The method of ultrasound diagnostics has been practiced relatively recently, and in many cases this method is really indispensable. Despite the fact that this procedure is not so informative in the study of the stomach as a gastroscopy, it does not cause absolutely any discomfort and is recommended for patients of any age.
Many people refuse from FGS, because it's terrible to swallow an enteroscope. But is it possible to limit the ultrasound of the stomach, and whether this method will provide the necessary results - let's try to answer these questions.
Indications and contraindications
The procedure for ultrasound in gastric diseases is prescribed in the initial examination, or in contraindications to the FGS. The reason for the appointment of ultrasound examination is the complaint of the patient to:
- pain in the abdomen;Heartburn and eructation
- ;
- bloated;
- flatulence;
- nausea;
- bitterness, dry mouth.
Ultrasound is also diagnosed with certain diseases:
- chronic gastritis;
- ulcerous changes in the gastric mucosa;
- suspected malignancies;
- obstruction of the stomach and intestines;
- with pronounced narrowing of the upper stomach;
- underdevelopment of the stomach due to genetic predisposition.
What shows ultrasound of the stomach, esophagus and intestines?
By the ultrasound of the device the doctor determines:
- the state of large and small curvature of the stomach;
- anatomical features of the organ;
- finds out the thickness of the walls.
- location relative to other organs,
In addition to this physician, the diagnostician is attracted by the number and presence of deformities of the walls of the esophagus, intestine and stomach.
Ultrasound reveals the following pathological conditions:
- stomach carcinoma;
- Malignant lymphomas;
- hyperplastic thickening of the walls of the organ;
- congenital pyloric stenosis;
- erosive changes in the mucosa;
- enlargement of large veins;
- presence of ulcers and polyps;
- presence of tumors.
And also the method allows to make sure of the quality of the performed treatment, to avoid relapses of previously transferred diseases. The undoubted advantage of the method is the ability to determine the blood flow of the vessels, as well as the ability to fix the growth of the tumor beyond the boundaries of the stomach.
The ultrasound of the stomach is prescribed to children, starting with the breast age as part of the mandatory examination of the gastrointestinal tract.
Literally in a matter of seconds, ultrasound can detect foreign bodies that accidentally find themselves in the digestive tract or detect various abnormalities.
Preparation for
procedure The examination is carried out when there are no foreign inclusions in the organ under investigation, that is, food. And also it is required to minimize the content of gases, which will interfere with the passage of ultrasound.
Therefore, 3 days before the study excludes foods from the diet that cause bloating:
- beans;
- vegetables;
- rye bread;
- milk.
How is research done in adults and children?
The method of conducting research in adults and children is practically the same. This procedure is carried out in a specialized office in fairly comfortable conditions. The patient under examination does not experience any painful sensations and inconveniences.
Transabdominal methods
The person is located on the couch in a horizontal position. Further, the doctor of diagnostics applies a special gel to the patient's stomach and places the sensor on the organ under examination. In this position, it is possible to accurately and successfully examine not only the anterior but also the posterior wall of the stomach.
From the sensor is an ultrasonic wave that, reaching the tissue of the organ, is reflected from it and projected onto the monitor screen in the form of a black and white cut image.
Sometimes it becomes necessary to conduct a study of the organ with contrast agent. For this, a person drinks a specific liquid, which allows you to treat the folds of the stomach, and thus identify ulcerative organ defects.
In some cases, ultrasound diagnosis does not give a complete picture of the disease, therefore, additional studies using endoscopy are being prescribed.
Endoscopic examination of
With this method, a thin flexible probe with illumination and an optical system at the end is introduced into the body cavity, which allows to examine the walls of the organ from the inside.
The image is also displayed on the monitor screen, but in minute detail up to a millimeter, and in natural color.
With this method, you can see inflamed areas, small formations on the mucosa, erosion and sores. And also to identify tumors at the earliest stage.
Interpretation of norm and pathology
When deciphering ultrasound data, the diagnostician indicates whether there are signs of an organ disease, whether its structure has changed, and whether there is a fluid accumulation in the cavity. The state of retroperitoneal lymph nodes is also indicated.
Table of norms and pathologies detected with ultrasound of the stomach:
| Norm | Pathology |
|---|---|
| Size and shape are within the norm. | Signs of inflammation, infection. |
| Normal structure. | Increase or decrease in size due to trauma, inflammation. |
| No signs of tissue overgrowth. | Displacement of the organ due to abnormal growth of the tissue next to it. |
| There is no fluid in the abdominal cavity. | Displacement of the organ due to abnormal growth of the tissue next to it. |
| Wall thickness is normal. | Pathological proliferation of tissue, tumors. |
| The diameter of the abdominal aorta is normal. | Extended aorta, signs of an aneurysm. |
| Lymph nodes are not visualized. | Lymph nodes are enlarged, signs of infection or malignant formation. |
Reviews
Vyacheslav V. 46 years:
For six months my stomach ached, especially after eating. To the doctor did not hurry, as in the childhood did FGS - still remember how I vomited. But I learned that you can do an ultrasound of the stomach, and he asked for a test. And what do you think? I still had to swallow the endoscope, since the doctor suspected a peptic ulcer. Although to be honest, now FGS is not the same procedure as it was before. Passed for a couple of minutes easily and without problems. I regret that I did not immediately, only spent extra money. In case of an ulcer, in any case it is better to do an endoscope examination.
Tatyana 39 years:
The child( 4 months) had a constant regurgitation and vomiting with a fountain. Doctors suspected gastro reflux and sent to ultrasound. I was afraid that I would be given a baby probe, but there was nothing wrong with ultrasound, they said that regurgitation was due to the anatomical structure of the stomach, and later it would pass. The kid even liked the procedure, lay and smiled at the doctor.
How much is it?
The average price for ultrasound of the stomach and other hollow organs ranges from 500 to 2000 rubles.depending on the health facility.
The list of some clinics in Moscow that provide this procedure:
- "Inpromed" CSPP( Beskudnikovsky Boulevard) - 500 rubles;
- Clinic of Dr. Angel( Parkovaya street) - 560 rubles;
- CM-Clinic( Lesnaya Street) - 900 rubles;
- MC "PrimaMed"( Warsaw highway) - 1000 rubles;
- MC "ON Clinic"( Vorontsovskaya street) - 2000 rub.
Where can I do it?
The ultrasound examination of the stomach is prescribed by a therapist or gastroenterologist, and it can be passed in any medical institution equipped with an ultrasound diagnostic cabinet. A pediatrician can prescribe a referral to ultrasound.
Is it better?
It is necessary to talk about what is best used to study the stomach, FGDs or ultrasound based on the disease itself. This is determined by the attending physician.
But in order to really know what happens to the stomach, esophagus, duodenum, it is best to do gastroscopy for this.
Another plus of this procedure - you can make a biopsy if any part of the tissue causes suspicion or conduct medical measures( remove the polyp, stop bleeding, and so on).In addition, now manipulations are carried out using short-term anesthesia, so in terms of discomfort is not as terrible as before.
You can say that ultrasound is just a review, and the "gold standard" of the gastric examination is so far only gastroscopy. Ultrasound of the stomach is recommended to pass to healthy people - the study is a good prevention, because if the disease is detected in the early stages - it is easier to cure and stay healthy.
Video about ultrasound of the stomach: