METHOD FOR DIFFERENTIAL DIAGNOSTICS OF REFLUX-ESOPHAGITIS DEGREE Russian patent published in 2005 - IPC

FIELD: medicine, differential diagnostics.

SUBSTANCE: one should perform endoscopic esophageal ultrasonography. At detecting the growth of inflammatory infiltration onto mucosa only at availability of mucosal thickening and edema of basal membrane one should diagnose catarrhal form of reflux-esophagitis. At detecting the growth of inflammatory infiltration onto mucous and submucous layers at availability of surface defect being not deeper than mucosal basal membrane, at thickened mucous and submucous layers, the presence of hyperechogenic inclusions and widened vessels in submucous layer, indistinct borders between these layers one should diagnose erosive form of reflux-esophagitis. At detecting the integrity of mucous and submucous layers at including muscular membrane as a hypoechogenic part of destruction, in the fundus of which one should observe hyperechogenic necrotic masses, at spreading inflammatory infiltration onto mucous, submucous, muscular layers at failed architectonics of muscular layer and borders between layers it is possible to diagnose ulcerous form of reflux-esophagitis. At detecting decreased thickness of esophageal mucous layer at affected distinct differentiation of its wall along external contour at substituting its structures for hyperechogenic linear point inclusions, at availability as fragments or absence of muscular layer of esophageal wall one should diagnose cicatricial form reflux-esophagitis.

EFFECT: higher information value and accuracy of diagnostics.

9 dwg, 4 ex