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What is the most reliable test for stomach problems?
Time：2023-04-01 11:03:10 source：psychiatricethics.com author：Emergency treatment Read：397次
What is the most reliable test for stomach problems?
Many patients with stomach problems may have this experience: whether it is epigastric pain, epigastric fullness and discomfort, epigastric burning, etc., as soon as they go to the hospital for treatment, the doctor recommends checking a mirror to see what stomach problems are. For fear of "suffering", some patients did everything possible to avoid the examination, while some patients were clever enough to replace gastroscopy with X-ray barium meal examination, ultrasound examination or electrogastrogram examination. In fact, X-ray barium meal examination, ultrasonography and electrogastrogram examination cannot replace gastroscopy, which is the most accurate method for checking and diagnosing gastric diseases. (1) Gastroscopy: The advantage is that doctors can directly observe the inside of the esophagus, stomach and duodenum with the naked eye, not only to find more serious lesions such as ulcers, tumors, polyps, diverticula, etc., but also to clearly see the mucosal Congestion, edema, and color changes and other subtle changes, for suspected lesions, a small piece of biopsy can be taken for pathological examination, and it can be determined whether there is a close relationship with chronic gastritis, gastric and duodenal ulcers and gastric cancer of Helicobacter pylori infection. The disadvantage is that when the gastroscope is passed through the pharynx and esophagus, patients will feel nausea and discomfort, and some patients have a sense of fear and are unwilling to accept it. (2) X-ray barium meal examination: the advantage is that the pain is small, the patient is willing to accept it, and the shape and peristalsis of the esophagus, stomach and duodenum can be seen. Compared with gastroscopy, the disadvantage is that this type of examination is an imaging examination. Generally, it can only make a localized diagnosis of the lesions and cannot make a qualitative diagnosis. It is not easy to detect mild lesions such as chronic superficial gastritis and esophagitis, and the rate of missed diagnosis is high. high. (3) Ultrasound examination: whether it is B-ultrasound or color ultrasound, there is no pain during the examination, and the patient is willing to accept it, but ultrasound examination is an imaging diagnosis, which is only suitable for substantial organs, such as liver, spleen, pancreas, heart, etc. Diagnosis of the lining of the cavity, such as color changes, the presence or absence of ulcers, etc., ultrasound examination of the stomach is not reliable. (4) Electrogastrogram examination: Electrogastrogram examination will not bring any pain and discomfort to patients, but the diagnostic value of gastric disease cannot be completely certain. Most scholars believe that it is unreliable to judge chronic gastritis, gastric and duodenal ulcers, and gastric cancer according to the diagnostic criteria on the manual of the electrogastrograph, and it cannot be used as a substitute for gastroscopy.
Many patients with stomach problems may have this experience: whether it is epigastric pain, epigastric fullness and discomfort, epigastric burning, etc., as soon as they go to the hospital for treatment, the doctor recommends checking a mirror to see what stomach problems are. For fear of "suffering", some patients did everything possible to avoid the examination, while some patients were clever enough to replace gastroscopy with X-ray barium meal examination, ultrasound examination or electrogastrogram examination. In fact, X-ray barium meal examination, ultrasonography and electrogastrogram examination cannot replace gastroscopy, which is the most accurate method for checking and diagnosing gastric diseases. (1) Gastroscopy: The advantage is that doctors can directly observe the inside of the esophagus, stomach and duodenum with the naked eye, not only to find more serious lesions such as ulcers, tumors, polyps, diverticula, etc., but also to clearly see the mucosal Congestion, edema, and color changes and other subtle changes, for suspected lesions, a small piece of biopsy can be taken for pathological examination, and it can be determined whether there is a close relationship with chronic gastritis, gastric and duodenal ulcers and gastric cancer of Helicobacter pylori infection. The disadvantage is that when the gastroscope is passed through the pharynx and esophagus, patients will feel nausea and discomfort, and some patients have a sense of fear and are unwilling to accept it. (2) X-ray barium meal examination: the advantage is that the pain is small, the patient is willing to accept it, and the shape and peristalsis of the esophagus, stomach and duodenum can be seen. Compared with gastroscopy, the disadvantage is that this type of examination is an imaging examination. Generally, it can only make a localized diagnosis of the lesions and cannot make a qualitative diagnosis. It is not easy to detect mild lesions such as chronic superficial gastritis and esophagitis, and the rate of missed diagnosis is high. high. (3) Ultrasound examination: whether it is B-ultrasound or color ultrasound, there is no pain during the examination, and the patient is willing to accept it, but ultrasound examination is an imaging diagnosis, which is only suitable for substantial organs, such as liver, spleen, pancreas, heart, etc. Diagnosis of the lining of the cavity, such as color changes, the presence or absence of ulcers, etc., ultrasound examination of the stomach is not reliable. (4) Electrogastrogram examination: Electrogastrogram examination will not bring any pain and discomfort to patients, but the diagnostic value of gastric disease cannot be completely certain. Most scholars believe that it is unreliable to judge chronic gastritis, gastric and duodenal ulcers, and gastric cancer according to the diagnostic criteria on the manual of the electrogastrograph, and it cannot be used as a substitute for gastroscopy.
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