METHOD FOR PREDICTING FUNCTIONAL PATHOLOGY IN INTESTINAL ILEOCECAL DEPARTMENT

摘要

FIELD: medicine, gastroenterology.;SUBSTANCE: the present innovation deals with complex diagnostics of functional pathology in intestinal ileocecal department. For this purpose one should endoscopically fulfill intubation of large intestine (LI) and terminal department of ileum (TDI). Through the endoscope into TDI lumen a catheter should be introduced to fulfill outputmanometry. Then one should determine a minute output of liquid perfusion in TDI at phase I (Ph I) that is characterized with instable values of output, and in phase II (Ph II) being characterized with stabilization of minute output values. Coefficient of α-output should be detected as the ratio of output in Ph II against output in Ph I. Due to comparing the results of outputmanometry in Ph I and Ph II against the results of experimentally obtained normal values of output in TDI one should state upon hyperkinetic type of motor activity of TDI. Pressure gradient β between LI and TDI should be determined as the pressure in TDI minus the pressure in LI. At β=0 in combination with hyperkinetic type of TDI motorics in Ph II and α being below 1 it is possible to diagnose ileocecal failure degree I in compensated stage. The innovation provides the chance for significant early diagnostics of functional pathology in intestinal ileocecal department due to objective apparatus-based measurements.;EFFECT: higher accuracy of diagnostics.;2 dwg