Evaluation of gastric carcinomas with high resolution transabdominal sonography

Journal Title: International Archives of Integrated Medicine - Year 2017, Vol 4, Issue 3

Abstract

Introduction: Assessment of the stomach is not commonly included in routine scanning protocol of upper abdominal ultrasound (USG). Aim: To evaluate the efficacy of high-resolution trans abdominal sonography in the evaluation of gastric carcinomas. Materials and Methods: 42 patients diagnosed gastric carcinoma were included in the study. The patients were taken for conventional abdominal sonography followed by high resolution trans abdominal sonography. An UGI endoscopy was done in all cases and biopsy taken from pathological / suspicious site. The accuracy of high resolution sonography of the fluid filled stomach was evaluated in the diagnosis of gastric carcinoma as compared to endoscopy. Results: Commonest age group in the study with gastric carcinoma was 61-70 years of 35.7% and females are more affected than males of 54.7%. Commonest symptoms with which patients of gastric carcinoma presented was weight loss (73.8%) and abdominal pain (69%). This represented the advance stage of the disease at which most of our patients present. The commonest site of gastric involvement in carcinoma was the antrum – 19 out of 42 cases (45.2%). In all 42 patients of gastric carcinoma (97.7%) wall layering is lost. Wall thickness was increased in all the cases (100%). Wall echotexture is hypoechoic in all the patients. There was luminal narrowing and reduced peristalsis seen in all the 42 (100%) cases. Heterogeneous intraluminal masses were seen in 38 out of 42 (90.5%) cases of gastric carcinoma. Serosal involvement was seen in 35 out of 42 (83.3%). Invasion of pancreas is most common site involvements of spread of gastric carcinoma is 42.8%. Conclusion: High resolution sonography is a supportive diagnostic modality and is a supplementary diagnostic procedure to endoscopy.

Authors and Affiliations

Nitishkumar Dhanajirao Yeslawath

Keywords

Related Articles

Fetal tibial length as a tool for assessment of gestational age - A comparative study in North India

Making appropriate management decisions requires accurate appraisal of gestational age. Accurate pregnancy dating may assist obstetricians in appropriately counselling women who are at risk of a preterm delivery about li...

Double puncture laproscopy sterilization using falope rings in a camp setup

Background: Aim of the present study was to assess the technical difficulties and complications of double puncture laproscopy in camp setup in urban areas. Materials and methods: Laproscopic sterilization camps are held...

Metfornim and Pioglitazone in polycystic ovarian syndrome: A comparative study

Background: Polycystic Ovarian Syndrome (PCOS) is a heterogenous collection of symptoms and signs, which form a spectrum of a disorder with a mild presentation and severe disturbance of reproductive, endocrine and metabo...

MRI is the gold standard investigation for early detection, extent of involvement and management of patient in Pott’s spine

Introduction: Tuberculosis is increasing in the developing countries and re-emerging in the developed ones because of overcrowding and increase in of population. Spinal TB is the most clinically important form of extra-p...

To estimate the serum level of N-terminal pro-brain natriuretic peptide levels in acute coronary syndrome

Background: Acute coronary syndromes caused by a sudden blockage of a coronary artery. According to degree and location of the blockage, it ranges from unstable angina to non–ST-segment elevation myocardial infarction (N...

Download PDF file
  • EP ID EP408207
  • DOI -
  • Views 107
  • Downloads 0

How To Cite

Nitishkumar Dhanajirao Yeslawath (2017). Evaluation of gastric carcinomas with high resolution transabdominal sonography. International Archives of Integrated Medicine, 4(3), 50-55. https://europub.co.uk/articles/-A-408207