Digestive examinations
Transcription
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 24 heures 24 heures 24 heures 14 jours 24 heures 24 heures 14 jours 14 jours 24 heures 24 heures 24 heures 24 heures 24 heures 24 heures 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 14 jours 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 14 jours 14 jours 14 jours