Zusammenfassung
Die Sonografie stellt in der klinischen Routine der Diagnostik von gastroenterologischen
Erkrankungen eine wichtige Untersuchungsmethode dar. Sie ist vorrangig ein morphologisches
Untersuchungsverfahren. Da der Ultraschall aber Wandstrukturen von Hohlorganen wie
der Gallenblase, des Pankreasganges und des gesamten Magen-Darm-Traktes hervorragend
beurteilen und als Echtzeitmethode (real-time) die Bewegungsabläufe darstellen kann,
eignet sich das Verfahren auch bestens zur Untersuchung und Erforschung funktioneller
Abläufe bzw. von deren Störungen. Wir geben eine Übersicht über die Möglichkeiten
der Funktionssonografie in den einzelnen Organbereichen. Die praktische Relevanz wird
kritisch eingeschätzt.
Abstract
Ultrasonography has become increasingly important in the routine diagnostics of gastrointestinal
diseases. It is first of all a morphological diagnostic method. As it not only assesses
the wall structure of the gallbladder, the pancreatic duct and the whole gastrointestinal
tract but also visualises motion sequences as a real-time-method, functional processes
and their disruptions can especially be examined. The present authors give a review
of the capacity of functional ultrasound in different anatomic zones and critically
discuss its practical relevance.
Schlüsselwörter
Sprue - Motilitätsstörung - Malassimilation - Colon irritabile - Magenentleerung
Key words
sprue - motility disorder - malassimilation - irritable colon irritabile - gastric
emptying
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Prof. Christoph F. Dietrich
Innere Medizin 2, Caritas-Krankenhaus Bad Mergentheim
Uhlandstr. 7
97980 Bad Mergentheim
Phone: ++ 49/79 31/58 22 01
Fax: ++ 49/79 31/58 22 90
Email: christoph.dietrich@ckbm.de
