Diagnosis of chronic duodenitis
For the diagnosis of chronic duodenitis inCurrently primenyaeyutya endoscopy with which you can opredelelit visible and characteristic changes in the defeat of the duodenum. Endoscopy - a method for studying internal organs by means of special devices endoscope (flexible plastic or metal tube and with an illumination optical system).
Abdominal pain and dyspepsia(Heartburn, nausea, belching, vomiting), similar to duodenal diseases can be caused by external compression of the duodenum. To clarify, what and how impressed duodenum Duodenoscopy used - method for studying duodenal mucosa by its inspection using a special device - gastroduodenoscopy and biopsy - the study of the structure of the duodenum tissue slices (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.
Often used for diagnostic studytissue sample taken from the duodenum (biopsy) and urease test. Urease test - the definition of levels of gastric urease activity. It is based on a specific mechanism of life Helicobacter bacteria - the splitting of urea which is in the contents of the stomach, the enzyme urease. The reaction to produce ammonia and carbon dioxide. Gastric acid-base balance (pH) is shifted to the alkaline side, which is reflected by 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.
duodenal intubation method - is when avia the introduction of a rubber tube into the stomach, you can examine the properties of duodenal secretion, state of digestion, as well as to detect parasites in the duodenum and the biliary tract (more informative than the scatological).
Quality digestion investigated by coprological research. biliary excretion system function is determined by duodenal intubation or by ultrasound.