Traditional Culture Encyclopedia - Photography and portraiture - Is there any stomach examination without gastroscope?
Is there any stomach examination without gastroscope?
Abdominal fluoroscopy or plain film
Barium meal examination of stomach
Special examination: gastrointestinal hypotonic double contrast radiography, visceral angiography, abdominal angiography, X-ray photography and imaging examination.
Among them, gastric ultrasound refers to the B-ultrasound examination of stomach and duodenum after patients take contrast agent on an empty stomach. The function of oral gastric contrast agent is to quickly eliminate the artifact interference of gas and mucus in the gastrointestinal tract and form a strong echo interface with uniform distribution in the stomach and intestinal cavity.
Ultrasonic examination of the stomach is painless, non-invasive and non-damaging. There was no adverse reaction after taking contrast agent.
Three tests of gastric function-a sharp weapon for accurate diagnosis of early gastric cancer
Serum gastric function test is a method to diagnose gastric mucosal diseases by taking 2 ~ 3 ml of human venous blood (fasting), measuring gastrin 17, pepsinogen ⅰ and ⅱ, and comprehensively analyzing them. Its core index is G- 17, which is a noninvasive, painless, safe and economical method for detecting gastric diseases.
Serum gastrin is a gastrointestinal hormone, which is mainly secreted by G cells in gastric antrum and duodenum and plays an important role in regulating digestive tract function. In atrophic gastritis dominated by antral atrophy, antral mucosal atrophy can reduce the number of G cells and the secretion of G- 17, thus reducing the content of G- 17 in blood circulation, so the serum level of G- 17 can be used as a serum marker of antral atrophic gastritis.
PG (pepsinogen) is the precursor of aspartic protease secreted by gastric mucosa. The results showed that the levels of PG ⅰ and PG ⅱ were positively correlated with the activity and degree of chronic inflammation in gastric antrum and body, and the ratio of PGR to pepsinogen (PGⅰ/PGⅱ) was negatively correlated with the latter two.
Although all the above tests are very important, gastroscopy is the "gold standard" for stomach disease examination and the only effective method for diagnosing early gastric cancer. For gastric cancer, Vianda (S- 1 capsule) is mainly used to treat unresectable locally advanced or metastatic gastric cancer in clinic, with few side effects and remarkable curative effect. For gastric cancer, early detection and early treatment is the right way.
General gastroscope
Ordinary gastroscopy requires a slender tube extending from the patient's mouth through the esophagus to the stomach and duodenum. During the examination, the patient can relax, tilt his mouth slightly downward to let saliva flow naturally, and take a deep breath slowly through his mouth or nose, which can obviously reduce the discomfort of gastroscopy.
painless gastroscope
Compared with the traditional gastroscope, its biggest advantage is that the patient will not feel pain during the examination, and the patient will complete the gastroscopy during sleep. General anesthesia of painless gastroscope needs professional anesthesiologist to operate. It should be noted here that gastroscopy in Europe and America is painless under general anesthesia.
Capsule endoscope
The patient swallows a capsule filled with water, and the doctor can control the movement of the capsule by controlling the external magnetic field accurately in real time through software, so as to comprehensively observe the gastric mucosa and take pictures of the lesions as needed.
Gastropathy, gastroscopy is like a hurdle, but now we have painless gastroscopy and capsule gastroscopy, so timely medical treatment is the best policy.
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