How to check the stomach without gastroscopy: alternative survey methods
- Gastric juice
Diseases of the gastrointestinal tract (GIT) all over the world are the five most common. Most mental, emotional load, a quick snack, dry food, and later access to a doctor explain the incidence of gastritis. A well-known procedure of «swallowing probe the» causes patients have a terrible fear before examinations. In search of other alternatives, many are wondering how to check the stomach without gastroscopy?
Medicine is not in place, and replaced the nasty invasive interventions come other ways to diagnose the internal organs. We’ll talk about them in detail in order of importance and frequency of use in the practice of doctors.
First make overview pictures of the abdomen to determine acute or surround important pathology. Next, the patient drinks a Cup of barium sulfate (contrast agent). The first picture is fixed during the first SIP, and then gradually running more shots. Throughout the examination of the x-ray technician asked to change body position.
By the time the whole procedure takes about 30-45 minutes. The radiologist carefully examines each picture taken and writes the conclusion. So what kind of pathology can be detected?
Findings on radiography of the stomach:
- Changing the shape of the body, its location.
- Contraction or expansion of the esophagus, stomach.
- Insufficiency of the sphincter.
- The symptom of «niche» indicates ulcerative or erosive defect.
- The change in folding (gastritis, ulcer, cancer).
- Neoplasms (tumors, polyps, papillomas).
- Perforation of the body wall (wound foreign body or perforation of the ulcer).
Of course, fluoroscopy of the stomach can be attributed to additional validation methods. It only indirectly indicates some kind of disease. For clarification, may require blood tests, probing, ultrasound.
Laboratory methods of examination of the stomach
How is it possible to say something about the stomach for the blood results? It turns out that it is possible! Laboratory methods are of great importance in the diagnosis and are widely used in gastroenterology. The material of the study serves the patient’s blood, feces, gastric and duodenal juice.
Common and biochemical analysis of blood is the first thing that assigns any doctor to diagnose gastritis. Blood counts, their level can tell a lot about the General condition, the presence of inflammation, infection, the digestive enzymes and hormones. Specifically, the performance of the stomach include hemoglobin, leukocytes, erythrocyte sedimentation rate (ESR), levels of pepsinogen and gastrin. The vibration of their indirectly indicates the presence of gastritis, ulcer bleeding and other diseases.
Also in the blood, examine a number of antibodies to Helicobacter pylori (immunoglobulin M and G). Helicobacter is a bacterium that causes inflammation of the stomach lining. When it is found shall be appointed antibacterial therapy.
The fecal analysis shows the presence of hidden bleeding, disruption of enzymes (changes in coprogram), eggs of helminths, symptoms of dysbiosis.
This method will tell you how to determine the functional state of the gastric mucosa. Fence juice is obtained through a thin probe. Examined separately for each batch of material. Also performed pH-metry is the definition of acidity. These indicators play an important role for treatment.
All laboratory methods used to diagnose the functional performance of the stomach, therefore, not suitable to determine mass lesions, narrowing or obstruction of the esophagus, identifying the source of bleeding.
Ultrasound examination (sonography)
Routinely used as diagnostic method definition of many diseases. There is not one on which it would be impossible to inspect with ultrasound, but most of them explore the dense structure and fabric. As for hollow organs such as stomach, you can see there are not all. For example, types of gastritis to be excluded, but to detect a neoplasm, polyp, shape change possible. Thus, if the doctor is a choice, it is better to do ultrasound or fibrogastroscopy, the answer is obvious! FGS will provide the best result.
Magnetic resonance imaging (MRI) and computed tomography (CT)
For examination of the stomach and esophagus MRI and CT is rarely used but as an alternative method is applicable. The principle of operation of modern CT scanners is based on the radiation of magnetic fields on the body and receive impulses from the internal organs, which are recorded on a special film in the form of clear pictures. A step of obtaining slices (images) is defined by the program or physician. Thanks to the MRI apparatus can be fully explored every inch of any body. CT also explores the layers of bodies only by means of x-ray radiation.
To date, this survey is considered the most accurate and safe, as physicians have a real opportunity to look inside the body without interference and to consider any structure. As you may have guessed from the tomography also has contraindications and disadvantages. Relative contraindication is pregnancy. The disadvantages of MRI can be considered the inability to examine the function of the body, to trace its work, secretory and enzymatic activity. CT is used more frequently.
It is impossible to examine a patient with any metallic structures in the body (bone pins, screws, vascular clips), especially with pacemakers. Failure to do so may cost human life.
Not so long ago there were 2 brand-new method to diagnose stomach without the use of the fiberscope and the associated discomfort: the gastropanel and gastroscopy capsule.
This blood test can check several indicators. Their level of experienced and competent doctor will be able to draw conclusions with regards to the pathology of the gastric mucosa.
So, gastropanel explores:
- Antibodies to H. pylori (H. pylori), the bacteria causing ulcers.
- Pepsinogen II AI (precursors of the enzyme stomach – pepsin). Their significance can be judged on what Department of a stomach suffers.
- Gastrin 17 (a hormone that regulates the production of hydrochloric acid).
Of the totality of all indicators it is concluded, in which the doctor indicates the degree of dysfunction of the mucosa of the stomach and possible causes (atrophy, hypotrophy, giperatidnosti and others).Examination expensive and not informative, since it is impossible to visually see the condition of the body from the inside, but sometimes it’s a great method of diagnosis of the stomach without gastroscopy.
Many diseases, including cancer of the stomach or esophagus, may not display any signs and are detected at the last stage.
That is why a gastroscopy is a key examination for diagnosis.
A new examination of the esophagus and stomach from the inside using the photographic equipment. We can say that it’s a good alternative to a gastroscopy of the stomach. The apparatus is a small size capsule (10 mm) with built-in lens that allows you to take lots of pictures during her promotion. As another study conducted on an empty stomach. Patient washes down the capsule with water and can do the usual things. After 8-9 hours the capsule comes naturally. Looking at all recorded during this time information, the doctor makes conclusions about the state of the gastrointestinal mucosa examined and discovered entities.
It should say that capsule gastroscopy is used far not in all medical institutions because of their cost. While the survey is in the process of innovation. So each doctor for the qualitative diagnosis of diseases of the gastrointestinal tract need to think, not what you can replace gastroscopy, and how to overcome his fear and adjust to the required examination.
FGS still remains the «gold standard» in the diagnosis of diseases of the stomach. All other methods (CT scan, labs, ultrasound, probing) only complement it. Alternatively they can be used in patients with contraindications to conventional gastroscopy or inability to do the latter. An experienced doctor will always tell you what you should not replace gastroscopy, and what methods are suitable for the diagnosis of diseases of the stomach.