Preparation and carrying out of duodenal intubation


1. When appointed?

2. Contraindications

3. How to prepare?

Duodenal intubation - a technique used in various pathologies of the liver and biliary tract for the treatment and diagnosis.It helps to assess the state of bile and duodenum (duodenum).Duodenal sensing is performed by the probe with a thin rubber, plastic or metal at the end of an olive.It may also be used with a special dual probe bore gastric level.It will provide a cleaner pancreatic juice during aspiration of gastric contents.

Carrying duodenal intubation is to ensure that a patient in a flexible probe is inserted into a sitting position, the end of which enters the duodenum.Medical manipulation can be carried out under the control of X-ray equipment.Initially, the probe is lowered to the level of 50-55 cm, then it is connected to a syringe and aspirated gastric contents.The patient swallows the probe to the level of 70 cm and lies on the right side.Under his pelvis enclose a roller or a soft cushion, and under

the right upper quadrant - a hot water bottle wrapped in a towel.In this position, the probe will pass more easily to the gatekeeper and into the duodenum.

outer end of the probe is placed in a test tube on a tripod, set on a low bench near the head.Next, the patient should gradually swallow the probe until it reaches the level of "90 cm".When olive fall into the duodenum, duodenal contents will flow into the tube.Since the duodenum bile ducts are then pumped through the probe and bile.Subsequently, the liquid will be examined by microscopic and biochemical methods.

When he appointed?

Carrying duodenal intubation is recommended if the patient has inflammation of the gallbladder, biliary tract pathology and liver.

symptoms requiring implementation of duodenal intubation may be as follows:

  • Concentrated urine.
  • bitterness in the mouth.
  • Pain in the right upper quadrant.
  • nausea.

Contraindications Contraindications to duodenal examination is acute cholecystitis, esophageal varices, exacerbation of chronic cholecystitis, coronary insufficiency.

How to prepare?

In preparation for the study before the introduction of the probe is taken swab of the throat with a view to bacteriological examination.After that, the patient should rinse your mouth with a disinfectant solution that will eliminate the possibility of skidding of the microflora of the mouth portion in the bile.

diagnosis is carried out in the morning on an empty stomach.Dinner on the eve of duodenal intubation must be as light as possible, at the same time should be excluded from the diet of black bread, milk, potatoes and other products that contribute to gas production.To get the appropriate results of the study for the 5 days before the procedure should be to stop the use of choleretic drugs (Barberini, Tsikvalon, Allohol, holosas Flamini, Liv-52, Holenizm, Xylitol, Barbara Salt, Sorbitol, Holagol, magnesium sulfate).It is also required to refrain from taking antispasmodic drugs (No-spa, Bellalgin, Bishpan, Tifen, Belladonna, papaverine, Belloidum).Unwanted and laxatives, vasodilator drugs and those which improve digestion (Festal, Pancreatin, abomin, Panzinorm et al.).In preparation for the diagnosis of the patient is given a drink eight drops of 0.1% solution of atropine and a little warm water with dissolved in it 30 grams of xylitol.Atropine can also enter via injection, subcutaneously.

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