Smear of duodenal fluid aspirate
Definition
Smear of duodenal fluid aspirate is an examination of fluid from the duodenum, for a possible infection. Usually the health care practitioner is looking for either giardia or strongyloides.
Alternative Names
Duodenal aspirated fluid smearHow the Test is Performed
The specimen is obtained by EGD. The doctor passes a flexible scope through the mouth and stomach to the duodenum in order to view the organs and obtain specimens. The position of the tube can be confirmed by the pH (acid-base balance) of the fluid obtained, or by an x-ray.
Fluid is suctioned up from the duodenum when the tube or the scope is in proper position. The fluid is placed on a microscope slide and stained for examination.
How to Prepare for the Test
Do not eat or drink anything, even water, for 12 hours before the test.
How the Test Will Feel
You may have a gagging sensation as the tube is passed, but the procedure is usually not painful.
Why the Test is Performed
The test is performed to diagnose infection of the small bowel. In most cases, this test is only done when stool examinations and a duodenal string test have been unable to confirm a diagnosis.
Normal Results
There should beno disease-causing organismsin the duodenum.
What Abnormal Results Mean
The results may show the presence of giardia protozoa and large white blood cells (called macrophages), or the intestinal parasite strongyloides, or another infectious organism.
Risks
The risks may include bleeding, perforation (hole), and infection. Certain pre-existing conditions may prohibit use of this test.
Considerations
Other, less invasive, tests can often detect the presence of giardia and other infections.
Reviewed By: D. Scott Smith, M.D., MSc, DTM&H, Chief of Infectious Disease & Geographic Medicine, Kaiser Redwood City, CA & Adjunct Assistant Professor, Stanford University. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.
