For this new English edition, the highly popular Ultrasound Diagnosis of Digestive Diseases has been thoroughly revised and updated to include the enormous progress seen recently in the field of ultrasonography, especially endoscopic ultrasonography and pulsed and color Doppler ultrasonography After an extensive technical introduction the book covers the sonoanatomy and ultrasonic symptomatology of the diseases of the digestive system and the abdominal vessels. New chapters deal with portal hypertension, the intestine, including appendicitis, endoscopic ultrasonography of carcinomas and abdominal abnormalities arising from AIDS. Anatomical data and descriptions of elementary symptoms will enable the beginner to become familiar with the more specialized features of the subject and will also help the more experienced clinician to consolidate his knowledge of ultrasound in daily practice. This book will be a standard text for practitioners in the fields of radiology, ultrasonography, gastroenterology, and internal medicine.

For the fourth English edition, this highly popular book has been thoroughly revised and updated to include such new sections as endoscopic digestive US and abnormalities related to AIDS. It is the only work available covering the diagnostic US of the whole abdomen, and its superb treatment of elementary symptoms enables beginners to become familiar with more complicated features. After an extensive technical introduction, the book covers the sonoanatomy and ultrasonic symptomatology of the diseases of the digestive system and the abdominal vessels. Numerous tips on avoiding pitfalls, as well as indications for other procedures, and backed by some 1000 illustrations, this is well on its way to becoming a standard text for practitioners and clinicians in the field.

1 General Principles.- 1. Principles of Ultrasonography and Types of Ultrasound Imaging.- Principles of Ultrasound Laminagraphy.- Static Scanning (Contact).- Dynamic Real-Time Imaging.- Mechanical Scanners.- Arrays (Linear, Curved, Phased).- Contact Scanning and Real-Time Scanning.- Interventional Sonology.- Spatial Resolution.- Contrast Resolution.- Three-Dimensional Imaging.- Doppler Imaging (Pulsed Doppler, Duplex-Doppler).- Color Doppler Scanning.- Color Coding Without Doppler.- Expected Improvements in Doppler Imaging.- References and Further Reading.- 2. Types of Tissue Echo Pattern and Artifacts.- Contour Images.- Tissue Images.- Liquid and Solid Regions.- Semisolid (or "Complex") Echotexture.- Tissue Identification or Characterization with Contrast Agents.- Tubular Images.- Artifacts.- Acoustic Shadowing.- Other Artifacts.- Artifacts in Doppler.- References and Further Reading.- 3. Examination Methods and Positioning.- Preparation of the Patient.- Positions and Scanning Planes.- Ultrasonically Guided Biopsy and Drainage.- Choice of Ultrasound Equipment.- Documentation.- Who Should Conduct the Examination?.- References and Further Reading.- 4. An Anatomic Guide in the Examination of the Upper Abdomen: Echoangiography.- TheAorta.- Branches of the Aorta.- The Vena Cava.- Branches of the Vena Cava.- The Portal System.- References and Further Reading.- 2 The Liver.- 5. Examination Techniques.- Choice of Techniques.- Failures.- Views and Patient Positions.- Preparation of the Patient.- Doppler Examination.- Perendoscopic and Laparoscopic Ultrasound.- Ultrasonographically Guided Biopsy.- References and Further Reading.- 6. Sonoanatomy of the Liver.- General Shape and Contours.- Contours.- Size.- Hepatic Parenchyma.- Tubular Structures.- Sectorial and Segmental Anatomy.- Ultrasonographic Anatomic Relations.- Conclusion.- References and Further Reading.- 7. Hepatomegaly and Diffuse Liver Diseases.- The Criteria for Hepatomegaly.- Relations of the Liver to the Costal Margin; Angle and Tangent Signs.- Nonspecific Hepatomegaly.- Cardiac Liver.- Hepatitis.- Congenital Fibrosis.- Other Nonspecific Hepatomegalies.- Storage Diseases.- References and Further Reading.- 8. Metastases.- Technical Data.- Elementary Signs.- Contour Abnormalities.- Changes in Echotexture.- Nodules.- Ductal Abnormalities.- Discussion of the Elementary Signs.- The Bump Sign.- The Margin Sign.- Hypoechoic Regions.- Hyperechoic Regions.- Global Ultrasound Features of Hepatic Metastases.- Solitary Nodules.- Multiple Nodules.- Histologic Correlations.- Lymphomas.- Hepatic Signs.- Associated Signs.- Metastases and Chemotherapy.- Interventional Sonology.- Differential Diagnosis.- Reliability of Ultrasound - Association with Other Procedures.- References and Further Reading.- 9. Primary Tumors of the Liver and Ultrasonographic Follow-up of Liver Transplantation.- Section 1. Primary Tumors of the Liver.- Malignant Tumors.- Hepatocellular Carcinomas and Fibrolamellar Hepatocarcinomas.- Pathology.- Diagnosis of Spead and Screening.- Rare Malignant Tumors.- Interventional Sonology and Radiology in Hepatocarcinoma.- Benign Tumors.- Adenoma.- Focal Nodular Hyperplasia.- Hamartomas.- Cystadenomas.- Lipomas and Angiomyolipomas.- Vascular Tumors.- Section 2. Ultrasonographic Follow-up of Transplanted Livers.- Morphologic Evaluation.- Parenchyma and Bile Ducts.- Vessels.- References and Further Reading.- 10. Cirrhosis and Portal Hypertension.- Section 1. Morphologic Changes of Cirrhosis and Portal Hypertension.- Morphologic Appearances of Cirrhosis.- Hepatomegaly and the Bright Liver.- Steatosis, Fibrosis, and Hepatic Retraction.- Associated Abnormalities.- Splenomegaly.- Ascites.- Jaundice.- Hepatocarcinoma.- Portal Hypertension.- Etiologic Factors in Portal Thrombosis.- Budd-Chiari-Syndrome and Veno-Occlusive Disease.- Differential Diagnosis.- Section 2. Doppler Ultrasound and the Portal Venous System (M.Lafortune).- Anatomy of the Portal Venous System.- Physiology of the Portal Circulation.- Portal Hypertension.- Definition.- Pathophysiology.- Technique of Doppler Examination.- Doppler Flow Volume Measurements.- Normal Doppler Patterns.- Doppler in Portal Hypertension.- Prehepatic Portal Hypertension.- Portal Hypertension of Hepatic Origin.- Posthepatic Portal Hypertension.- Surgical Portosystemic Shunts.- Nonsurgical Portosystemic Shunts.- References and Further Reading.- 11. Abscesses, Cysts, and Parasitoses.- Abscesses.- Bacterial Abscesses.- Amebic Abscesses.- Mycotic (Aspergillic) Abscesses.- Tuberculous Abscesses.- Congenital Cysts and Biliary Cysts.- Parasitic Cysts.- The Common Hydatid Cyst.- Multilocular Echinococcosis.- Other Parasitoses of the Liver.- References and Further Reading.- 12. Differential Diagnosis.- Confusing Juxtahepatic Images.- Hypoechoic Images.- Hyperechoic Images.- Confusing Anatomic Intrahepatic Images.- Hypoechoic Anatomic Images.- Hyperechoic Anatomic Images.- Contour Images.- Diagnosis of Liver Diseases.- Characterization of a Hepatic Mass (M.Lafortune).- Benign Lesions.- Malignant Tumors.- References and Further Reading.- 13. The Postoperative Liver.- References and Further Reading.- 14. Juxtahepatic Liquid Collections and Ascites; Sonoanatomy of the Peritoneum.- Juxtahepatic Collections.- Subcapsular Collections.- Subdiaphragmatic Collections.- Supradiaphragmatic Collections.- Peritoneal Effusions.- Small Effusions and the Anatomy of the Ligaments and Peritoneal Recesses.- Peritoneal Anatomy: Comparison of Ultrasound and Computed Tomography.- Abundant Ascites.- Rare (and Less Rare) Types of Ascites.- Pneumoperitoneum.- Other Autonomous Peritoneal Diseases.- References and Further Reading.- 3 The Bile Ducts.- 15. The Bile Ducts: Examination Techniques and Sonoanatomy.- Examination Techniques.- Gallbladder.- Main Bile Duct.- Intrahepatic Bile Ducts.- Interventional Sonology.- Perendoscopic Ultrasonography (PERUS).- Sonoanatomy.- Gallbladder.- Main Bile Duct.- Biliary Convergence and Intrahepatic Bile Ducts.- References and Further Reading.- 16. Biliary Lithiasis and Cholecystitis.- Gallstones.- Direct Sign.-…