ABSTRACT
In this study, 50 patients with endosmotically proven gastric adencarcinoma were included. Ages of our patients ranged from 35 to 72 years [mean 54 years], with male predominance [male to female = 2.8:1]. The site of the tumours were in the antrum, body of the stomach, proximal 1/3 [20%],5 [10%], 4 [8%] and 2 [4%] cases, respectively. Ultrasonograhy, CT scan and laparoscopy were performed to patients. The sensitivity of the 3 modalities in detection of hepatic metastases were 26.7%, 46.7% and 86.7%, respectively, Also, the sensitivity of the 3 modalities in detection of peritoneal metastases were 33.3%, 16.7% and 83.3%, respectively. Laparoscopy avoided laparatomy in 18 [36%] of our patients We concluded that diagnostic laparasocopy is more accurate than other tests under investigations. It is of increasing imkportance in planning patient management with the use of non-operative methods of tumour palliation in patients with intraabdominal metastases