum (biopsy) and urease test. A urease test is a determination of the level of gastric urease activity. It is based on a specific mechanism of the activity of the helicobacter bacterium - the breakdown of urea, which is in the contents of the stomach, by the urease enzyme. As a result of the reaction, ammonia and carbon dioxide are formed. The acid-base balance of the stomach (pH of the medium) is shifted to the alkaline side, which is fixed using the indicator.
Some importance for the assessment of functionalthe state of the stomach and duodenum duodenitis when attached to research methods of gastric acid. Monitoring (observation during the day) of acid the stomach gives a lot of information about the number, duration, severity of acidification in the near part of the duodenum, the adequacy of alkalinization.
The duodenal sounding method is whenusing a rubber tube inserted into the stomach, one can investigate the properties of duodenal secretion, digestion, and also detect parasites in the duodenum and bile ducts (more informative than coprological).
Quality digestion investigated by coprological research. biliary excretion system function is determined by duodenal intubation or by ultrasound.