The diagnosis is a "cascade stomach" - what does it mean?

The term "cascade stomach" means the deformation( kink) of the digestive organ, which can be both congenital and acquired.

This diagnosis occurs in five of the 100 patients examined. Acquired deformations are usually a consequence of the transferred diseases, for example, a peptic ulcer.

There are often cases when the human stomach can change its shape daily, the reasons for this lie in a dramatic change in diet and menus.

Causes and symptoms of stomach deformation

A cascade stomach involves kinking the organ along the longitudinal axis, with the subsequent formation of two knees. The upper knee has the shape of a bowl, the lower one - a tubular.

In addition to the congenital and functional causes of deformity of the digestive organ, there are pathological: gastritis, duodenitis, cholecystitis, colitis and ulcers.

But if during the examination the last factor is not confirmed, then the cascade stomach is classified as functional impairment.

One of the frequent functional causes of the cascade of the stomach is the pressure on the digestive organ of the intestinal loop, which is increased due to excessive gas formation.

In such a situation, it is enough to ask the patient to perform one simple procedure. He should lightly tense and make ten slopes forward, after which the cascades will be eliminated.

If this does not happen, then it is necessary to check carefully the cardinal and other parts of the stomach for oncological formations, as it is not difficult to miss the cascades.

In medical practice, a cascade stomach can be found not only in an adult, but also in a child.

As a rule, a child shows an inflection of the stomach during an x-ray examination, which shows that the organ is as if folded in two and represents two pockets.

It is the cascade stomach that causes frequent regurgitation or vomiting in a newborn baby.

Because the food can not penetrate the gatekeeper due to an inflection, it is thrown out of the stomach outward. This condition is temporary, usually lasts until the child is 5-6 months old.

To solve the problem, it is enough to put the baby on the tummy before feeding, as a result of which the stomach will be straightened. In this case, the kink of an organ is considered normal and does not require treatment.

Symptoms of gastric deformity in adults can be expressed by nausea and lack of appetite, a sense of heaviness in the epigastric region and bloating.

But to confirm this diagnosis, as well as to reveal the nature of pathology, it is necessary to perform fibrogastroscopy and X-ray.

In addition, without fail, physicians determine the level of acidic environment in the patient's digestive organs, conduct a thorough diagnosis of existing gastrointestinal diseases.

What does the deformed stomach look like on the roentgenogram?

As a rule, the usual anatomical picture differs from the image, which is visualized on the X-ray.

This factor is explained by the fact that in reality the stomach is under the influence of tonus and hydrodynamic effects. In addition, each person's digestive organs have their own characteristics.

An X-ray examination is performed after obtaining the results of general analyzes, determining the level of acidity of the gastric environment and biochemistry.

Immediately before the X-ray, the patient is sent for examination of the gastric mucosa, gas bubble, stomach tone, duodenal function.

The gas bubble can have a different shape, which is due to the different degree of gas formation in the cardinal part of the stomach.

During the X-ray, the contrast fluid flows under the gas bubble, which allows you to examine the lower part of the stomach.

To avoid re-diagnosis, the procedure must be carried out with strict adherence to the procedure.

In the course of the X-ray, a survey and sighting survey is performed, as a result of which the radiologist can examine the state of the relief of the gastric mucosa, since all its irregularities are visualized by the contrast medium.

With a cascade stomach, only the upper part of the organ is filled with contrast, but when taking large portions of contrast, the substance moves like a waterfall, distally.

In the picture, made in a direct projection, the cascade organ appears short, and in lateral projections has a peculiar shape. In this case, the arch of the digestive organ can be at the level of the pylorus.

In addition to the above reasons for organ folding, this pathology can also occur against the background of aerophagia( frequent and loud belching of the air).

Causation can also be caused by progressive paralysis or severe stress.

In any case, the inflection of the digestive organ must necessarily be corrected, especially since such a procedure is always successful.

After all, to date, to straighten the cascade organ, a specialist can apply several techniques, which include taking medications and performing special gymnastic exercises.

Treatment of the deformed stomach

At the moment, there are several methods by which you can correct the diagnosis - cascade form of the organ.

To normalize the stomach, the patient should do several times a day to tilt the body to the left and right.

If the pathology is accompanied by dyspeptic symptoms, which represent a set of disorders of the digestive system, the patient should refuse wearing tight belts and heavy physical exertion.

The doctor prescribes medication after the diagnosis is confirmed by an X-ray.

If the patient has constant belching and heartburn, as well as unavoidable discomfort in the abdominal area, then the medication must necessarily include medications that can protect the body walls from the effects of enzymatic juice.

Among these drugs should be identified "Maalox" and "Fosfalugel."With a more complex clinical picture, the treatment is supplemented with analgesics and antispasmodics. Treatment of the cascade organ without physiotherapy is not complete.

The cold and hot food, as well as fried, sharp and smoked dishes, spices are excluded from the patient's menu.

The patient is forbidden to use sour juices and fruits, products that promote gas generation.

Also, with the cascade form of the digestive organ, alcohol and tobacco smoking should be discarded.

The patient should not eat before night sleep, and after lunch or dinner he can not take a horizontal position for 1-2 hours, nor can he overeat.

To avoid reflux( reverse outflow of food from the stomach to the esophagus), it is recommended that the head of the patient's bed is moderately raised.

Also, with a cascade organ, doctors advise their patients not to stoop and try to correct their posture. The fact is that proper posture promotes rapid movement of food into the intestine.

In addition, to strengthen the muscle tone of the diaphragm, the patient is recommended treatment, which includes special breathing exercises, for example, "breathing under load."