This imaging the gastroesophageal (GES) inlet issue came up in a prior thread and I wanted to show the reason for doing this sweep every time. Here are some normal sweeps and one with a mineralizing mass in the gastric fundus just at the GES that I scanned yesterday. This lesion had been missed by a standard sonogram at another facility but this view is always present in SDEP abdomen priotocol and this is exactly why.

This imaging the gastroesophageal (GES) inlet issue came up in a prior thread and I wanted to show the reason for doing this sweep every time. Here are some normal sweeps and one with a mineralizing mass in the gastric fundus just at the GES that I scanned yesterday. This lesion had been missed by a standard sonogram at another facility but this view is always present in SDEP abdomen priotocol and this is exactly why.

Please ensure you get the gastric fundus and GES to the diaphragm and work around any luminal artifact with manual probe pressure and angle changes. If you don’t use the SDEP abdomen protocol just realize we standardized this for the purpose of performing the most through and efficient sonogram every time. Be right the first time by imaging it all the first time even traditionally challenging views. Its all just in the angle and the pressure really. You can download the SDEP protocol here :

https://sonopath.com/products/downloadable

or learn and perfect it at our seminars:

http://sonopath.com/events/2017-sonopath-sdep-ce-eventslecture-events

The first video is standard SDEP in a dog and the second one in a cat. Then the still is a mineralizing gastric fundic mass entering the GES and the video to support it further. The position of this mass is common for gastrinoma in my experience.