V.N. DIOMIDOVA¹, V.S. VINOGRADOVA²

¹Ulyanov Chuvash State University, 15 Moskovskiy prospekt, Cheboksary, Russian Federation, 428015

²City Clinical Hospital No. 1, 46 Traktorostroiteley prospekt, Cheboksary, Russian Federation, 428028

 Diomidova V.N. — D. Med. Sc., Head of Propedeutics of the Department of Internal Diseases with a course of Radiation Diagnostics, tel. (8352) 45-26-17, e-mail: diomidovavn@rambler.ru

Vinogradova V.S. — post-graduate student of the Department of Propedeutics of Internal Diseases with a course of Radiation Diagnostics, tel. (8352) 45-26-17

The research objective is to study the informative value of the multi-parametric ultrasound investigation for the early diagnosis of post-gastrectomy complications. The main group comprised 104 people with the operated stomach pathology. There were more men (66.3 %, or 69 people) than women (mean age 44.2 ± 12.3 y.o.). The control group included patients with operated stomach without any complications after surgery (n-25 people, mean age 39.8 ± 9.3 y.o.). All transabdominal multiparameteric ultrasound investigations were performed with Ascuvix V10 and V20 (Medison, South Korea) and Aixplorer (Super-sonic Imagine, France) scanners. The reliability of ultrasound examination results is confirmed by the morphological data of postoperative and/or endoscopic biopsy materials, endoscopy, X-ray and magnetic resonance imaging. Differences were considered reliable at p ≤ 0.05. The revealed pathologies of the operated stomach were divided into subgroups: stump of stomach pathology and anastomosis — 56 cases (53.8 %); intra-abdominal complications — 25 cases (24.0 %); extra-abdominal complications (pathology of the lungs and pleura) — 8 (7.7 %); multiple combined pathology — 15 cases (14.4 %). The dynamic ultrasound monitoring at different times after surgery allowed obtaining reliable information about the state of the stomach stump and anastomosis.

Key words: operated stomach, pathology, ultrasound investigation

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