[Transabdominal ultrtasonic investigation of the upper parts of the gastro-intestinal tract in diagnostics of ulcer disease and decision on the strategy before and after surgery].
The authors present an analysis of results of the diagnostics and treatment of 293 patients admitted to the Alexandrovskaya hospital of St. Petersburg in 1995-2005 for gastroduodenal ulcer, including 202 patients after operative treatment. The morpho-functional state of the upper parts of the gastro-intestinal tract was assessed by the method of transabdominal sonography of the stomach and duodenum with a convection transducer 5 MHz in on-line regimen. The informative value of the method corresponds to the reference diagnostics method, sensitivity of the method was 91%, specificity--95%. The ultrasound investigation of the stomach and duodenum is a highly efficient method of diagnostics of the morpho-functional state of the gastro-duodenal system giving a reliable interpretation of the local morphological and functional changes, ulcer disease included, corresponding to the efficiency of the reference diagnostics methods. The sonography allows a dynamic control of the treatment process, assessment of the alterations after surgery on the stomach and duodenum and decision on the exact surgical strategy.
D000328:Adult; D003657:Decision Making; D018450:Disease Progression; D004381:Duodenal Ulcer / Q000000981:diagnostic imaging* / Q000601:surgery; D004386:Duodenum / Q000000981:diagnostic imaging*; D005260:Female; D005500:Follow-Up Studies; D005743:Gastrectomy / Q000379:methods*; D005753:Gastric Mucosa / Q000000981:diagnostic imaging; D006801:Humans; D008297:Male; D008875:Middle Aged; D011182:Postoperative Care / Q000379:methods*; D011300:Preoperative Care / Q000379:methods*; D012189:Retrospective Studies; D012680:Sensitivity and Specificity; D012720:Severity of Illness Index; D013276:Stomach Ulcer / Q000000981:diagnostic imaging* / Q000601:surgery; D014463:Ultrasonography