Ultrasound diagnosis of pyloric stenosis

s50 ULTRASOUWD DIAGNOSIS OF PYLORIC STENOSIS M., Trajkovski Z.,vasilevska V., Jakimovska Dimov A., Cabukovska-Radulovska J. Institute of Radiology, School of Medicine, University of Sv. Kiril i Metodij, Skopje, Republip of Macedonia Pyloric Stenosis is a frequent reason for obstrup tive vomitina with neonates. We Present experience of our-OWD in determining symptoms 0% Pyloric stenosis bv means of Ultra Sound (US). The findings were confirmed through comparative upper gastrointestinal series (UGI). The objective of this article is to confirm the validity of the US diagnosis of Pyloric Stenosis.This will allow avoiding UGI series thus eviding unnek cessary exposure to radiation. In a period of two years we examined 15 newborns with vomiting symptoms at the age between zero to two months. Using US we discovered signs of Pyloric Stenosis with 12 of them. Only with three patients we were not able to achieve appropriate visualization of the pyloric channel. We conducted UGI series, which confimed the US diagnosis on all 15 of the patients. One patient was diagnosed at the age of seven days, while the other patients were at a" age tvoical for the disease, two to six weeks. Twelv+ we;e male and three were female. US diagnosis is a modality of choice in the proceee of diagnosing the Pyloric Stenosis. In most caees the methods allows favorable visualization of the Pyloric Channel which make additional examination (UGI) unnecessary.

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TANKOVA, L., M.D., N.GfUGOROV, M.D., R. MtTOVA. Clinkal center of B, Urdwaity Hospltel “Tzaritia Joanna”, Medical Unhrersity, Sofia, Bulgaria. Preserved contractile capacity of puborectal muscle is of essentleI impatience for mabtellng fed contlnonoa. The goal ofourpwpectwstlKtywastoevatuate -1-y in healthy voluntwrs and patients with. anal;=Tb; using bngitudlnal endosonogrPplvc inwstigationcovered2oheafthyco&ols(12mafaaand8 females: mean age 55,2 years) with paltw (IlpatlefW) and complete (5patknts) ansl kcontlnwe mteted to pMous anorectal surgery. Anal endosonograp+ w#s perfotmed with 5MHz llnaar tranaducar supplied to Abb SSD 620. In order to assessthecontractt!acapaoUyoftkepubowWnwsobits lengthismeaswedatmstandduf4ngwnbacWnoftheanal sphincter. There wasn’t any sfgMka# difference In the mean puboreotallengthatrestbetwsnhaalthysubjeotS(23,27* 2,151nm) and inoontinant patierds (31,33B,Stmm). The peroentaga of sholtening wea slgnnsCe#y higher in oontrols than in symptomatic patients. The fiva @ents with cornpfate incontinence showed na change in pubor@al length. LongWdinal ultrasonic scanning offers objwttw information about contractile function of puborectal muscle and is useful method for long-term follow-up of anonxtal phisiology.

GASTRIC MOTJLI’IY lNDlABETICPATlENTSCONTROL.ED BY THREE-DIMENSIONAL IJLTR4souND AND SCINTI,GRA!'HlCMETHODS SZUVAS. Amtea M.D. RhAI, Kw M.D., SZkIWLY, Gy(lrM., MD. Ph.D., WiNKLER, G&or, M.D. PIID”, BhWS, C&a, M.D.R.D.’ ISI, 2nd’ Dept. of Internal Medicioe, St. JHnos Hoqhl, Budapest, HWPY

23diWic-ittd1OcatrolpatieeOrg&diwsm~~ by uhsound, mdhtogy and emhcopy. Method: The exrmhutions were cerdsd out by Wosll (3D) ultrasound compared to seiatignphic mahod. The gmtric rnarl vdume was mewumd after m ovemig!tt fwing. wevohlmewasatulyssdbytilwoltbogoulpLnaLAIkhhtga suodud med svmy 30 minuta msesummaee lwretskm. Results In tbe &b&c group the ImIf time wlume was rercdmd appmximetdy 60 mim atk bwbtg the tethmal. Lklepd gesmic eqtyia# MI found by 3D tdtmamd in 54% of p&atta It was 56% by .wintigrlphy and the oesophagealmotility deeeased io 24% of ptklts. Conclwion: In case of dihtic gatropathy 3D ultrasound and scistipphy AR useful and wry well wrrhted methods in demonsuatiog of gnstric motility disorders.