Every person after reaching the age of 25 should at least once a year do an ultrasound of the internal organs, including an ultrasound of the pancreas. This is especially important for those whose lifestyle is far from healthy or working conditions leave much to be desired. Very often, under extreme conditions of life, internal organs wear out faster than the appearance of a person, and cancer problems occur more often than people of the same age, but leading a more correct and healthy lifestyle.
Why precisely pancreas?
Because it synthesizes a key hormone (insulin), which makes it possible to penetrate energy into the cells. If her work fails, the whole body is doomed to hunger, which will inevitably lead to dire consequences.
Of course, science has not yet managed to find medicines that could completely cure pancreatitis or diabetes. It is much more important than prevention and timely treatment at the onset of the first signs. The pancreas is an essential component of a healthy organism.
Indications for ultrasound examination of the pancreas
If the patient was prescribed an ultrasound of the abdominal organs, then the ultrasound doctor must necessarily inspect the pancreas and evaluate its appearance and size..
However, there are a number of alarming symptoms in which a more detailed study of this organ can be given.
- If a person has been suffering for several weeks with pain in the abdomen with greater localization in the left hypochondrium;
- Sensations of persistent discomfort and heaviness in the stomach after even a small meal;
- Digestive disorders with alternating constipation and diarrhea;
- Slight yellowness of the skin and mucous membranes:
- The presence of diabetes of any type.
- Very often the condition of the gland depends on the state of the liver. For any pain in this area, the gland and the condition of the liver itself must be examined.
With the presence of any of these symptoms, a person undergoes a mandatory and detailed examination of all organs involved in digestion. The task of the doctor in time to recognize the formidable signals, and the patient must properly prepare for the upcoming study.
The biggest problem with pancreatic ultrasound is air. The body is in anatomical contact with the intestines and the stomach. The air from these hollow organs can significantly complicate detailed study, distorting the visualization and reducing the correctness of the diagnosis.
In order for this not to happen, there are certain rules or preparation for ultrasound of the pancreas. The most truthful results can be obtained by examining the patient in the morning. It was then that, while observing the whole rules, the research indicators will be the most truthful.
Hunger is necessary for at least 12 hours. Moreover, with the observance of hunger during this time, ultrasound of the liver can be done. The fact is that most of the air enters the intestines of a person during the day. Immediately after waking up, it remains the minimum amount in the gastrointestinal tract. With minimal gas pollution, you can see all the nuances very well and ultrasound of the liver and other organs adjacent to it can be done. This is especially true of people who have increased acidity of gastric juice. Drinks with carbon dioxide will cause excessive gas formation, which will negate all the results of the study.
Preparation of the subject requires compliance with the diet. It is necessary to refuse products that can cause fermentation in the intestines. Try to completely eliminate fruits and vegetables from the diet, as well as carbonated drinks.
The preparation itself is not so exhausting, and the results if it is followed may help eliminate the pathology or establish the correct diagnosis.
However, in emergency cases, you can conduct research without prior preparation. In this case, the information content may be reduced by 40%.
Pancreatic ultrasound in a healthy person is not associated with ascertaining the presence of pathological changes. The interpretation of the procedure is reduced to a statement of the fact of absolute health.
- The body of the gland in an unchanged condition with a pronounced homogeneous structure. Sometimes minor inclusions up to
Modified dimensions with ultrasound of the pancreas is not so important. Much more important is the combination of several indicators. If the contours of the gland are clear and even, as the norm requires, then the function and condition of this organ will be satisfactory.
Duplex scanning will evaluate the large vessels located next to the test organ. A feature of this type of study shows the quality of blood flow in the inferior vena cava, in the superior mesenteric vein and artery, in the celiac trunk and splenic vein. Interpretation of indications in duplex scanning indicates whether the organ suffers from insufficient blood flow and whether there are obstacles to the flow in the form of tumors. If such changes are available, you need to measure their size and structure of the fabric.
Of particular importance is the condition of the duct of the gland (Virungov duct). If there are any changes, then there is a suspicion of a glandular head tumor or pancreatitis.
In this case, only the correct preparation will help the doctor to make the correct diagnosis, and pathological echogenicity will allow you to accurately determine the localization of the modified tissue structures. In this case, the patient needs to prepare and aim for long-term treatment.
Ultrasound for pancreatitis
Pancreatitis can be diagnosed by ultrasound. The acute course of this serious disease fully affects the structure of the pancreas, its size, structural structure of the tissue and appearance. Acute pancreatitis has several stages of development and each has its own “picture” on ultrasound. On each of them it will be seen that the norm of the structure of the organ does not correspond to that shown on the screen. To clearly distinguish one stage from another, it is necessary that the preparation for the procedure is followed.
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There are three main types of pancreatitis: total, focal and segmental. Distinctness of these stages gives different echogenicity of the organ. Changes can be in the whole body as a whole, or in some part of it. If echogenicity is increased in the head of the gland, then it is necessary to look for the causes that led to such changes.
The first stage of this disease is an increase in the size of the gland. Observed fuzzy contours and a sufficiently strong expansion of the pancreatic duct. Often, pathological changes spread to neighboring organs. Their echogenicity increases. The enlarged gland can squeeze large vessels and disrupt the food near the lying organs. Such changes are clearly visible when duplex scanning, even if the preparation was not made by the patient.
Preliminary training with ultrasound provides an opportunity to consider the gallbladder and its ducts. The echogenicity of this organ is slightly different if there is an obstruction of the duct and an increase in the bladder and liver.
With the progression of pancreatitis to the necrotic stage on the body of the gland, pseudocytes may be considered. If the transcript of the study is conducted by a competent specialist, then he will be able to diagnose the breakdown of organ tissue. If the disease was too neglected, then foci with an abscess are visible on the walls of the abdominal cavity and the stuffing box.
Ultrasound of the pancreas with benign and malignant processes
Many pathological processes in the human body can provoke changes in the structure of this organ. A sufficient number of them lead to acute or chronic pancreatitis. The very first thing the ultrasound scanner will notice in these cases is altered echogenicity. Changing the size of the liver and gallbladder.
Peptic ulcer of the stomach and intestines, injuries of the abdominal cavity, intoxication, diabetes, pancreatic lipomatosis, amyloidosis, lead to changes in these organs. All non-specific abnormalities arising from ultrasound diagnostics will not fully reveal the etiology of the disease. But, if all necessary preparation is observed, then decoding can give a lot of additional information.
Ultrasound of the pancreas with benign tumors
There are a lot of benign pancreatic formations. Cells of the endocrine system, which manifest themselves as insulinomas, gastrinomas, can go to the level of abnormal development. In this case, the size of the gland itself increases. There are several types of connective tissue (lipoma, fibroma) tissue. There are also mixed neurofibroma tumors, hemangiomas, neuromas, and adenomas and
Pancreas ultrasound for malignant tumors
Ultrasound abnormalities are altered echogenicity of the organ structures. But this type of research cannot shed light on the quality of change. The histological analysis of modified tissues is necessary.
Therefore, in the overwhelming majority of cases, when abnormalities in ultrasound go hand in hand with poor analysis, and the echogenicity of the organ indicates the possible presence of tumor processes – a histological analysis of pancreatic tissue is always assigned.