Bowel Wall Thickening on Transabdominal Sonography

Ledermann, Hans Peter; Börner, N; Strunk, H.; Bongartz, Georg; Zollikofer, Christoph L.; Stuckmann, G.

doi:10.2214/ajr.174.1.1740107

Cited by 78 publications

(41 citation statements)

References 75 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The most important restrictions include excessive intestinal gas, obesity of patients and intestinal ans filled with stool. Nevertheless, when the intestinal wall is influenced by tumor or inflammation, the "target" or "pseudo-kidney" appearance can be easily detected with a good examination [6]. A recent study by Kingstone et al [7] has reported that acute abdominal sonography evaluation in adults should always include an evaluation of the colon, which should be a routine procedure and may reveal surprise multiple coincidental pathologies of the colon.…”

Section: Discussionmentioning

confidence: 99%

Role of Ultrasonography in Diagnosis of Cancers of the Gastrointestinal Tract

Parlak¹

2013

Ann Clin Anal Med

View full text Add to dashboard Cite

ÖzetAmaç: Günümüzde radyolojik görüntüleme yöntemlerindeki tüm gelişmelere rağmen gastrointestinal kanalın (GIK) incelemelerinde belirgin ilerleme sağ-lanamadığı gözlenmekte, geliştirilen modern BT yöntemlerinde de tetkikin pahalılığı, radyasyon riski ve hasta açısından uygulanabilirliğinin kolay olmaması, ultrasonografik (US) incelemelerin önemini arttırmakta ve US'yi GİK malignitelerinde tarama yöntemi olarak ön plana çıkarmaktadır. Bu çalış-mada her ne kadar tanıda gold standartın üst gastrointestinal sistem endoskopisi veya kolonoskopi olduğu bilinsede ultrasonografinin gastrointestinal kanal kanserlerinde rolü araştırılmıştır. Gereç ve Yöntem: Bu çalışma-ya anamnez ve fizik muayene bulgularıyla gastrointestinal kanal malignitesi ön tanısıyla ultrasonografi ve endoskopik tetkiklerin planlanan 40 hasta alın-mıştır. Tüm hastalara ultrasonografi ve endoskopi uygulandı ve histopatolojik tanılarla sonuçlar karşılaştırılmıştır. Bulgular: Çalışmaya 25'i (%62,5) erkek, 15'i (%37,5) kadın toplam 40 hasta alınmıştır. Hastaların yaşı 63,1±11,5 olarak tespit edildi. Hastalardan 15'inde ( %37,5) histopatolojik olarak malignite tespit edildi. Ultrasonun GI kanal kanserleri saptamada sensitivitesi %71,4, spesivitesi %75,7 pozitif prediktif değeri %65,2, negatif prediktif değeri %19,3 olarak saptandı. Endoskopik girişimlerin sensitivitesi %100, spesifitesi %96, pozitif prediktif değeri %93,7 olarak saptandı. Tartışma: Abdominal ultrasonografi gastrik-kolonik kanserlerin saptanmasında oldukça spesifik ve sensitif bir yöntemdir. Bu nedenle noninvaziv, kolay ulaşılabilir, radyasyon içermeyen, ucuz, risksiz olan bu yöntemin diğer tanı koydurucu yön-temlerden önce uygulanmasının faydalı olduğuna inanmaktayız . Anahtar KelimelerGastrointestinal Kanal; Kanser; Ultrasonografi; Endoskopi Abstract Aim: It is recently observed that there is not a remarkable advancement in gastrointestinal (GI) tract evaluations despite all developments in radiological imaging methods, and the high costs of examination, risk of radiation and difficult applicability in patients in modern CT methods emphasize the importance of ultrasonography (US) evaluations and stand US out as the scanning method in malignities of the GI tract. This study investigates the role of ultrasonography in cancers of the gastrointestinal tract, although the gold standard is known to be the endoscopy of the upper gastrointestinal tract or colonoscopy. Material and Method: The study included 40 patients whose ultrasonography and endoscopic examinations were planned with the preliminary diagnosis of tract malignity with findings of anamnesis and physical examination. All patients underwent ultrasonography and endoscopy, and results were compared with histopathologic diagnosis. Results: The study included a total of 40 patients, including 25 (62,5%) male and 15 (37,5%) female patients. Malignity was histopathologically identified in 15 (37,5%) patients. The sensitivity of ultrasound to identify cancers to the GI tract was 71,4%, its specificity was 75,7%, positive predictive value...

show abstract

Section: Discussionmentioning

confidence: 99%

Role of Ultrasonography in Diagnosis of Cancers of the Gastrointestinal Tract

Parlak¹

2013

Ann Clin Anal Med

View full text Add to dashboard Cite

show abstract

“…The sensitivity of ultrasound is examiner-dependent and reaches 98-100% with a specificity of 89% in children [16]. Superimposing air can result in inconclusive ultrasound examination [17,18], and differentiation from bowel neoplasm can be impossible [10].…”

Section: Discussionmentioning

confidence: 99%

Multislice CT in adult colocolic intussusception: case report and review of the literature

et al. 2007

Self Cite

View full text Add to dashboard Cite

Intussusception in adults is generally a rare diagnosis and generally different from intussusception in children in terms of clinical presentation, etiology, and incidence (Begos et al., Am J Surg, 173:88-94, 1997; Watson and Bisset, Clin Radiol, 49:723-726, 1994; Felix et al., Am J Surg, 131:723-726, 1976). One third of these affect the large bowel. Adult intussusception shows clinically uncharacteristic symptoms of bowel obstruction; thus, the diagnosis is often clinically missed. We report the case of a 39-year-old woman suffering from long-term abdominal pain. This case report discusses the clinical advantages of multislice computed tomography for the diagnosis of adult intussusception and shows a comprehensive overview of the literature.

show abstract

“…3) (Truong et al 1998). Reduced or absent mural flow is noted and ascites is present in 30-77 % of the cases (Downey and Wilson 1991;Truong et al 1998;Ledermann et al 2000). Infiltration of the pericolic fatty tissue is noted in 50 % of the cases (Truong et al 1998).…”

Section: Sonographymentioning

confidence: 99%