000474

and thickened. It is used to remove gases from the intestine during bloating

(flatulence). In flatulence, in addition, the patient should follow a special diet

(restrict foods rich in vegetable fiber).

Contraindications:

acute inflammatory or ulcerative processes in the colon

and anus; cracks in the anus; malignant tumors of the rectum, protrusion of the

rectum; bleeding from the digestive tract.

Equipment

: flatus tube, bedpan with water, oilcloth, diaper, vaseline, spatula,

cotton swabs, gloves.

Endoscopic methods of research of digestive organs

Fibrogastroduodenoscopy

(FGDS) is image transmission using fiber

optics.

Fibrogastroduodenoscope is a flexible tube with an optical system, equipped

with lenses for examination of the esophagus, stomach and duodenum (Fig. 25).

Indications

: diagnostic of chronic gastritis, peptic ulcer disease and gastric

cancer, operated stomach disease; dynamic monitoring of the healing of gastric

ulcer and duodenal ulcer; local treatment of peptic ulcer.

Contraindications:

esophageal obstruction; mental diseases; severe forms

of hypertension; myocardial infarction; condition after stroke; pulmonary heart

failure; acute inflammatory diseases of the

upper respiratory tract.

The sequence of actions in the preparation

of the patient to the FGDS.

3 days before the study, it is necessary

to exclude food that causes gas formation in

the intestine.

2. On the evening before investigation the

last meal should be no later than 21 hours.

3. Conduct a psychotherapeutic conversa-

tion about the goals and methods of research.

4. The study is conducted on an empty

stomach (in the morning on the day of the

study do not drink, do not take medication,

do not smoke, do not use chewing gum).

5. Remind the patient to take a towel and

remove the removable dentures.

Fig. 25. Fibrogastroduodenoscope