FIELD: medicine.
SUBSTANCE: what is involved is an endoscopic assessment of a degree of oesophageal involvement. The oesophagus is stained with 0.3% Congo red 2-3 ml through a spray catheter with maximum air insufflation. A length of the stained oesophageal segment (h) from a Z line with the stain colour changed by blue-black is measured in cm. Stain completeness coefficient K of an oesophageal circle is visually estimated as 1 for complete staining, and as 3/4, 1/2, 1/4 for partial staining. The derived data are used to calculate an area of the oesophageal involvement (S) by formula: S=27πrhK, wherein r=1 cm. If the patient shows no endoscopic signs of oesophagitis, though has pathologically acidic reflux oesophagitis with S>3.14 cm2, a high risk of degree I reflux oesophagitis is predicted. The value S>9.42 cm2 in the patient degree I reflux oesophagitis enables predicting a high risk of a transformation into degree II reflux oesophagitis .
EFFECT: simple and information-bearing method enables the early detection of the patients relating to a risk of developing and progressing reflux esophagitis, provided prevention of developing and progressing organic changes of the oesophagus for the timely administration of a therapy.
2 cl, 3 tbl, 2 ex
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Authors
Dates
2014-04-10—Published
2013-02-21—Filed