Ezofagoskopia

Ezofagoskopia - method research the motor function of the esophagus. If ezofagoskopia in the esophagus being thin tube, connected with recording equipment, and ask the patient to keep swallowing all the time. By moving the probe to explore the esophagus all over. On esophagogram on the basis of the nature of the curves judge about violations of peristalsis of the esophagus, which helps to diagnose kardiospazm, psoriasis and other diseases of the esophagus.

Ezofagoskopia (from the Greek. oisophagos - esophagus, kyma - wave and grapho - write) - registration of movements of the esophagus. Ezofagoskopia used in the clinic for diagnostics and differential diagnostics of some diseases of the esophagus.
Apparatus and methods - see Esophagography. Unlike account esophagocoloplasty, recording esophagomyotomy the patient should at certain intervals of time to do swallowing (to swallow, or to drink a SIP of water). Registering 5 or 7 swallowing waves probe remove a few inches and write again. Thus register peristalsis throughout the esophagus.
In healthy people in the esophagus during swallowing is logged so-called swallowing complex, the main element of which is a large positive third wave, reflecting the moment peristaltic contractions (Fig). This wave has the largest amplitude in the middle and lower esophagus, it corresponds to a pressure of 40-60 mm RT. century, its duration 6-7 sec. Pharyngeal-esophageal and physiological cardiac sphincter during the throat relax, graphically this is reflected deep negative wave previous to a wave of peristaltic contractions.

Esophagomyotomy healthy person (1 and 2) and patient dyskinesia of the esophagus (3), achalasia cardia (4) and scleroderma esophagus (5). On esophagogram curve 1 and registered from the middle of the esophagus, curve b - plot of esophago-gastric junction, see the disclosure achalasia swallowing. On esophagogram 2-5 curve and registered from the middle of the esophagus, curve 6 - from the bottom of his division curve in - check breathing curve g - registration swallowing.

At a dyskinesia of the esophagus are registered waves neperestaiosh swallowing cuts different forms, different size and duration, often in the form of several re teeth and peaks. Some cuts have the usual form, but in this case, ezofagoskopia allows you to easily install them superisticheski character: when simultaneous recording of two areas of the esophagus, located at some distance from each other, such reductions are registered simultaneously or almost simultaneously. In contrast, peristaltic contractions are registered consistently - at first from the upper part of the esophagus, then from the lower. When one of the varieties of a dyskinesia of the esophagus-the so-called pseudodiverticula - registered alternating waves of high and low amplitude: big - in the areas of narrowing and small - in the areas of expansion.
When the so-called kardiospazm the cardiac sphincter tone is usually not elevated. However, the negative wave reflecting reflex relaxation of the sphincter at the moment of SIP, is not registered. Hence another name of this disease - achalasia (from the Greek negative prefix a -, and chalasis - weakening, reducing voltage). Swallowing reduction of the esophagus have superisticheski character, the amplitude of swallowing waves in most cases, reduced.
In systemic sclerosis peristalsis of the esophagus weakened, some patients swallowing the reduction of the esophagus are not registered at all. Other diseases of the esophagus change esophagomyotomy less typical.