scholarly journals Endoscopic evaluation of patients with gastric wall thickening detected with computed tomography

2019 ◽  
Author(s):  
Bilge Baş
Keyword(s):  
Computed Tomography ◽  
Gastric Wall ◽  
Wall Thickening ◽  
Endoscopic Evaluation

scholarly journals Significance of Gastric Wall Thickening Detected in Abdominal CT Scan to Predict Gastric Malignancy

2019 ◽  
Vol 2019 ◽  
pp. 1-6
Author(s):  
A. Akbas ◽  
H. Bakir ◽  
M. F. Dasiran ◽  
H. Dagmura ◽  
Z. Ozmen ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Ct Scan ◽  
Wall Thickness ◽  
Gastric Wall ◽  
Hemoglobin Level ◽  
Wall Thickening ◽  
Endoscopic Evaluation ◽  
Abdominal Ct ◽  
Abdominal Ct Scan ◽  
Gastric Malignancy

Background. Early diagnosis of gastric cancer is one of the most important parameters affecting the survival of the disease. In this study, we aimed to stress the importance of antrum wall thickness in CT examination. Method. The study included 111 patients between ages of 18 and 95 who had antral wall thickening in computed tomography and also had endoscopic evaluation performed in the same clinic. The patients were divided into two groups as benign and malignant according to the pathology results. The thickness of the antrum wall in computed tomography, hemoglobin and albumin levels, and age was compared among these two groups. Parameters with significant differences were further analyzed by multivariate analysis using logistic regression analysis. Results. Of the 111 patients included in the study, 57 were male and 54 were female. Mean age was 65 years. Fifty-one patients were classified as benign and 60 patients as malignant. Mean age of the malignant patients was 70, while that of benign patients was 59 (p<0.05). Antrum wall thickness was 13.68 ± 3.27 mm in malignant patients and 9.22 ± 2.17 mm in benign patients (p<0.05). Similarly, hemoglobin level was significantly different in malignant and benign patients (10.78 ± 1.57 g/dl and 12.64 ± 1.43 g/dl, respectively; p<0.05). Albumin levels were 3.36 ± 0.57 mg/dl in malignant patients and 3.97 ± 0.57 mg/dl in benign patients (p<0.05). Conclusion. Evaluation of antrum wall thickness, age, hemoglobin, and albumin values together may contribute to distinguishing the benign and malignant pathologies involving this region in patients with suspected stomach wall thickening in abdominal CT scan.

scholarly journals Computed tomography findings of bowel wall thickening: its significance and relationship to endoscopic abnormalities

2012 ◽  
Vol 94 (1) ◽  
pp. 23-27 ◽  
Author(s):  
MM Uzzaman ◽  
A Alam ◽  
MS Nair ◽  
R Borgstein ◽  
L Meleagros
Keyword(s):  
Computed Tomography ◽  
Rectal Bleeding ◽  
Transverse Colon ◽  
Bowel Wall ◽  
Malignant Lesion ◽  
Wall Thickening ◽  
Neoplastic Disease ◽  
Endoscopic Evaluation ◽  
Neoplastic Lesion ◽  
Bowel Wall Thickening

INTRODUCTION The aim of this study was to conduct retrospective analysis of abdominopelvic computed tomography (CT) reports, identifying those patients in whom bowel wall thickening (BWT) was observed, and to correlate these reports with subsequent endoscopic evaluation. METHODS Formal reports for all patients undergoing abdominopelvic CT between February 2007 and September 2009 were reviewed. Where patients were identified as having colorectal ‘wall thickening’, results of subsequent endoscopic evaluations were documented. Only those patients with a report of BWT who had follow-up endoscopy (colonoscopy, sigmoidoscopy) were included in the analysis. RESULTS A total of 165 patients were included. Abnormalities on endoscopy at the exact site of the BWT on CT were found in 95 patients (57.58%); in 36 cases (21.82%) this was a malignant lesion. BWT of the transverse colon was significantly more likely to correspond to an endoscopic finding of cancer than other sites (p=0.034). Rectal bleeding was reported significantly more often in patients with BWT and neoplastic disease on endoscopy compared with those with normal endoscopy (p=0.04). Excluding patients with inflammatory/diverticular lesions, 59.02% of Caucasians had a neoplastic lesion at the site of reported BWT, significantly higher than the other ethnic groups (p=0.008). There were 38 patients (23.03%) who did not present with bowel symptoms and, of these, 6 were diagnosed subsequently with colorectal cancer. CONCLUSIONS This study supports endoscopic evaluation to investigate patients with CT evidence of BWT, especially in cases involving the transverse colon, in Caucasian patients or in association with symptoms of rectal bleeding.

Canine non-hematopoietic gastric neoplasia

2012 ◽  
Vol 40 (04) ◽  
pp. 243-249 ◽  
Author(s):  
V. von Babo ◽  
N. Eberle ◽  
R. Mischke ◽  
A. Meyer-Lindenberg ◽  
M. Hewicker-Trautwein ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Gastric Wall ◽  
Tumor Resection ◽  
Diagnostic Value ◽  
Wall Thickening ◽  
Survival Times ◽  
Diagnostic Characteristics ◽  
Disease Extension ◽  
Gastric Neoplasia ◽  
Underlying Pathology

Summary Objective: Aim of this study was to investigate epidemiologic and diagnostic characteristics of canine non-hematopoietic gastric neoplasia and to evaluate the surgical outcome of selected cases. Material and methods: Patient data of dogs with histologically confirmed nonhematopoietic gastric tumors were reviewed and dogs with surgical intervention were followed up. Results: 38 dogs were included into the evaluation. Histopathologic diagnoses comprised carcinoma/adeno- carcinoma (n = 33), gastrointestinal stromal tumor (GIST) (n = 4), and leiomyoma (n = 1). Patients’ median age was 10 years, median weight was 20 kg and the male:female ratio was 1.4 : 1.The breeds represented by most individuals were Chow Chow, Collie, Hovawart and mixedbreed. Most frequent presenting complaint was vomiting. Only a low proportion of dogs were presented with anemia, thrombocytopenia or hypoproteinemia. In 58% of cases, ultrasonographic examination led to findings that were considered compatible with gastric neoplasia. Gastric wall thickening and loss of layering were the most common sonographic findings. Most frequent endoscopic findings were mucosal thickening and reddening; ulcerations were infrequent. Computed tomography findings were compatible with gastric neoplasia in two cases in which CT was performed. Intra-operative cytology results showed accordance with histologic diagnoses in 88% of cases. Five dogs with different underlying pathology and variable disease extension underwent surgical tumor resection. In one patient, recurrence was diagnosed after 104 days. Survival times of these dogs ranged between 7 and 2326 days. Conclusion and clinical relevance: Ultrasonography and, in selected cases, computed tomography aided in the diagnosis of gastric neoplasia. Intra-operative cytology possessed diagnostic value. In cases in which surgical resection was attempted, survival times varied markedly likely due to variable disease extension and underlying pathology (e. g. adenocarcinoma versus leiomyoma).

scholarly journals Exploring the diagnostic value of multilayer spiral computed tomography (MSCT) in thoracogastric airway fistula

2020 ◽  
Author(s):  
Yue Zhao ◽  
Yan-Wei Zeng ◽  
Mei-Pan Yin ◽  
Zhen Li ◽  
Chun-Xia Li ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Distant Metastasis ◽  
Interstitial Fibrosis ◽  
Rare Complication ◽  
Gastric Wall ◽  
Diagnostic Value ◽  
Spiral Computed Tomography ◽  
Wall Thickening ◽  
Spiral Computed ◽  
Pulmonary Interstitial Fibrosis

Abstract Background Thoracostomach-airway fistula is a rare complication of esophageal-cancer resection. We intended to explore the diagnostic value of multilayer spiral computed tomography (MSCT) in thoracostomach-airway fistula, to enhance its clinical understanding; evaluate an effective, convenient, and non-invasive diagnostic method; and provide the fundamentals for subsequent treatment. Methods The MSCT images and complete clinical data of 216 consecutive patients diagnosed with thoracogastric airway fistula were retrospectively analyzed. Results MSCT was able to determine the exact location, size of the fistula, and the adjacent bronchus between the fistula and bronchus in 192 out of 216 patients with thoracogastric airway fistula. All patients had pulmonary lesions including emphysema (n=68), ground glass density (n=25), bronchial wall thickening (n=28), patchy high densities along the lung texture (n=207), pulmonary consolidation (n=104), atelectasis (n=11), pulmonary nodules (n=53), bronchiectasis (n=19), lobular septal thickening (n=5), cavity (n=14), and pulmonary interstitial fibrosis (n=6). Further, 95 cases showed pleural effusion, 184 showed pleural thickening, 4 had pneumothorax, and 2 had subcutaneous pneumothorax. 12 patients with thoracogastric airway fistula had anastomotic wall thickening (mean: 20.63±9.57, range: 9.19–43.37 mm), while 13 patients showed thoracic gastric wall thickening (mean: 22.83(±)5.58 mm, range: 12.32–31.24 mm) on. 23 patients showed distant metastasis on MSCT. Conclusions MSCT can accurately display the location and size of thoracogastric airway fistula, as well as lung lesions, tumor recurrence, and distant metastasis, and provide the basis for the next therapy.

Helical CT Findings of Gastric Wall Thickening by Peptic Ulcer: Compared with Gastric Adenocarcinoma with Ulcer

2000 ◽  
Vol 42 (2) ◽  
pp. 281
Author(s):  
Won Jung Jung ◽  
Jong Chul Choi ◽  
Keum Soo Seo ◽  
Bon Sik Koo ◽  
Byeong Ho Park ◽  
...  
Keyword(s):  
Peptic Ulcer ◽  
Gastric Adenocarcinoma ◽  
Gastric Wall ◽  
Helical Ct ◽  
Wall Thickening ◽  
Ct Findings

scholarly journals Role of MSCT in the diagnosis of perforated gall bladder (a retrospective study)

2020 ◽  
Vol 51 (1) ◽  
Author(s):  
Mohamed M. Harraz ◽  
Ahmed H. Abouissa
Keyword(s):  
Computed Tomography ◽  
Retrospective Study ◽  
Gall Bladder ◽  
Acute Cholecystitis ◽  
Acute Diverticulitis ◽  
Wall Thickening ◽  
Free Fluid ◽  
Iodinated Contrast ◽  
Contrast Enhanced

Abstract Background Although gall bladder perforation (GBP) is not common, it is considered a life-threating condition, and the possibility of occurrence in cases of acute cholecystitis must be considered. The aim of this study was to assess the role of multi-slice computed tomography (MSCT) in the assessment of GBP. Results It is a retrospective study including 19 patients that had GBP out of 147, there were 11 females (57.8%) and 8 males (42.1%), aged 42 to 79 year (mean age 60) presented with acute abdomen or acute cholecystitis. All patients were examined with abdominal ultrasonography and contrast-enhanced abdominal MSCT after written informed consent was obtained from the patients. This study was between January and December 2018. Patients with contraindications to contrast-enhanced computed tomography (CT) (pregnancy, acute kidney failure, or allergy to iodinated contrast agents) who underwent US only were excluded. Patients with other diagnoses, such as acute diverticulitis of the right-sided colon or acute appendicitis, were excluded. The radiological findings were evaluated such as GB distention; stones; wall thickening, enhancement, and defect; pericholecystic free fluid or collection; enhancement of liver parenchyma; and air in the wall or lumen. All CT findings are compared with the surgical results. Our results revealed that the most important and diagnostic MSCT finding in GBP is a mural defect. Nineteen patients were proved surgically to have GBP. Conclusion GBP is a rare but very serious condition and should be diagnosed and treated as soon as possible to decrease morbidity and mortality. The most accurate diagnostic tool is the CT, MSCT findings most specific and sensitive for the detection of GBP and its complications.

scholarly journals Present and future utility of computed tomography scanning in the assessment and management of COPD

2016 ◽  
Vol 48 (1) ◽  
pp. 216-228 ◽  
Author(s):  
Kristoffer Ostridge ◽  
Tom M.A. Wilkinson
Keyword(s):  
Computed Tomography ◽  
Clinical Applications ◽  
Wall Thickening ◽  
Chronic Obstructive ◽  
Clinical Tool ◽  
Obstructive Pulmonary Disease ◽  
Lung Structure ◽  
Computed Tomography Scanning ◽  
Underlying Mechanisms ◽  
Future Utility

Computed tomography (CT) is the modality of choice for imaging the thorax and lung structure. In chronic obstructive pulmonary disease (COPD), it used to recognise the key morphological features of emphysema, bronchial wall thickening and gas trapping. Despite this, its place in the investigation and management of COPD is yet to be determined, and it is not routinely recommended. However, lung CT already has important clinical applications where it can be used to diagnose concomitant pathology and determine which patients with severe emphysema are appropriate for lung volume reduction procedures. Furthermore, novel quantitative analysis techniques permit objective measurements of pulmonary and extrapulmonary manifestations of the disease. These techniques can give important insights into COPD, and help explore the heterogeneity and underlying mechanisms of the condition. In time, it is hoped that these techniques can be used in clinical trials to help develop disease-specific therapy and, ultimately, as a clinical tool in identifying patients who would benefit most from new and existing treatments. This review discusses the current clinical applications for CT imaging in COPD and quantification techniques, and its potential future role in stratifying disease for optimal outcome.

scholarly journals Computed tomography findings in patients with H1N1 influenza A infection

2013 ◽  
Vol 46 (5) ◽  
pp. 299-306 ◽  
Author(s):  
Viviane Brandão Amorim ◽  
Rosana Souza Rodrigues ◽  
Miriam Menna Barreto ◽  
Gláucia Zanetti ◽  
Edson Marchiori
Keyword(s):  
Computed Tomography ◽  
Influenza A ◽  
H1n1 Virus ◽  
Severe Disease ◽  
H1n1 Influenza ◽  
Wall Thickening ◽  
High Resolution Computed Tomography ◽  
Air Trapping ◽  
Bronchial Wall

The present study aimed to review high resolution computed tomography findings in patients with H1N1 influenza A infection. The most common tomographic findings include ground-glass opacities, areas of consolidation or a combination of both patterns. Some patients may also present bronchial wall thickening, airspace nodules, crazy-paving pattern, perilobular opacity, air trapping and findings related to organizing pneumonia. These abnormalities are frequently bilateral, with subpleural distribution. Despite their nonspecificity, it is important to recognize the main tomographic findings in patients affected by H1N1 virus in order to include this possibility in the differential diagnosis, characterize complications and contribute in the follow-up, particularly in cases of severe disease.

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