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Journal of Gastronenterology and Digestive Diseases
|
Volume 3
J u n e 2 5 - 2 6 , 2 0 1 8 | D u b l i n , I r e l a n d
GASTROENTEROLOGY
International Conference on
TRANS ABDOMINAL SONOGRAPHY OF THE STOMACH AND
DUODENUM
Vikas Leelavati Balasaheb Jadhav
D Y Patil University, India
T
rans abdominal sonography of the stomach and duodenum can reveal following diseases: gastritis and duodenitis, acid
gastritis or an ulcer, whether it is superficial, deep with risk of impending perforation, perforated, sealed perforation, chronic
ulcer and post-healing fibrosis and stricture. polyps and diverticulum. benign intra-mural tumours, intra-mural haematoma.
duodenal outlet obstruction due to annular pancreas. gastro-duodenal ascariasis, pancreatic or biliary stents. foreign body,
necrotizing gastro-duodenitis, tuberculosis, lesions of ampulla of vater like prolapsed, benign and infiltrating mass lesions.
Neoplastic lesion is usually a segment involvement and shows irregularly thickened, hypoechoic and aperistaltic wall with loss
of normal layering pattern. It is usually a solitary stricture and has eccentric irregular luminal narrowing. It shows loss of normal
gut signature enlargement of the involved segment seen. Shouldering effect at the ends of stricture is most common feature and
enlarged lymphnodes around may be seen. Primarily arising from the walls, itself and secondary are invasion from peri-ampullary
malignancy or distant metastasis. All these cases are compared and proved with gold standards like surgery and endoscopy.
Some extra efforts taken during all routine or emergent ultrasonography examinations can be an effective non-invasive method
to diagnose primarily hitherto unsuspected benign and malignant Gastro-Intestinal Tract lesions, so should be the investigation
of choice.
drvikasjadhav@gmail.comJ Gastroenterol Dig Dis 2018, Volume 3