SONOGRAPHY METHOD FOR DIAGNOSING FUNCTIONAL INTESTINE DISORDER IN CASES OF PATIENTS SUFFERING FROM INTESTINAL INSUFFICIENCY SYNDROME

摘要

FIELD: medicine. SUBSTANCE: method involves performing initial ultrasonic examination of the gastroenteric tract. The ultrasonic examination is carried out with barium passage through the intestine in the amount of 400-500 ml for determining motor evacuation function of the stomach and duodenum. 1-1.5 h later, ultrasonic examination is carried out to determine from barium suspension available in the stomach and duodenum, if the stomach and duodenum evacuation function is retained, delayed or missing. Signs of barium being available in small intestine are detected as ones observable at this stage in its proximal segments (jejunum) in scanning the epigastric and left mesogastric regions. Ultrasonic examination of distal small intestine segments (ileum) is carried out for checking no signs of barium available therein. 5- 6 h later, when no signs of barium presence in epigastric and left mesogastric regions being observed, barium availability in the ileum is tested by visualizing the signs of barium availability in the small intestine in the left ileac region and in the small pelvis to determine if the barium passage is retained, delayed or accelerated in the small intestine. Ultrasonic examination of the colon is carried out for visualizing increased pneumatization and the place the small intestine enters the cecum. Normal barium passage through the intestine is detected in 22-24 h from no signs of barium being present in the small intestine and increased pneumatization in transverse and descending colon with increased ultrasound reflection intensity of its anterior wall and from arc-shaped structures of increased ultrasound reflection intensity interpreted as haustra coli in filling intestine with barium. Pneumatization and increased ultrasound reflection intensity from anterior wall and ascending colon being detected, examination is carried out in 48 h. The signs remaining available, delayed barium passage in large intestine is considered to be the case. The signs of barium being available in the small intestine observable in epigastric, left mesogastric, left and right ileac regions and small pelvis are as follows. Anterior intestine wall is visualized as a 1-3 mm thick strip possessing increased ultrasound reflection intensity. Separate jejunum loops with small amount of liquid accumulated inside are visualized in the abdominal cavity region of restricted area, the intestinal loops have diameter from 1.1 to 2.0 cm, permanent peristalsis and unrestricted mobility. Marked small intestine loop pneumatization is available in the distal areas with respect to visualizable loops with liquid contents (progressive pneumatization). EFFECT: enhanced reliability of diagnosis; excluded multiple patient radiation loading. 2 cl, 6 dwg