Digestive examinations

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Digestive examinations
G I examinations
Scintigraphy of the liver and spleen
This test allows us to study the metabolism of the liver and spleen. It is painless and side effects are rare.
Indications:
Liver dysfunction. Morphology and size of the liver and spleen. Trauma of the liver or spleen.
Accessory spleen.
Procedure: Test done on 1 day.
Injection into a vein, of a slightly radioactive substance. This product is concentrated in the liver and spleen. Images
are taken 20 min after the injection.
Duration of the test:
About 1h15.
Contra-indications: Pregnant women. Women who are breastfeeding should stop for a period of 4 hours.
Preparation and medicines to stop: None
Elimination: The product used for this test is eliminated by the kidneys. It would be important to drink a lot of
liquid for the next 24 hours after your examination.
Liver scintigraphy with labeled red blood cells
This test allows us to confirm the presence of a hemangioma in the liver or a spleen accessory. It is painless and side
effects are rare.
Indications: Search, location and extent of a hepatic hemangioma. Confirm the presence of an accessory spleen.
Procedure: Test done on 1 day with 2 parts.
Part One: Blood collection and labelling of the red blood cells with a slightly radioactive substance. This takes about
30 minutes to perform. Reinjection of the blood sample and immediate pictures.
Part Two: Images at 1 and 2 or 3 hours after injection.
Duration of the test:
-About 2h30 the first part.
-About 1h00 the second part.
Contra-indications: Pregnant women. Women who are breastfeeding should stop for a period of 4 hours.
Preparation and medicines to stop: None
Elimination:
The product used for this test is eliminated by the kidneys. It would be important to drink a lot of
liquid for the next 24 hours after your examination.
Hepatobiliary scintigraphy
This test will tell if there is a stone in the gall-bladder and/or the liver. It is painless and side effects are rare.
Indications: Acute cholecystitis, biliary obstruction, dyskinesia, chronic gall-bladder disease with FE, bile leakage,
focal nodular hyperplasia.
Procedure: Test done on 1 day.
•Injection of a drug to empty the gall-bladder of the old bile. Wait 20 minutes and start the test.
•Injection of a slightly radioactive substance that concentrate in the liver cells which produce the bile. Images are taken
every 10 minutes for about 1h00 or until we see the gall-bladder.
•Possible administration of a small dose of morphine to help visualize the gall-bladder.
Duration of the test: Between 1h30 and 5h00. The time of the test will depend of the type of the disease we are
looking for and the preliminary results.
Contra-indications: Pancreatitis. Pregnant women. Women who are breastfeeding should stop for a period of 4
hours.
Preparation and medicines to stop: Fasting 4h00 before the examination.
Elimination:
The product used for this test is eliminated by the kidneys. It would be important to drink a lot of
liquid for the next 24 hours after your examination.
Meckel’s Diverticulum scintigraphy
This test will tell the presence of a Meckel's diverticulum (ectopic gastric tissue). It is painless and side effects are rare.
Indications: Search for ectopic gastric tissue.
Procedure: Test done on 1 day.
Injection into a vein of a slightly radioactive substance that concentrates in the gastric cells. Images are taken for a
period of 1h00.
Duration of the test: About 1h30 to 2h00.
Contra-indications: Pregnant women. Women who are breastfeeding should stop for a period of 4 hours.
Preparation and medicines to stop: •Fasting 4h00 before the examination.
•Take Zantac 300 mg 2 times daily for 2 days before the examination and one tablet in the morning of the exam.
or
•Take Tagamet 600mg 3 times daily for 2 days before the examination and 2 tablets in the morning of the exam
Elimination: The product used for this test is eliminated by the kidneys. It would be important to drink a lot of
liquid for the next 24 hours after your examination.
Liquid esophageal transit and solid gastric emptying
This test allows us to study the motility of the esophagus and stomach. It is painless and side effects are rare.
Indications: Dysphagia, achalasia, esophageal spasm, gastroparesis. Evaluation of the gastric transit time.
Gastric dysfunction, accelerated gastric emptying post stomach surgery.
Procedure: Test done on 1 day.
Esophageal transit: Images are taken while swallowing a slightly radioactive liquid.
Duration of the test: About 1h00.
Gastric emptying: Images are taken after the administration of a scrambled egg mixed with a slightly radioactive
substance.
Duration of the test: About 1h30 to 2h00.
Contra-indications: Egg allergy. Pregnant women. Women who are breastfeeding should stop for a period of 4
hours.
Preparation and medicines to stop: •Fasting from midnight.
Elimination:
The product used for this test is eliminated by the kidneys. It would be important to drink a lot of
liquid for the next 24 hours after your examination.
Breath test
This examination confirms the presence of the bacteria (helicobacter pylori) in the stomach. It is painless and side
effects are rare.
Indications: Verify the presence of a gastric infection caused by the bacteria Helicobacter pylori.
Procedure: Test done on 1 day.
•Collection of a breath sample.
•Drink a solution witch taste lemon.
•Collection of a second breath sample after 30 min.
Duration of the test: About 1h00.
Contra-indications: None
Preparation and medicines to stop: •Fasting 4h00 before the test without liquid.
•No smoking 2 h00 before the test.
•Stop 1 month before the test: Antibiotics, Bismuth, Kaopectate,
Pepto-Bismol.
•Stop 14 days before the test: Proton pump inhibitor or sucralfate.
•Stop 24h00 before the test: Antacid, H2 blocker.
• See the complete list bellow.
Elimination: During the test.
ANNEXE A : LISTE DES MÉDICAMENTS À CESSER
Antibiotiques et Bismuth :
- Tous les antibiotiques par voies orales ou intraveineuses
- Pas de problème pour tout antifungique ou antiviral
- Bismuth (Pepto-Bismol, Kaopectate)
30 jours
Inhibiteurs des pompes à protons et Sucralfate :
- Omeprazole (Losec, Prilosec, Zegerid, Ocid, Lomac, Omepral, Omez)
- Lansoprazole (Prevacid, Zoton, Monolitum, Inhibitol, Levant, Lupizole)
- Dexlansoprazole (Delixant, Kapidex)
- Rabeprazole (Pariet, Zechin, Rabecid, Rabeloc, Dorafem)
- Pantoprazole (Pantoloc, Protonix, Somac, Pantozol, Zurcal, Zentro, Pan, Controloc)
- Esoméprazole (Nexium, Esotrex)
14 jours
Bloqueurs H2
- Cimétidine (Tagamet)
- Ranitidine (Zantac)
- Famotidine (Pepcid)
- Nizatidine (Axid)
24 heures
Antiacides en vente libre :
- Acid Gone, Alamag, Alenic, Alka-Mints, Alternagel, Alu-cap, Alu-Tab,
- Ami-Lac, Amitone, Amphojel, Basajel,
- Cal-Gest, Calcarb, Calci Mix, Calci-Chew, Calcium, Caltrate, Chooz
- Di-Gel, Dialume, Dulcolax Milk of magnesia, Diovol, Eno
- Ex-Lax Milk of Magnesia, Gaviscon, Gelusil, Genaton, Heartburn anacid
- Icar Prenatal Chewable Calcium, Maalox, Masanti,
- Lait/Milk de magnesium, Mylanta, Nephro Calci, Neut, Os-Cal, Oystco
- Oyster Cal/Shell, Pepto, Ri-Mag, Riopan, Rolaids, Ron-Acid,
- Tempo, Titralac, Tums,
24 heures
TOUTES LES AUTRES FAMILLES DE MÉDICAMENTS NE SONT PAS À CESSER
Modificateur du transit digestif
- Dompéridone (Motilium, Motinorm, Costi)
- Loperamide (Immodium, Lopex, Dimor, Fortasec, Pepto Diarrhea Control)
- Cisapride (Prepulsid, Propulsid
- Metoclopramide (Maxeran, Maxolon, reglan, Degan, Primperan, Pylomid, Cerucal, Pramin)
Autres
- Arthrotec : AINS + misoprostol (analogue prostaglandine E1)
- Talanidine plutôt Tizanidine (Zanaflex) = relaxant musculaire
- Dicyclomine (Bentylol) = anticholinergique
- Diclofenac (Voltaren) : AINS
- Pinaverium (Dicetel) : GI calcium antagonist : irritable bowel
- Trimebutine (Modulon)
- Librax = Chlordiazépoxide + clidinium (colon irritable, ulcère)
- Butylscopolamine (Buscopan) : crampe abdominale
MÉDICAMENTS À CESSER EN PRÉPARATION POUR BREATH TEST
Acid Gone
Alamag
Alenic
Alka-Mints
Alternagel
Alu-cap
Alu-Tab
Ami-Lac
Amitone
Amphojel
Axid
Basajel
Bismuth
Calcarb
Calci Mix
Calci-Chew
Calcium
Cal-Gest
Caltrate
Chooz
Cimétidine
Controloc
Decetel
Dexilant
Dexlansoprazole
Dialume
Di-Gel
Diovol
Dorafem
Dulcolax Milk of magnesia
Eno
Esoméprazole
Esotrex
Ex-Lax Milk of Magnesia
Famotidine
Gaviscon
Gelusil
Genaton
Heartburn anacid
Icar Prenatal Chewable Calcium
Inhibitol
Kaopectate
Kapidex
Lait/Milk de magnesium
Lansoprazole
Levant
Lomac
Losec
Lupizole
Maalox
Masanti
24 heures
24 heures
24 heures
24 heures
24 heures
24 heures
24 heures
24 heures
24 heures
24 heures
24 heures
24 heures
30 jours
24 heures
24 heures
24 heures
24 heures
24 heures
24 heures
24 heures
24 heures
14 jours
24 heures
14 jours
14 jours
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14 jours
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24 heures
14 jours
14 jours
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24 heures
14 jours
30 jours
14 jours
24 heures
14 jours
14 jours
14 jours
14 jours
14 jours
24 heures
24 heures
Monolitum
Mylanta
Nephro Calci
Neut
Nexium
Nizatidine
Ocid
Omepral
Omeprazole
Omez
Os-Cal
Oystco
Oyster Cal/Shell
Pan
Pantoloc
Pantoprazole
Pantozol
Pariet
Pepcid
Pepto
Pepto-Bismol
Prevacid
Prilosec
Protonix
Rabecid
Rabeloc
Rabeprazole
Ranitidine
Ri-Mag
Riopan
Rolaids
Ron-Acid
Somac
Sulcrate
Sulcrafate
Tagamet
Tempo
Titralac
Tums
Vimovo
Zantac
Zechin
Zegerid
Zentro
Zoton
Zurcal
14 jours
24 heures
24 heures
24 heures
14 jours
24 heures
14 jours
14 jours
14 jours
14 jours
24 heures
24 heures
24 heures
14 jours
14 jours
14 jours
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14 jours
24 heures
24 heures
30 jours
14 jours
14 jours
14 jours
14 jours
14 jours
14 jours
24 heures
24 heures
24 heures
24 heures
24 heures
14 jours
14 jours
14 jours
24 heures
24 heures
24 heures
24 heures
14 jours
24 heures
14 jours
14 jours
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14 jours