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

Intestinal Metastases from Gastric Adenocarcinoma: Helical CT Findings

2001 ◽  
Vol 25 (1) ◽  
pp. 61-67 ◽  
Author(s):  
Hyun-Jung Jang ◽  
Hyo Keun Lim ◽  
Hee Sung Kim ◽  
Eun Youn Cho ◽  
Soon Jin Lee ◽  
...  
Keyword(s):  
Gastric Adenocarcinoma ◽  
Helical Ct ◽  
Ct Findings

scholarly journals Gastric Adenocarcinoma: Is Computed Tomography (CT) Useful in Preoperative Staging?

2009 ◽  
Vol 3 ◽  
pp. CMO.S2641 ◽  
Author(s):  
Ssther Uña Cidón ◽  
Isabel Jiménez Cuenca
Keyword(s):  
Gastric Cancer ◽  
Gastric Adenocarcinoma ◽  
Predictive Value ◽  
Gastric Wall ◽  
Preoperative Staging ◽  
Spiral Ct ◽  
Accurate Method ◽  
Lymph Node Involvement ◽  
Wall Thickening ◽  
Curative Surgery

Background and Purpose Although multiple studies testing the accuracy of CT in the preoperative staging of gastric adenocarcinoma have been carried out, their results are controversial. Whilst some authors claim that CT is an accurate method for preoperatively staging gastric cancer, others have advocated the contrary. Because of this discrepancy we have retrospectively reviewed preoperative CT findings compared with histopathological results in patients with gastric adenocarcinoma. Patients and Methods Seventy-two patients diagnosed with gastric cancer who underwent potentially curative surgery and preoperative staging CT of quality were included in the study. The size, gastric wall thickening, presence of lymphadenopathy, adjacent organ invasion and location of the gastric mass was recorded. Early tumors (T1 and T2) and more advanced tumors (T3 and T4) were grouped together. CT staging was correlated with the final histopathological stage (TNM). The global results were expressed as sensitivity, specificity, positive predictive value (PPV) and negative predictive value (NPV). Results Seventy-two cases were included with fifty-five being male and a median age of 67 years (range 33–91). CT correctly identified the location of the tumor in 56 (53% antropyloric, 18% subcardial). Median time from CT scan to surgery was fourteen days (range 2–49). In T detection: T1/T2 and T3/T4 with sensitivity of 70% and 61%. Lymph node involvement: Sensitivity 49%. Overstaged in 47% Understaged in 75%. Specificity of 53%. Nine patients with colon-mesocolon (5 patients) and pancreas (4 patients) invasion. Sensitivity 44% and specificity 96%. Conclusion Spiral CT is not an accurate method in predicting preoperative stages in gastric cancer.

Focal Nodular Hyperplasia of the Liver: Triphasic Helical CT Findings

2003 ◽  
Vol 49 (3) ◽  
pp. 181
Author(s):  
Jin Wook Lee ◽  
Won Jae Lee ◽  
Jae Min Cho ◽  
Min Hee Lee ◽  
Hyo K Lim ◽  
...  
Keyword(s):  
Focal Nodular Hyperplasia ◽  
Helical Ct ◽  
Ct Findings ◽  
Nodular Hyperplasia

Metastatic Tumor of the Pancreas: Helical CT Findings

2000 ◽  
Vol 42 (4) ◽  
pp. 657 ◽  
Author(s):  
Soon Jin Lee ◽  
Won Jae Lee ◽  
Hyo Keun Lim ◽  
Seung Hoon Kim ◽  
Kyeong Ah Kim ◽  
...  
Keyword(s):  
Helical Ct ◽  
Metastatic Tumor ◽  
Ct Findings

Helical CT Findings in Patients Who Have Undergone Stapes Surgery for Otosclerosis

2000 ◽  
Vol 174 (2) ◽  
pp. 387-392 ◽  
Author(s):  
Marc T. Williams ◽  
Denis Ayache ◽  
Monique Elmaleh ◽  
Françoise Héran ◽  
Pierre Elbaz ◽  
...  
Keyword(s):  
Helical Ct ◽  
Stapes Surgery ◽  
Ct Findings

Thin Section Helical CT Findings of Klatskin Tumor and Benign Stricture: Cholangiographic Correlation

1997 ◽  
Vol 37 (4) ◽  
pp. 665
Author(s):  
Guk Myeong Choi ◽  
Joon Koo Han ◽  
Tae Kyoung Kim ◽  
Byung Ihn Choi ◽  
Sun Whe Kim ◽  
...  
Keyword(s):  
Thin Section ◽  
Helical Ct ◽  
Klatskin Tumor ◽  
Benign Stricture ◽  
Ct Findings

Focal Nodular Hyperplasia: CT Findings with Emphasis on Multiphasic Helical CT in 78 Patients

Radiology ◽  
2001 ◽  
Vol 219 (1) ◽  
pp. 61-68 ◽  
Author(s):  
Giuseppe Brancatelli ◽  
Michael P. Federle ◽  
Luigi Grazioli ◽  
Arye Blachar ◽  
Mark S. Peterson ◽  
...  
Keyword(s):  
Focal Nodular Hyperplasia ◽  
Helical Ct ◽  
Ct Findings ◽  
Nodular Hyperplasia

scholarly journals Endoscopic ultrasound (EUS) in staging and follow-up of patients with malt lymphoma treated conservatively

2005 ◽  
Vol 52 (1) ◽  
pp. 83-89 ◽  
Author(s):  
A.R. Pavlovic ◽  
M. Krstic ◽  
D. Tomic ◽  
Milos Bjelovic ◽  
R. Jesic ◽  
...  
Keyword(s):  
Helicobacter Pylori ◽  
Malt Lymphoma ◽  
Gastric Wall ◽  
Gastric Lymphoma ◽  
Eradication Therapy ◽  
Muscularis Propria ◽  
Wall Thickening ◽  
Low Grade ◽  
Ann Arbor

Background: Endoscopic ultrasonography (EUS) is an important tool for diagnosis and pretreatment staging of primary gastric lymphoma. The aim of the study was to evaluate the diagnostic importance of endosonography (EUS)in gastric lymphoma; to assess the depth of tumoral infiltration in low-grade gastric lymphoma of mucosa-associated lymphoid tissue (MALT) and to assess EUS response to medical treatment (Cyclophosphamid/Mabtera and/or anti-Helicobacter pylori therapy). Methods: 26 patients with MALT gastric lymphoma were investigated by EUS. Six of them were evaluated after the eradication of Helicobacter pylori infection and 20 after and during the cyclophosphamide/Mabtera and anti H.pylori treatment. EUS staging was compared with histopathology. Tumors were staged according to the 2000 TNM and modified Ann Arbor classification. Results: Six patients were treated with anti - Helicobacter pylori eradication therapy. Full regression of lymphoma was observed in 2 of 6 (33.3%) patients, which was endoscopicaly and histologicaly proved. EUS correlated with histology in all (6/6). In 20 patients treated with cyclophosphamide/Mabtera therapy, EUS revealed regression of lymphoma in 14 cases. Positive correlation with histology was found in 11 patients (11/14; 78%). The initial EUS showed an increased wall thickness more than 5mm in 24 of 26 patients (92%). The thickening was predominantly of mucosa and submucosa and in 11 patients extended the muscularis propria. After the therapy, the gastric wall thickening returned to normal in 14 patients, however, 3 of them still had positive histology findings. In 2 cases, during the follow-up, the EUS showed remained thickening of gastric wall, whereas biopsies were negative. Six months later histology revealed progressive low-grade MALT lymphoma in this cases. Conclusion: EUS appears to be a sensitive procedure for initial staging and assessment of treatment response and long-term follow up in patients with gastric lymphoma. The importance of EUS lies in ability to detect relapse early, too.

Atypical presentation at acute gastritis: significant gastric wall thickening as a presentation of a primary Helicobacter pylori infection in children

2021 ◽  
Vol 14 (7) ◽  
pp. e243912
Author(s):  
Kiyokuni Nakamura ◽  
Ryo Tamura ◽  
Yoshitomi Yasui ◽  
Hideaki Okajima
Keyword(s):  
Helicobacter Pylori ◽  
Epigastric Pain ◽  
Gastric Wall ◽  
Malignant Tumour ◽  
Wall Thickening ◽  
Atypical Presentation ◽  
Negative Consequences ◽  
Ulcer Disease ◽  
Acute Gastritis ◽  
H Pylori

Helicobacter pylori infection could cause chronic inflammation in the stomach and induce peptic ulcer disease or even malignant tumour. The initial infection of the organism happens in childhood but most of cases are latent. We had a case of 10-year-old girl who presented with acute epigastric pain and significant thickening of the stomach wall on CT. The finding seemed atypical for acute gastritis so oesophagogastroduodenoscopy and serology examination were added and the primary infection of H. pylori was confirmed with the exclusion of other possible diagnoses like eosinophilic gastritis and IgA vasculitis. Acute gastritis is one of the most common sickness in children, however, it would be worthwhile considering further investigation including H. pylori infection in a case of atypical presentation to prevent negative consequences derived from chronic H. pylori infection.

scholarly journals Chronic Active Epstein-Barr Virus-Associated Enteritis: CT Findings and Clinical Manifestation

2020 ◽  
Vol 2020 ◽  
pp. 1-8
Author(s):  
Bo Zhang ◽  
Xia Wang ◽  
Xiaoyan Tian ◽  
Yongping Cai ◽  
Xingwang Wu
Keyword(s):  
Epstein Barr Virus ◽  
Bowel Wall ◽  
Clinical Symptoms ◽  
Wall Thickening ◽  
Barr Virus ◽  
Ct Findings ◽  
Pathologic Findings ◽  
Bowel Wall Thickening ◽  
Epstein Barr ◽  
Fat Stranding

Aim. To improve the identification and computed tomography (CT) diagnostic accuracy of chronic active Epstein-Barr virus (EBV)-associated enteritis (CAEAE) by evaluating its CT findings and clinical manifestation. Methods. The data of three patients with pathologically and clinically confirmed CAEAE who underwent CT enterography (CTE) were retrospectively reviewed from January 2018 to October 2019. The following data were evaluated: imaging characteristics (length of involvement, pattern of mural thickening, pattern of attenuation, perienteric abnormalities), clinical symptoms, endoscopic records, laboratory examinations, and pathologic findings. Results. Based on CT findings, two patients demonstrated segmental bowel wall thickening (involvement length >6 cm), asymmetric thickening, layered attenuation, fat stranding, and adenopathy, whereas the remaining one had no positive finding. The endoscopic results of all patients showed numerous irregular ulcers in the colon, and one patient had a focal esophageal ulcer. The major clinical symptoms were abdominal pain (n=3), retrosternal pain (n=1), fever (n=3), diarrhea (n=2), hematochezia (n=1), and adenopathy (n=3). The main laboratory examination indicators were increased serum EBV DNA load (n=1) and increased inflammatory markers (n=3). With regard to the main pathologic findings, all patients showed positive EBV-encoded RNA (EBER) situ hybridization in the colonic biopsy specimen, with one patient being positive in the esophagus. Conclusion. CAEAE is rare and is usually misdiagnosed as inflammatory bowel disease (IBD). The imaging features of CAEAE overlap with those of Crohn’s disease and ulcerative colitis. The presence of segmental and asymmetric bowel wall thickening, layered attenuation, and fat stranding in the CTE image may be helpful in differentiating CAEAE from IBD.

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