scholarly journals Endoscopic Evaluation of Patients with Colonic Wall Thickening Detected on Computed Tomography

2020 ◽  
Author(s):  
Bilge Ormeci Bas
Keyword(s):  
Computed Tomography ◽  
Wall Thickening ◽  
Endoscopic Evaluation ◽  
Colonic Wall

Unusual Causes of Colonic Wall Thickening on Computed Tomography

2003 ◽  
Vol 58 (3) ◽  
pp. 191-200 ◽  
Author(s):  
D.R Turner ◽  
G Markose ◽  
M.J Arends ◽  
C.S Ng ◽  
A.H Freeman
Keyword(s):  
Computed Tomography ◽  
Wall Thickening ◽  
Colonic Wall

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.

Colonoscopy for colonic wall thickening at computed tomography: a worthwhile pursuit?

2011 ◽  
Vol 25 (8) ◽  
pp. 2586-2591 ◽  
Author(s):  
Brian D. Nicholson ◽  
Rachel Hyland ◽  
Bjorn J. Rembacken ◽  
Mark Denyer ◽  
Mark A. Hull ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Wall Thickening ◽  
Colonic Wall

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 S605 Utility of Direct Visualization of Colonic Wall Thickening Reported on Computed Tomography

2021 ◽  
Vol 116 (1) ◽  
pp. S274-S275
Author(s):  
Andrea DeCino ◽  
Grace Hopp ◽  
Laura Rosenkranz ◽  
Chris Moreau
Keyword(s):  
Computed Tomography ◽  
Wall Thickening ◽  
Direct Visualization ◽  
Colonic Wall

PWE-111 Colonic Wall Thickening at Computed Tomography: Does It Warrant an Endoscopy?

Gut ◽  
2016 ◽  
Vol 65 (Suppl 1) ◽  
pp. A193.1-A193
Author(s):  
M Kathawala ◽  
SC Cooper
Keyword(s):  
Computed Tomography ◽  
Wall Thickening ◽  
Colonic Wall

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.

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