Endoscopic ultrasonography in the diagnosis and treatment of duodenal lesions

Klinika Gastroenterologii, Centralny Szpital Kliniczny Ministerstwa Obrony Narodowej, Wojskowy Instytut Medyczny.
Kierownik Kliniki: prof. dr hab. n. med. Jerzy Gil
Adres do korespondencji: Dr n. med. Przemysław Dyrla, Klinika Gastroenterologii, Wojskowy Instytut Medyczny, ul. Szaserów 128, 00-909 Warszawa, tel.: 22 681 80 61, e-mail: pdyrla@wim.mil.pl
Praca finansowana ze środków własnych

Pediatr Med rodz Vol 9 Numer 2, p. 160–164
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ABSTRACT

In presented study our main aim was to assess the diagnostic yield in submucosal lesions, duodenum wall thickening and surface roughness diagnostics with use of endoscopic ultrasonography. We analysed 41 patients (22 female and 19 male) hospitalized in Military Institute of Medicine in Warsaw between 2009 and 2012 because of duodenum lesion diagnosed in upper gastrointestinal tract endoscopy. In all patients endosonography was performed. In 32 (78.1%) cases organic lesion was diagnosed in gastrointestinal tract wall and in 9 (21.9%) cases normal anatomical structures were found. On the basis of ultrasonography procedure result patients were qualified to surgical, endoscopic or oncology treatment. In 20 (48.8%) cases the change was limited to the mucosa and submucosa and therefore subject to treatment/surveillance endoscopy. In other cases diagnosed infiltration beyond the muscle membrane (n = 21; 51.2%), qualifying of patients for surgery or oncology. Endoscopic ultrasound plays a key role in the diagnosis of submucosal lesions allow proper qualifications to appropriate treatment.

Keywords: submucosal lesion/tumour, endosonography, endoscopy, duodenum lesion