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Updated: Jun 4, 2025

Author Spotlight: Point-of-Care Ultrasound for Gastric Content Assessment and Risk Stratification in Perioperative Care
Published on: September 22, 2023
Gastric Carcinomas and Point-of-Care Ultrasound (POCUS): A Report of Two Cases
1Department of Medicine, RIPAS Hospital, Bandar Seri Begawan, BRN.
Abstract:
Stomach cancer remains a significant cause of mortality, as most patients are diagnosed at advanced stages. The primary method for diagnosis is endoscopy, along with tissue acquisition, supplemented by endoscopic ultrasound or computed tomography for disease staging. While point-of-care ultrasound (POCUS) is now firmly integrated into clinical practice, it is still not widely utilized. POCUS can be performed at the initial point of contact and provides instant information that can influence investigation strategies. We report two cases of gastric antral carcinoma detected by POCUS, which led to targeted investigations. Both patients underwent expedited upper gastrointestinal endoscopies that confirmed distal gastric carcinoma. These cases highlight the important role of POCUS in triaging patients for timely and appropriate targeted organ investigations.
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