al Karawi M A, Abdel Bagi M E, Mohamed A E
Department of Gastroenterology and Radiology, Riyadh Armed Forces Hospital, Saudi Arabia.
Hepatogastroenterology. 1998 Jan-Feb;45(19):48-51.
BACKGROUND/AIMS: Examination of the stomach during transcutaneous upper gastrointestinal ultrasound is often ignored. Two thousand seven hundred and eighty patients were referred for endoscopy over the period of August 1994 until August 1995. Nearly half of those patients underwent transcutaneous ultrasound. We report on the ultrasonographic demonstration of gastric pathology in 18 patients.
The stomach was examined in a collapsed state after an overnight fast. No paralytic agents or water distention were used.
Seven patients had gastric tumors. Six patients had diffuse gastric wall thickening. Large varices were seen in two patients. A patient with multiple ulcers showed irregular walls. Two patients had retained gastric contents.
Results of the ultrasound matched well with endoscopic findings. We recommend that in all abdominal ultrasounds, the stomach should be examined carefully and evaluated systematically.
背景/目的：经皮上消化道超声检查时，胃部检查常常被忽视。在1994年8月至1995年8月期间，有2780例患者被转诊接受内镜检查。其中近一半患者接受了经皮超声检查。我们报告18例患者胃部病变的超声表现。
患者禁食过夜后，在胃处于塌陷状态下进行检查。未使用麻痹剂或水充盈。
7例患者有胃肿瘤。6例患者胃壁弥漫性增厚。2例患者可见大的静脉曲张。1例有多处溃疡的患者胃壁不规则。2例患者有胃内容物潴留。
超声检查结果与内镜检查结果吻合良好。我们建议在所有腹部超声检查中，都应仔细检查胃部并进行系统评估。
