Duodenal intubation: technique, indications for

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2018-03-18 11:51:06

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Not always blood, urine or feces can provide reliable information about the health status of the patient. In such cases, appointed special diagnostic manipulations.

Procedure

One of them is the duodenal intubation, the technique of Which requires some preparation.

duodenal intubation algorithm

This procedure is given in the presence of diseases of the gallbladder and liver.

How is duodenal intubation? The algorithm of carrying out his lies in the study of duodenal contents. It is extracted from the intestinal, gastric and pancreatic juices, and bile mixture.

Duodenal intubation, which reviews are mostly positive, helps to clarify the situation with inflammatory lesions of the gallbladder and liver diseases and biliary tract. Also it can be detected in the body the presence of parasites.

Do Not use drugs to sensing

Before going to be the conduct of duodenal intubation, the patient has to undergo training for this manipulation. About a week before this is not recommended to take certain medications:

  • Cholagogue;
  • Some antispasmodics;
  • Vasodilator;
  • Laxatives;
  • Medicines that improve digestion.

Diet meals

If appointed duodenal probing, his technique must be strictly observed. Is manipulation on an empty stomach. The last meal should take place the night before, no later than 19:00. It is desirable that the dinner was easy. It is strictly forbidden to consume foods that can cause frequent flatulence. These include:

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duodenal tube

  • Potatoes;
  • Rye bread,
  • Dairy products.

In the Evening, the patient is administered the drug “Atropine”, which should take 8 drops. In some cases, it is administered subcutaneously. Also consume water in the form of heat, which is added 30 g of xylitol.

Training in the morning

Duodenal intubation, the algorithm which starts from morning and lasts three to four hours. First and foremost, the patient needs to tell the sequence of the procedure. Also explain what it's meant to allay the man appeared any doubts about the need for this manipulation.

After that, the patient is placed in a comfortable chair in the assessment office with bowed head. Hand is given a special tray designed for the dedicated saliva, and chest area place a towel.

If the person will carry out this procedure, there are dentures, they must be removed.the conduct of duodenal intubation

Beginning of procedure

After these preparations specialist takes a sterile duodenal tube and rehydrate the end water. Having done this, he takes the probe in his right hand in a place that is about fifteen inches from the olive. In the left hand is the other end.

Then begins entering the probe. In an open oral cavity in the region of the tongue root feature olive that the patient is making swallowing movements should propel the esophagus with the help of a specialist.

To avoid the gag reflex, the patient must breathe deeply with your nose. If at this time the process of breathing takes place without any obstacles, it is a sign that the duodenal tube was in the esophagus.

Making a swallowing movement, the patient pushes the probe deeper until it reaches the stomach. To find out, the technician attaches a special syringe. If the capacity is filled with muddy liquid, it means that the probe in place.

duodenal intubation technique

The fixture has a special mark, which determine where is Oliva. To stomach enough of the fourth strip. If you need to penetrate deeper, to the seventh risks, further progress is held in a vertical position. It is desirable at this time to walk slowly.

If you require the sensing of the duodenum, the Oliva had to suck up to the ninth strip. So she was more bearable, the patient is placed on the couch on my left side. Under the pelvis puts a cushion of small size, and the ribs – a warm water bottle.

Duodenal intubation. Technique

When Oliva in place, the free end of the probe is lowered into the jar. It stands on a small table near the tripod at the head of the patient. There are tubes, in which are collected the materials for study.

As soon As the allocation of a transparent liquid yellow color, the end of the probe, which is free, immediately placed in the first jar. It should come to forty milliliters of bile. It takes about half an hour.

When the required amount of liquid in the first tube going to the probe, the specialist introduces a 25% solution of magnesium sulfate. The drug should be heated somewhere on forty degrees. Then gameplay clip or tie a knot the free end of the probe and left it for about ten minutes.

duodenal intubation reviews

After this time the free end of the probe is released and drops into the jar. As soon as the release a thick dark-olive bile from the tank the fixture is removed and placed into a second test tube. Material for analysis need sixty milliliters, to collect it will take another half an hour.

After this time the free end of the probe is again placed by a specialist in a jar and as soon as the secretion of hepatic bile, which has a bright yellow color, immediately shifted to the third test tube. You will need to collect approximately twenty milliliters of liquid.

Sensing

When duodenal intubation of the gallbladder ends, the technician leads the patient in a sitting position, then pulls the probe. After that, give the investigated antiseptic or water, to rinse the oral cavity.

Immediately after the manipulation the patient is asked about health. After this he delivered to the house, where he will left with the morning Breakfast. To deviate from the procedure, the patient required bed rest and complete rest.

Opinion

As tolerated by patients of duodenal intubation? The reviews of those people who took it, saying that the process itself is not so terrible as it seems at first glance. In addition, it is a wonderful way to excrete the excess bile.

Of Course there are small consequences. Magnesium sulfate can lower blood pressure. He also has a laxative effect, causing some loose stools.

Contraindications

Like all manipulations, duodenal intubation, the technique of which is described above, has contraindications. Carry out the procedure, you cannot:

  • Patients who have bleeding in the gastrointestinal tract;
  • Inflammation of the gallbladder;
  • With pronounced heart failure;
  • When the pathology neurotology;
  • Suzanna the esophagus;
  • If you have an ulcer of the stomach;
  • When the hemorrhoidal veins in the esophagus enlarged;
  • If you are experiencing complications in diabetes;
  • Asthma;
  • The presence of epilepsy;
  • Defects of the esophagus;
  • When the patient has a heavy feeling, and it would be difficult to make such a long procedure.

duodenal intubation of the gallbladder

Also strictly prohibited the manipulation of children under three years of age, pregnant women and those who breastfeed.

Complications

During the study, complications can arise in the form of:

  • Injuries of the mucous membranes of the esophagus;
  • The occurrence of bleeding;
  • Vomiting;
  • Profuse salivation.

...

Article in other languages:

AR: https://tostpost.com/ar/health/3389-duodenal-intubation-technique-indications-for.html

BE: https://tostpost.com/be/zdaro-e/5981-duodenal-noe-zandavanne-tehn-ka-vykanannya-pakazann-da-pryznachennya.html

DE: https://tostpost.com/de/gesundheit/5980-duodenal-intubation-technik-indikationen-f-r-die-bestimmung.html

ES: https://tostpost.com/es/la-salud/5986-duodenal-noe-teledetecci-n-la-t-cnica-de-la-ejecuci-n-el-testimonio-a-.html

HI: https://tostpost.com/hi/health/3391-duodenal-intubation-technique-indications-for.html

JA: https://tostpost.com/ja/health/3390-duodenal-intubation-technique-indications-for.html

KK: https://tostpost.com/kk/densauly/5983-duodenal-dy-zondtau-oryndau-tehnikasy-k-rsetk-shter-ta-ayyndau.html

PL: https://tostpost.com/pl/zdrowie/5985-dwunastnicy-brzmi-ce-technika-wykonania-wskazania-do-jego-przeznaczeni.html

PT: https://tostpost.com/pt/sa-de/5981-duodenal-noe-de-sondagem-a-t-cnica-de-execu-o-a-indica-o-para-nomea-o.html

TR: https://tostpost.com/tr/sa-l-k/5987-duodenal-ent-basyon-teknik-ger-ekle-tirmek-randevu-i-in-tan-kl-k.html

UK: https://tostpost.com/uk/zdorov-ya/5985-duodenal-ne-zonduvannya-tehn-ka-vikonannya-pokazannya-do-priznachennya.html

ZH: https://tostpost.com/zh/health/3670-duodenal-intubation-technique-indications-for.html






Alin Trodden - author of the article, editor
"Hi, I'm Alin Trodden. I write texts, read books, and look for impressions. And I'm not bad at telling you about it. I am always happy to participate in interesting projects."

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