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[Ultrasonic findings in pancreas divisum]
1Interní oddĕlení Fakultní polikliniky, 1. lékarské fakulty Univerzity Karlovy, Praha.
Sbornik Lekarsky
|August 1, 1991
Summary
Ultrasonic examination of the pancreas with gastric filling improves visualization in pancreas divisum patients. This enhanced method aids in reliably evaluating the entire pancreas, including dorsal segments.
Area of Science:
- Gastroenterology
- Medical Imaging
- Pancreatic Diseases
Background:
- Pancreas divisum is a congenital anomaly of the pancreatic duct system.
- Accurate visualization of the entire pancreas can be challenging in patients with pancreas divisum.
- Standard ultrasonic examination may have limitations in assessing pancreatic anatomy.
Purpose of the Study:
- To evaluate the efficacy of ultrasonic examination with gastric fluid filling for visualizing the pancreas in patients with pancreas divisum.
- To determine if gastric filling improves the reliability of pancreatic ultrasonography in this specific patient group.
Main Methods:
- Ultrasound examinations were performed on 36 subjects diagnosed with pancreas divisum.
- Subjects' stomachs were filled with 600 ml of fluid prior to examination.
- Patient positioning during the ultrasound was also varied to optimize visualization.
Main Results:
- Reliable evaluation of the entire pancreas, including the dorsal segment, was achieved in 75% of subjects.
- Gastric filling and patient positioning improved visualization quality in 47% of cases, particularly the left pancreatic half.
- Sonography identified marked inflammatory changes in three patients.
Conclusions:
- Aimed ultrasonic examination with gastric filling is a valuable adjunct for evaluating pancreas divisum.
- This technique enhances the ability to visualize the entire pancreas and detect associated pathologies.
- The procedure is recommended as part of the standard examination protocol for pancreas divisum.