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Clinical Evaluation of Transabdominal Ultrasound for Patients with Gastrointestinal Bleeding Noriaki Manabe 1 , Shinji Tanaka 1 , Yoshiaki Matsumoto 2 1Department of Endoscopy, Hiroshima University Hospital 2Department of Medicine and Morecular Science, Graduate School of Biomedical Sciences, Hiroshima University Keyword: 体外式超音波 , 消化管出血 , 腫瘍 , 炎症 pp.463-472
Published Date 2005/4/25
DOI https://doi.org/10.11477/mf.1403100058
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 We report the diagnostic usefulness of transabdominal ultrasound in cases of gastrointestinal bleeding. The development of endoscopy and various endoscopic hemostasis methods such as clipping and thermocoagulation has enabled us to perform emergency endoscopy with greater safety than before. Advances in these technologies have produced good treatment results in cases of gastrointestinal bleeding stemming from a variety of causes. According to our experience, it is often impossible to perform endoscopy and hemostatic treatment successfully because of the severity of the bleeding and related conditions. Gastrointestinal bleeding can result from many conditions including malignant tumor, inflammation, and circulatory disorders. Pretreatment transabdominal ultrasound examination allows us not only to detect the source of the bleeding in the gastrointestinal tract but also to make a preliminary diagnosis of the primary disease on the basis of findings in the gastrointestinal tract and surrounding internal organs. With this in mind, it can be said that transabdominal ultrasound is a useful non-invasive method of obtaining needed information before endoscopic examinations. The adding of transabdominal ultrasound to conventional diagnostic methods including endoscopic and radiological studies may be useful for determining more appropriate treatment strategies and for advancing our understanding of the underlying pathophysiology.


Copyright © 2005, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1219 印刷版ISSN 0536-2180 医学書院

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