Ultrasound of the stomach or gastric fibrosis of the stomach, which is better

Questions related to examining your health are always very important and require a lot of attention. For example, to establish some abnormalities of the stomach and resort to one of the methods of their study – ultrasound and FGDS, an important question arises: what to choose?

As with all issues related to health, this must be approached strictly individually. Both procedures have a number of positive differences, as well as a number of disadvantages. In most cases, of course, it would be preferable to first conduct an ultrasound scan that does not cause discomfort, and only then, if necessary, resort to the method of fibrogastroduodenoscopy. However, nevertheless, the most correct decision is to consult a doctor first and listen to his advice and instructions!

To answer the above question, it is important to understand what these procedures are, to note the advantages and disadvantages of each.

What is an ultrasound of the stomach?

Ultrasound of the stomach is a modern type of diagnosis of the condition of the stomach, characterized by safety, ease of execution and the absence of contraindications. However, not all parts of the stomach can be seen and examined using ultrasound. Only parts with the most developed muscle layer (arch, body, pylorus and duodenal bulb) can reflect ultrasound.

An ultrasound examination is prescribed based on patient complaints indicating a violation of the functions of the gastrointestinal tract or suspected diseases such as gastritis, gastric ulcer and other pathologies.

  • Examination is carried out in the morning on an empty stomach.
  • The doctor applies a special gel to the area of ​​study that increases the contact of the sensor.
  • The doctor begins the examination by pressing the sensor at the required angle.
  • The monitor shows an image of an organ: shape, size of the stomach; the thickness of its walls; echogenicity of the layers; wall uniformity.

The benefits of ultrasound of the stomach:

  1. Lack of pain, including psychological comfort.
  2. The ability to record the state of the stomach in the photograph, which may be useful in further studies.
  3. It takes a little time.
  4. Possibility of examination from any angle.
  5. The ability to study the circulatory system of the stomach.


  • The lack of biopsy.
  • The lack of the possibility of intake of physiological fluids.
  • Due to the fact that the stomach is a hollow organ, it is impossible to fully examine it with this method.
What is FGDS?

Fibrogastroduodenoscopy is also a method of examining the gastrointestinal tract, by introducing an endoscope through the natural openings of the body, namely, the oral cavity.

Ultrasound or other methods of studying the state of the body do not always give its full picture and accurate results. In this case, you need to resort to the method of FGDS, which allows you to clarify or even make a final diagnosis. This method accurately detects diseases such as gastritis, ulcers, cancer and other dangerous diseases.

Fibrogastroduodenoscopy, of course, requires more thorough preparation than ultrasound:

  • Two days before the study, exclude from the diet food that is digested for a long time and has coloring pigment, as well as alcohol, soda.
  • The last meal should be 12 hours before the procedure.
  • On the morning of the study, you should not smoke, take medicine in tablets and capsules, chew gum or drink.

The procedure itself is carried out according to the following principle:

  1. Irrigation of the pharynx with lidocaine.
  2. A mouthpiece is inserted into the mouth.
  3. The probe begins to be inserted, the patient must follow the doctor’s instructions.
  4. Air enters the stomach to smooth wrinkles.
  5. The probe is removed.

The procedure lasts from 10 to 30 minutes and brings a very unpleasant sensation, however, following the instructions of the doctor and relaxing, discomfort can be avoided.

If there are no contraindications to the transabdominal ultrasound method, then endoscopic has a number of them:

  • The inflammatory process in the pharynx or oral cavity.
  • Esophageal stenosis.
  • Aortic aneurysm.
  • Severe form of bronchial asthma.
  • The presence of injuries or burns to the esophagus.
  • Blood coagulation disorders.
  • Psychical deviations.

Advantages of FGDS:

  1. Good resolution.
  2. The availability of biopsy.
  3. The ability to study the walls of the stomach in kind.
  4. The ability to record the state of the stomach in the photograph, which may be useful in further studies.


  • Discomfort (nausea, gag reflex, lacrimation), which may persist after the procedure.
  • Long time research.
  • The inability to study the blood supply to the stomach.
  • The inability to study the organ from all sides.
  • A large number of contraindications and possible complications.
What common?

Both ultrasound and fibrogastroduodenoscopy are popular and highly informative methods for examining the condition of the stomach. They help to identify various pathologies at different stages of their development, allow you to fix them in the format of a photo or video, which is necessary for further diagnosis and subsequent treatment.


These two methods, although used for the same purpose, have significant differences:

  1. There are no contraindications to ultrasound, unlike FGDS, which is strictly prohibited in some cases.
  2. The procedure for fibrogastroduodenoscopy must be prepared much more carefully than for ultrasound.
  3. Ultrasound absolutely does not bring any discomfort, which can not be said about FGDS.
  4. Using the ultrasound procedure, you can examine not only the stomach, but also its circulatory system, in addition, you can consider other organs of the abdominal cavity.
  5. Fibrogastroduodenoscopy allows you to see a much larger number of pathologies and is much more accurate to determine than ultrasound.

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