Digestive Diseases

Biography

Biography: Vikas Leelavati Balasaheb Jadhav

Abstract

Transabdominal sonography of the stomach & duodenum can reveal many diseases like gastritis & duodenitis, acid gastritis, ulcer, whether it is superficial, deep with the risk of impending perforation, perforated, sealed perforation, chronic ulcer & post-healing fibrosis & struicture. polyps & diverticulum, benign intramural tumors, intramural hematoma, duodenal outlet obstruction due to the annular pancreas, gastro-duodenal ascariasis,  pancreatic or biliary stents, foreign body, necrotizing gastro-duodenitis, tuberculosis, lesions of the ampulla of vater like prolapsed, benign & infiltrating mass lesions. The neoplastic lesion is usually a segment involvement, & shows irregularly thickened, the hypoechoic & aperistaltic wall with loss of normal layering pattern. It is usually a solitary stricture & has eccentric irregular luminal narrowing. It shows loss of normal Gut Signature with enlargement of the involved segment. The shouldering effect at the ends of stricture is the most common feature. Enlarged lymph nodes around may be seen. Primary arising from the wall itself & secondary are the invasion from periampullary malignancy or distant metastasis. All these cases are compared & proved with gold standards like surgery & 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 & malignant gastrointestinal tract lesions, so should be the investigation of choice.