ROLE OF ULTRASOUND IN THE EVALUATION OF PANCREATIC LESIONS
English
Harshita Pant, Snehanshu Shukla
2017
Journal of Evolution of Medical and Dental Sciences
BACKGROUND The anatomical location of pancreas at stomach bed makes its optimal visualisation a challenge due to bowel gases. These difficulties can be minimised by consistently and continuously optimising patient factors and machine settings and using excellent scanning techniques. Aims and Objectives -To study the various features of pancreatic lesions by ultrasonography and assess the role of ultrasound. MATERIALS AND METHODS Fifty six patients with signs and symptoms suggestive of
more »
... lesions were evaluated over a period of 12 months using Siemens Sonoline Omnia/Siemens G 50 machines with 3.5 MHz convex and 5-10 MHz multifrequency linear transducer. RESULTS Ultrasound could conclusively detect the pancreatic pathology in 48 (86 %) out of 56 patients. However, in eight (25%) of acute pancreatitis patients, the pancreatic visibility was poor due to bowel gases. CONCLUSION Ultrasound being a non-invasive, quick and reliable modality, it still remains as a first line of investigation for suspected pancreatic pathologies. We recommend ultrasound as a primary diagnostic tool for suspected pancreatic pathologies. KEYWORDS Pancreas, Ultrasonography. HOW TO CITE THIS ARTICLE: Pant H, Shukla S. Role of ultrasound in the evaluation of pancreatic lesions. J. Evolution Med. Dent. Sci. 2017;6(7):565-569, DOI: 10.14260/Jemds/2017/121 BACKGROUND Ultrasound screens for disease rapidly, safely and inexpensively. It detects incidental primary pancreatic pathology and complications of the pathology. It characterises lesions based on their B mode and Doppler characteristics. Another important advantage of US examination is the possibility to correlate the US findings with the point of maximal tenderness. (1) However, the anatomical location of pancreas at stomach bed makes its optimal visualisation a challenge due to bowel gases. The difficulty is further aggravated due to paralytic ileus/hyperventilation by patient secondary to pain. These difficulties can be minimised by consistently and continuously optimising patient factors and machine settings and using excellent scanning techniques. (2) Therefore, the present study was done to study the various features of pancreatic lesions by ultrasonography and assess its role. Aims and Objectives To study the various features of pancreatic lesions by ultrasonography and assess the role of ultrasound.
doi:10.14260/jemds/2017/121
fatcat:ns4sbekvdrfn5knhpngut4fdim