GASTROENTEROLOGICAL ENDOSCOPY
Online ISSN : 1884-5738
Print ISSN : 0387-1207
ISSN-L : 0387-1207
COLOR DOPPLER METHOD WITH EXTRACORPOREAL ULTRASONOGRAPHIC STUDY ON THE SOLITARY GASTRIC VARICES BEFORE AND AFTER B-RTO OR TJO
Hiroshi MATSUZAKIToshio KURITATakashi YONEYAEisaku KONDOHKazue MTSUZAKIAkihiko HACHIYAYukihiko NARUKISachio OOTSUKA
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1996 Volume 38 Issue 2 Pages 288-293_1

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Abstract
Solitary gastric varices were treated with B-RTO or TJO. Endoscopic utrasonography with UMP(ultrasonic miniture probe), the ordinary B-mode rnethod and color dopplermethod with extracorporeal ultrasound by waterdrinking method were performed on thelesion before and after the treatment to observe the progress. Pre-treatment UMP showednonechoimage in all variceal cases. The B-mode method with extracorporal ultrasoundrevealed echogenic area protruding into the gastric lumen which was believed to bethegastric varices in a patient with F3, but the variceal lesions were not visualized in the other4patients(3 cases with F2 and l case with F2). The extracorporeal colar doppler methodshowed blood flow at sites believed to be the varices in 4 patients(2 cases with F2 and 2cases with F3). However, no blood flow was visualized in a patient with F2. UMP imagesimmeddiately after the therapy showed dotted high echa appearing ail over the echo-freeluminal areas. The B-mode method immediately after the therapy failed to visualize thevaricose areas clealy, no detecting changes in internal echo. The UMP and color dopplermethod were useful in defining judging the efficacy of therapy.
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© Japan Gastroenterological Endoscopy Society
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