The degree of destruction of the mucous membrane of the stomach and duodenum helps to visually see the endoscopy. Only after such examination the gastroenterologist can talk about the prevailing symptoms. It is important to find out what the inflammation activity is and what endoscopy shows: a moderate gastroduodenitis, a moderate or acute phase. Morphology of the disease allows you to make predictions and exclude the risk of development of dangerous complications, so it makes sense to disassemble all three stages of gastroduodenitis activity.
To the first stage of activity can be attributed to moderate gastroduodenitis. At inspection endoscopy shows uneven edema of the pyloric mucosa of the stomach and the beginning of the duodenum. Hyperthermia( red redness) manifests itself in the form of small spots. There are also visible mucous overlays.
Moderate gastroduodenitis does not have bright signs. There is no looseness of the mucosa. There are no gross folds on the walls of the gastrointestinal
tract, there is not bright, but pale hyperthermia. The redness is localized, the spots are small, small in size. There are also no submucous hemorrhagic lesions, there is no bleeding at contact with the device( endoscope tube).Another bright sign of gastroduodenitis - the presence of fibrin - adhesive mucus that covers the inflamed areas, with a moderate stage of fibrin there.
Usually, the disease is characterized by a process in which only the upper layer of the epithelium is involved in the inflammation. At the same time, the villi of the epithelium are deformed and shortened. The second stage of exacerbation - moderately expressed gastroduodenitis has more vivid symptoms.
Moderately expressed gastroduodenitis
The second stage of inflammation activity, moderately expressed gastroduodenitis has the following endoscopic picture:
- The mucosa membrane has diffuse puffiness.
- The walls of the gastrointestinal tract are loose, coarse folds are formed along the entire hollow organ, with wide thresholds closely pressed against each other.
- Redness has a very bright color.
- There is submucosal hemorrhage( clots of blood clots).If it is touched by an endoscope, bleeding occurs.
- Mucous in places is covered with a sticky, thick mass - a coating of fibrin.
The third degree of activity is characterized by pronounced inflammation. It manifests itself with the same signs as the moderately expressed gastroduodenitis, but they manifest themselves most vividly. In addition, endoscopy allows one to see the formation of single or multiple erosions.