METHOD FOR EVALUATING ORGANIC AND FUNCTIONAL STATE OF MUSCULAR COUPLING OF ESOPHAGEAL BAGASSE IN POSTOPERATIONAL PERIOD Russian patent published in 2005 - IPC

FIELD: medicine.

SUBSTANCE: one should perform trans-abdominal ultrasound studying of abdominal department of operated esophagus to detect its length, contours, external diameter, thickness of muscular duplication of artificial sphincter, structure of esophageal bagasse as layered structure, the value of bagasse lumen both at closed and opened variants during evacuation of esophageal content. One should either register or reject the fact of gastroesophageal reflux, detect the sites of liquid congestion beyond bagasse contour in case of its failure, detect the nature of circulation in area of esophageal anastomosis with gastric or intestinal stump in case of chromatic and energetic Doppler-scanning. In the course of endoscopic ultrasound testing of esophageal transition into gastric or intestinal stump on should determine the volume of muscular coupling of bagasse in distal esophageal edge by the following formula (V₁ - V₂), where V₁ - the volume of bagasse cylinder along its external surface, V₂ - that of along internal surface of muscular membrane of esophageal wall, percentage ratio of postoperational scar size against circumference of bagasse muscular duplication at its cross-sectional ultrasound scanning. Depending upon the above-mentioned data one should detect both organic and functional state of bagasse muscular coupling in postoperational period.

EFFECT: higher efficiency of evaluation.

11 dwg, 2 ex