Echogastroscopic (ECHOGS): indications, preparation, results
Methods of research of organs of the female reproductive system today include quite a long list. In the optimization objectives are to maximize the use of resources. It is therefore very promising is a method such as echogastroscopic (ECHOGS). It allows to evaluate not only the condition of the uterine cavity and patency of the fallopian tubes. This is possible thanks to the combination of endoscopy with ultrasound imaging. How is this examination and what are the indications and contraindications to him?
With this gynecological endoscopy cannot assess the condition of the cavity and the inner surface of the uterus. Depending on the purpose distinguish between diagnostic and therapeutic hysteroscopy.
This is another name of echogastroscopic. Also popular, the term «Ecohydrology». What is the essence of this study?
Can be divided into two stages. First – the actual hysteroscopy. Gynecologist visually evaluates the mucous membrane (endometrium) of the uterus. This step is no different from the standard hysteroscopy. The only difference is the introduction into the uterine cavity contrast connection. It is necessary for the second phase of the study. As a contrast compound can be used Ehovist.
The second stage of the study involved the use of other physical process of ultrasound. It is necessary to detect the pathology of the fallopian tubes.
That is why the second most popular name of this technique is sonohysterography.
After contrast is introduced into the uterine cavity, he rushes to the lumen of the fallopian tubes. If there are no scars, adhesions, adhesions in the uterus, the contrast connection succeeds. Conducting a transabdominal ultrasound examination reveals the presence of contrast already in the fallopian tubes.
When it is particularly important to echogastroscopic? Today infertility is becoming an extremely serious problem. Moreover, this situation is considered to be interdisciplinary, requiring an integrated approach in treatment and in diagnosis. Despite the continuing upward trend of the share of male infertility, the inability to conceive in women diagnosed none the less. The proportion of tubal infertility is also high.
For this reason, the holding of echogastroscopic justified in cases of suspected pathology of the fallopian tubes. What is this disease?
- The tuberculous inflammation.
- Chronic nonspecific inflammation of the mucous membrane of the tube.
- Congenital obstruction of the appendages.
- Tumors or other mechanical obstructions.
- Cicatricial stenosis of the lumen of the fallopian tube.
It is important to understand that the study is informative in the presence of obstruction of the pipes. That is, a negative result is obvious in this case. If there is inflammation and other pathological processes with preserved lumen contrast will flow into the uterus.
When contraindicated research?
This method is not always feasible. It is very important to exclude diseases which are contraindications for echogastroscopic. What is the status?
- Infections of the lower genital tract in the acute phase.
- Viral infection of the respiratory tract.
- Purulent tonsillitis.
- Acute pyelonephritis.
- Decompensation of cardiac and other somatic pathology.
How to prepare for the exam?
Before spending sonohysterosalpingography, training of the patient. Priority should be understood that ECHOGS – invasive surgery, which some gynecologists equate to operation. Usually this study plan. This means that before to appear for examination, you must pass a number of diagnostic procedures.
The patient is prescribed blood, stool and urine for General analysis. This standard of study is necessary for any intervention. They allow screening for the exclusion of acute inflammation, which is a contraindication to perform echogastroscopic.
A PAP test is another important procedure that should pass before the planned study.
It will also allow us to exclude the presence of inflammatory processes in the genital tract. If the inflammation is acute, it must be cured, and then to echogastroscopic.
From laboratory studies it is recommended to donate blood for antibodies to HIV, the causative agents of syphilis and viral hepatitis. Then spend the chest x-ray (to rule out active pulmonary disease), electrocardiography (to avoid alopecia, cicatricial changes of the myocardium), as well as ultrasound examination of abdominal cavity and small pelvis.
Preparing to sonohysterosalpingoscopy nonspecific. It requires 3 days before the study to eliminate foods that cause flatulence. Dinner on the eve is skipped. Drinking regime without restrictions. The night before the study, the training should include a cleansing enema.
ECHOGS tolerated by women are usually easy. Therefore, it is possible to perform and ambulatory. But in patients who did not give birth, and nervous status, it is better to conduct the study in the hospital. Doctors like this method, because it has very informative in terms of identifying interinational pathology, and to exclude obstruction of the pipes.