Chong Vui H
Department of Medicine, RIPAS Hospital, Bandar Seri Begawan, BRN.
Cureus. 2024 Nov 17;16(11):e73869. doi: 10.7759/cureus.73869. eCollection 2024 Nov.
Stomach cancer remains a significant cause of mortality, as most patients are diagnosed at advanced stages. The primary method for diagnosis is endoscopy, along with tissue acquisition, supplemented by endoscopic ultrasound or computed tomography for disease staging. While point-of-care ultrasound (POCUS) is now firmly integrated into clinical practice, it is still not widely utilized. POCUS can be performed at the initial point of contact and provides instant information that can influence investigation strategies. We report two cases of gastric antral carcinoma detected by POCUS, which led to targeted investigations. Both patients underwent expedited upper gastrointestinal endoscopies that confirmed distal gastric carcinoma. These cases highlight the important role of POCUS in triaging patients for timely and appropriate targeted organ investigations.
胃癌仍然是一个重要的死亡原因,因为大多数患者在晚期才被诊断出来。主要的诊断方法是内窥镜检查及组织采集,辅以超声内镜或计算机断层扫描进行疾病分期。虽然即时超声检查(POCUS)现已牢固地融入临床实践,但仍未得到广泛应用。POCUS可以在初次接触患者时进行,并提供能够影响检查策略的即时信息。我们报告了两例通过POCUS检测出的胃窦癌病例,这两例病例促使了针对性检查。两名患者均接受了快速上消化道内窥镜检查,确诊为远端胃癌。这些病例突出了POCUS在对患者进行分流以便及时、适当地进行针对性器官检查方面的重要作用。