Lao Wang has an upset stomach recently, and wants to go to the hospital for a checkup,
But the face For so many inspection items, Pharaoh found it difficult.
Helicobacter pylori detection, gastroscopy, X-ray barium meal,
Peppsinogen, 24-hour pH monitoring
How should I choose?
Helicobacter pylori detection
The detection methods are divided into Both intrusive and non-intrusive:
Non-invasive testing includes carbon-13, carbon-14 breath test, stool Helicobacter pylori antigen detection, serum anti-Helicobacter pylori IgG antibody (that is, blood test).
Among them, the breath test is the preferred method, the detection of Helicobacter pylori is highly sensitive, and the patient has no pain, but pay attention to carbon-14 urea The breath test is not suitable for children, pregnant and lactating women.
Invasive inspection method is to take gastroscopy Gastric mucosal biopsy was tested, mainly including rapid urease test, histological examination and Helicobacter pylori culture.
Three gastric functions
Including serum gastrin, pepsinogen I, The ratio of pepsinogen I/II is a non-invasive test. Before gastroscopy, the three tests of gastric function can be used as the preferred screening method.
If these three conditions are met at the same time:
- Gastrin 17≤1.0 pmol/L or gastrin 17 ≥15 pmol/L,
- pepsinogen Ⅰ≤70 μg/L, span>
- Peppsinogen I/Peppsinogen II≤7.0.
indicates the risk of early gastric cancer, it is recommended to re-examine or direct gastroscopy precise examination!
Gastroscopy can be used to diagnose or rule out Gastrointestinal inflammation, It is known as the “gold standard” for diagnosing various chronic gastritis, gastric ulcer, esophageal cancer, and gastric cancer.
The following 4 groups of people especially need gastroscopy! span>
Smoking, drinking, staying up late and other bad living habits span>
People with such vices, especially friends over 40 years old, it is best to have a gastroscopy every 1 to 2 years.
People with gastrointestinal symptoms such as acid reflux, heartburn, hiccups, and pain in swallowing
The reason for the similar situation is that gastric acid reflux stimulates the gastric tube and esophagus, so it is necessary to undergo gastroscopy in time.
Helicobacter pylori positive
Helicobacter pylori It is one of the causes of many stomach problems and even increases the risk of cancer. If the patient is found to be positive for Helicobacter pylori, regular gastroscopy is recommended to observe changes in gastrointestinal diseases.
People with a family history of gastric cancer
According to clinical Studies have shown that people with a family history of gastric cancer have a 15% higher chance of developing gastric cancer than ordinary people, so gastroscopy is very necessary.
Plain abdominal films are helpful for diagnosing gastrointestinal perforation, gastrointestinal obstruction, etc. X-ray barium meal examination is currently relatively rare.
Tumor markers< /span>
Carcinoembryonic antigen (CEA) at 40%-50% It can be used in combination with other indicators to evaluate the prognosis and chemotherapy efficacy of gastric cancer.
Esophagus 24-hour pH monitoring
In this examination, a pH monitoring electrode is inserted from the patient’s nasal cavity, connected with a recorder outside the body, and continuously monitored for 24 hours, which is reflux Important diagnostic and differential diagnosis methods for chronic esophagitis.
Autoimmune gastritis related examination strong>
Check this Including: serum anti-parietal cell antibody (blood PCA), intrinsic factor antibody (IFA), serum vitamin B12 concentration detection.
mainly for A Type atrophic gastritis is an inflammatory disease caused by autoimmune dysfunction, which leads to atrophy and reduction of gastric mucosal glands.
Received ” Warning signs “Beware! !
1. span>Unexplained loss of appetite, indigestion
2. I often feel bad breath, bitter mouth, nausea, retching
3. Occasional dull pain in the abdomen or stomach, which may be relieved after a while< /span>
4. Repeated diarrhea or constipation Alternating
5. Foul smell, black stools, and bloody stools began to appear during defecation
6. Acid reflux heartburn often occurs, and it is getting worse
7. Severe stomach pain is prone to spasm
If you find that you often have the above 7 symptoms, you must go to the hospital for an examination as soon as possible~
Finally, I wish everyone a good stomach, delicious food, and whatever you want to do!< /span>