The Endoskopicheekaja Picture Depends On Duration Of Disease.

The endoskopicheekaja picture depends on duration of disease. In an onset of the illness the - gullet is expanded slightly, in process of disease progressing its gleam more and more extends and at some patients - becomes . The mucous membrane has - inflammation signs-: folds , arteries and veins are expanded, quite often visible sites , erosion, , . As a rule, the end manages to be spent through the narrowed site that confirms mainly functional - character of changes in a gullet. The mucous membrane in a narrowing place is not changed more often. Ezofagotonokimografichesky research - the main method of early diagnostics a gullet as infringements - abilities of a gullet and physiological arise considerably before clinical symptoms of disease-. Research spend by means of a special multichannel - probe with rubber or "opened" -, registering reductions of a gullet and change in-pishchevodnogo pressure. In norm after swallowing on a gullet the - wave extends , during this moment - pressure opens also decreases.

Pathological Anatomy: Ulcers Are Localised In Belly Department

Pathological anatomy: ulcers are localised in belly department of a gullet directly over or a - little above. They usually single, but can be and - plural, having the same stage of development. Their diameter does not exceed 0,5 - 1 sm, but there are ulcers of the big sizes. The form of ulcers more often roundish or slightly oval. The mucous membrane - round an ulcer is inflamed, ulcer edge , the bottom is covered by serovato-yellow touch which easily acts in film. The - gullet gleam - at ulcer level is narrowed owing to an inflammatory hypostasis - of a mucous membrane and cicatricial deformation. Ulcer healing - is accompanied by even more considerable narrowing of a gleam of a gullet. In ulcer edges can occur (Barret's ulcer), at some patients is marked - simultaneous longitudinal a gullet (Barret's syndrome) At 8 - 10 % of these patients against an ulcer develop a cancer. Clinic and diagnostics: the most frequent symptom - a pain behind a breast or in areas, can in a back, in heart area.