## Abstract A fluidβfilled duodenum in ultrasonic studies of the epigastrium, which is manifest when the pancreas is scanned using the liquidβfilled stomach technique, can give rise to images that can cause confusion. We describe the ultrasonic appearances of different parts of the duodenum after i
Ultrasonic examination of the wall of the fluid-filled stomach
β Scribed by Hans Worlicek; Dorothee Dunz; Karl Engelhard
- Publisher
- John Wiley and Sons
- Year
- 1989
- Tongue
- English
- Weight
- 830 KB
- Volume
- 17
- Category
- Article
- ISSN
- 0091-2751
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β¦ Synopsis
The ultrasonographic examination of the fluid-filled stomach in five stan- dardized positions permits the transabdominal visualization of the gastric wall in all sections of the organ. In a prospective study, 107 patients were examined-68 with a pathological change in the wall of the stomach and 39 with no gastric disease. In 56 patients (82.4%) the lesion was correctly identified. In addition to wall-infiltrating processes and stenoses, circumscribed space-occupying lesions were also detected; for example, localized carcinomas, leiomyosarcomas, lymphomas, leiomyomas, polyps, giant folds, and impressions of the gastric wall. Thirty-seven patients (94.9%) with no gastric disease were considered normal a t the ultrasonographic examination. The procedure suggests itself not only as a supplement to endoscopy and diagnostic X-rays, but also as a diagnostic alternative in selected patients who cannot be stressed by these methods. The exclusion of gastric disease by this technique is not possible. Indexing Words: Ultrasonography * Fluid-filled stomach * Pathological gastric wall changes Stenosis
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