Open Abdominal Surgery by Internal Ultrasound

Posted by Ann Brown | April 15th, 2010 in Ultrasonic | No Comments »

ultrasonic probe
So far, the patients in whom it came after a severe inflammation of the pancreas to accumulation of fluid in the abdominal cavity – so-called pseudocysts – had to be frequently operated. However, it is now possible to drain the fluid from the pseudo-cysts in the stomach or small intestine. With the help of a gastroscope (stomach tube) is the puncture. As the Journal of Gastroenterology 2008, 46 reports the success rate is now even with newer devices that are equipped with an ultrasonic probe increased.

Damage to the ducts in the pancreas are the cause of the pseudocyst. Aggressive pancreatic enzymes can thus leak into the surrounding tissue and cause damage like that. This leads to the formation of a pseudocyst, which is filled with secretions, blood and tissue debris. Since they can reach a considerable size, this will often lead to pain, nausea, vomiting and weight loss. Many doctors can give patients a synthetic, a drainage relief.

So far, this was an open abdominal surgery is required. Today, the doctors may be created by the help of an endoscope, a connection between the pseudocyst and the stomach or small intestine and create a drain. Before that must be considered, however, whether this is a true cyst as a result of cancer, as this fact can not be drained, otherwise comes to the spread of tumor cells. Through the normal endoscope, the physician can not see the pseudocyst because it is hidden behind the stomach wall. Here, the ultrasound probe has great advantages. By ultrasound, the doctor the situation and the development of a pseudocyst can assess accurately and to detect cancers typical of a cyst walls. With a fine needle, the physician may be taken in case of doubt, a sample from the cyst and to examine the Flüsigkeit. Endoscopic ultrasound with the distinction between pseudocyst and cancer as possible in up to 95% of cases.

Is the doctor sure that there is no cancer, the pseudocyst is punctured. The liquid is allowed to drain into the stomach or intestine. The doctors can detect finer structures in the vicinity of the stomach and intestines to the high-resolution images of the Endoscopic ultrasound. The duct of the pancreas and bile ducts in the liver, for example, are also included. Here, too, can be punctured by Endoscopic ultrasound. Similar to the treatment of a pseudocyst an “artificial” flow in the stomach or intestine can be created in this way.


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