Clin Ultrasound.  2017 May;2(1):1-8. 10.18525/cu.2017.2.1.1.

Correct Examination of Pancreas with Ultrasonography

Affiliations
  • 1Lee Jae Joon Internal Medicine Clinic, Daegu, Korea
  • 2Digestive Disease Center, Department of Internal Medicine, Konkuk University School of Medicine, Seoul, Korea

Abstract

Well visualization of pancreas with ultrasonography is difficult due to its location and overlying stomach and bowel. For correct examination, patient visit clinic with overnight fasting or over 8 hours fasting state and avoid smoking or chewing gums. Most common interfering factor for examination of pancreas with ultrasonography is gas in stomach. To avoid interference with gas, we use some methods (compression, position change, water ingestion). Pancreas is not seen totally in one view. So transverse and longitudinal scan with obligue scan is recommended. Trans-splenic scan at left intercostal area is also useful for visualization of tail of pancreas. Vascular landmarks are also important for correct examination of pancreas. Pancreas ultrasonography can be used for detecting lesions, but pancreas can be poorly visualized due to all efforts. At then abdominal computed tomography or magnetic resonance imaging is recommended for better evaluation. At this article, we will discuss correct examination of pancreas with ultrasonography for better visualization.

Keyword

췌장; 초음파; 가스 및 해결책; 제대로 검사하기; Pancreas; Ultrasonography; Gas; Correct examination
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