The Diagnosis of Duodenal Ulcer by Endoscopic Ultrasonography (EUS) Tsuyoshi Aibe 1 1The First Department of Internal Medicine, Yamaguchi University School of Medicine pp.519-524
Published Date 1988/5/25
DOI https://doi.org/10.11477/mf.1403108124
  • Abstract
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 The usefulness of EUS on the diagnosis of duodenal ulcer was evaluated in this study. In a basic study using a resected specimen with duodenal ulcer, findings of EUS showed a good coincidence with that of histology. In a clinical study, EUS was performed in thirteen cases with duodenal ulcer and ten out of thirteen case were followed-up periodically by usual endoscopy. Nine out of these ten cases healed to ulcer scar within eight weekes without relationship with age, sex and previous ulcer history of patients, drugs used in treatment and the ulcer depth which was diagnosed by EUS. One out of ten cases was not healed even after ten weeks, although this case was treated by H2-blocker. The ulcer depth of this case was diagnosed as Ul-Ⅳ by EUS and a hypoechoic area was seen at the ulcer bottom on echograms.

 This echographical finding could not be observed in other three cases with the ulcer depth of Ul-Ⅳ which were treated by H2-blocker.

 Therefore, this hypoechoic area at the ulcer bottom as visualized by EUS in healing stage of ulcer was thought to be a very important finding on the diagnosis of H2-blocker resistant duodenal ulcer by EUS.

Copyright © 1988, Igaku-Shoin Ltd. All rights reserved.


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