Ultrasound examination of the intestine is an indication for the clinical and endoscopic symptom of his disease, as well as for monitoring treatment in the dispensary and during a routine examination. How to do ultrasound of the intestine, not everyone knows, so we will understand what this procedure is for, and how it is performed. It should be clarified that ultrasound examination of the intestine is only an additional diagnostic tool, since it cannot replace the main methods of visualization of the intestinal tract.
The intestine is a very important part of the gastrointestinal tract, it originates from the gastric sphincter and ends at the back of the rectum. In the intestine there are many processes associated with the digestion and absorption of food, hormone production and participation in the immune system. It is supplied with blood by the upper and lower mesenteric arteries, and the veins of the same name take this blood.
The intestine includes the small and large intestines, the walls of which are slightly different in structure. The mucous membrane with a submucosa is the inner layer, the muscular layer is the middle layer, and the serous membrane is the outer layer. On the mucous membrane of the small intestine are located outgrowths that resemble villi. It is thanks to these outgrowths that the suction surface increases many times. On the inner walls of the large intestine there are no villi.
Features of ultrasound of the intestine
The main ultrasound sign of intestinal disease is a thickening of its walls, which is not always specific. Ultrasound examination of the intestine is a very laborious task and requires a sufficient level of qualification from the specialist performing the procedure. Of great importance is the resolution of the equipment with which the research is being conducted. For example, in order to diagnose appendicitis and assess the thickness of the intestinal walls, it is necessary to use sensors with a frequency of 5 to 7.5 MHz with an enlarged image. If a wall is found to thicken, there is a need to use a scanner with scaling and high resolution to determine the diameter of the lumen in the intestine and the fluid inside it.
After doing an ultrasound of the intestine, carry out the decoding of the data. Here you need to be careful, because sometimes the results are misunderstood. So, for example, Crohn’s disease and severe infectious colitis have similar symptoms. A histological, endoscopic, or radiographic examination for insufficient evidence should be accompanied by an ultrasound scan of the intestine. How to do the preparation for ultrasound, consider next.
Preparation for the procedure
There are diagnostic methods that do not require special training. In this case, it is simply necessary to comply with certain conditions before the procedure of ultrasound of the intestine. How do the body cleansing before surgery, so you need to get rid of excess accumulated in the intestine. This applies primarily to the air, which makes scanning difficult. To do this, the patient is assigned a special three-day diet to help get rid of gases and reduce their formation. It is necessary to exclude such products as:
- raw fruits and vegetables;
- bread, especially black;
- milk products;
Allowed: all kinds of cereal, chicken and beef, lean fish, eggs in small quantities and cheese. Usually, before doing an ultrasound of the intestine, the patient is prescribed a diet. It is set in such a way that food is taken fractionally and in small portions.
As for the water balance, it is recommended to drink daily up to one and a half liters of any liquid (water, tea, compote, juices, etc.). If necessary, the attending physician prescribes drugs to reduce the formation of gases and improve digestion.
Many are interested in the question of whether the ultrasound of the intestine is not adults on an empty stomach. It is not necessary to appoint morning hours (before breakfast) for the procedure. You can choose the time to visit the ultrasound cabinet yourself, the main thing is that after the last meal there should be at least five hours.
Since you do an ultrasound of the intestine, after cleaning it, you should abandon the candy, chewing gum and cigarettes. It is also undesirable to take antispasmodics before the procedure.
How is the ultrasound of the intestine
If you need to identify the dynamics of changes in the gastrointestinal tract and track various diseases, ultrasound of the intestine is appointed. Where do this procedure? There are many clinics and medical centers providing ultrasound services.
Like any other ultrasound, ultrasound diagnostics of the intestine implies the position of the patient lying on a couch. A gel conductor is applied to the study area and the sensor begins to be led across the surface of the body. The image appears on the monitor screen. After the procedure, the remnants of the gel are removed with a napkin or towel. This method is also called transabdominal. Do ultrasound of the intestine in another way? There is also a second method for conducting ultrasound diagnostics of the intestine through the rectum, called endorectal. In the course of the study, a small-size sensor is inserted, thereby minimizing the painfulness of the procedure.
How is bowel ultrasound performed for children?
The procedure of ultrasound diagnosis of the intestine for children is completely harmless and does not cause discomfort. The only thing you need to take care of is to prepare the little patient for the upcoming visit to the doctor (convince him in advance that nothing bad will happen). This is necessary to prevent panic and tears in the ultrasound examination room. Pick a place for the procedure carefully. A guide for this will be patient reviews, prices for diagnostic services, as well as the qualifications of specialists. It is advisable to choose a clinic specifically designed for children – this is where doctors who know how to find an approach to each child work.
The algorithm of how to do ultrasound of the intestine for children is no different from carrying out the procedure for adult patients. There are only a number of recommendations, the observance of which may in some way affect the results:
- children under one year should undergo the procedure before feeding or after the previous meal they should pass more than 2 hours;
- drinking should also be limited, at least one hour before the ultrasound examination;
- A child under three years old should eat only three hours before the procedure, and older children should refrain from eating 5-6 hours before an ultrasound scan.
What visualizes intestinal ultrasound
With the help of an ultrasound of the intestine can detect such parameters as:
- intestinal size and shape;
- internal structure of the body;
- the presence of injuries and complications after them;
- inflammatory processes in the intestine;
- neoplasms of benign and malignant nature.
Bowel disease diagnosed by ultrasound
With this procedure, you can diagnose the following diseases:
- inflammation or swelling in the intestines;
- obstruction due to adhesions;
- Crohn’s disease;
Cost of ultrasound examination
The price of the procedure in each medical institution is different. It depends primarily on the status of the clinic and the manufacturability of the equipment used for diagnostics. On average, the cost of intestinal ultrasound in Russia ranges from 500 to 2,000 rubles.