Radiology and endoscopy diagnosis of peptic ulcer

In this study Radiological, and Endoscopy study of gastric and duodenal ulcer". Endoscopy and radiography with the clinical picture is main procedures in diagnosis of peptic ulcer and other gastric pathology. Also in this study we discuss the values and accuracy of radiology and endoscopy in diagnosis of peptic ulcer. The study was applied in Gaza strip hospital, mainly European Gaza hospital. The aims of the current study are: 1] Radiographic evaluation of patient suffering from peptic ulcer disease. 2] Endoscopy evaluation of patient suffering from peptic ulcer disease. 3] Comparison between radiography and endoscopy in evaluation of peptic ulcer disease. This is prospective study performed during period 2000 to 2005 in European Gaza hospital, Gaza, Palestine. The study included 200 cases complaining of upper gastro-intestinal symptoms as dyspepsia, heartburn, epigastric pain and other symptoms. They were subjected to radiological and endoscopic study. The age of the above patients ranged from 10-80 ys. Old, and include 130 male and 70 female. The results of this study show that the Endoscopy has an accuracy of 100% in the diagnosis of gastric and duodenal ulcer and other pathology in comparison to 83% accuracy of radiology. Double contrast study has an accuracy of 85%, while single contrast has an accuracy of 66%. Both tools [radiology and endoscopy], are still suitable for diagnosis of gastric and duodenal ulcer, and both tools are complementary to each others

Fluid-aided evaluation of stomach and duodenum by ultrasound for diagnosis of peptic ulcer

Eighty two patients with clinical diagnosis of peptic ulcer disease were chosen during June 1991 to August, 1992 These patients had ultrasound scans for upper gastrointestinal tract after ingestion of 20-40 oz of water. In 52 Is patients, stomach and duodenum were clearly visible. Abnormalities of the walls of stomach and duodenum were detected by ultrasound in 57 [69.5%] of 82 patients correlating with abnormal barium meal findings. Endoscopy was done on 29 [50.87%] of 57 patients and findingsco-related. Ultrasound scans detected abnormalities mucosal thickening, mucosal deformity, dilatation, soft tissue mass as seen in pyloric stenosis and spasms and one ulcer crater was detected on the greater curvature of the stomach. The results suggest that ultrasound -: can be useful in diagnosis of peptic ulcer. This study also appears to be the first attempt in Pakistan to evaluate the gastrointestinal tract on ultrasound scans