Differentiating Malignant From Benign Wall Thickening in Postoperative Stomach Using Helical Computed Tomography

Kim, Ji Yang; Kim, Se Hyung; Lee, Jeong Min; Han, Joon Koo; Lee, Jae Young; Choi, Byung Ihn

doi:10.1097/01.rct.0000243454.15684.e2

Cited by 7 publications

(2 citation statements)

References 14 publications

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“…Most of these can be detected by computed tomography (CT). 1,2 However, CT may not be sufficient to provide the full explanation. Endoscopy is the gold standard for diagnosis in the upper and lower gastrointestinal tract.…”

Section: Introductionmentioning

confidence: 99%

Incidentally Detected Gastrointestinal Wall Thickness on Abdominal Computed Tomography; What Does it Mean for Endoscopy?

et al. 2021

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Background: The clinical significance of gastrointestinal wall thickening (GWT) on abdominal computed tomography (CT) is not certain, yet. Despite the need for clinical guidelines describing the importance and evaluation of GWT on a CT scan, there have been few studies evaluating these incidental imaging abnormalities. The aim of this study is to endoscopically evaluate certain etiologies that cause incidental GWT found on CT. Methods: This retrospective cohort study was carried out with patients who had incidentally detected GWT on a CT scan at the Kanuni Sultan Süleyman Training and Research Hospital between February 2016 and December 2018. Results: A total of 129 patients (62 males and 67 females; mean age 57.5 years, range: 26-87 years) were included in the study. Abnormalities observed during endoscopy at the exact site of the GWT noted on a CT image were found in 114 patients (99%): upper endoscopy revealed malignancy in 33 (29%), gastritis in 63 (52%), hiatal hernia in 19 (16%), a gastric ulcer in 7 (6%), and alkaline gastritis in 3 (2%). Colonoscopy revealed malignancy in 4 (33%), benign polyps in 5 (35%), colonic ulcer in 2 (16%), and 2 patients (16%) had normal findings. Malignancy was detected more frequently in the cardioesophageal region compared with the antrum (P = 0.020). Conclusion:In this study, detection of GWT on CT often indicated pathologies which were subsequently confirmed endoscopically. Pathological findings were detected in 83% of these patients, with approximately 30% determined to be malignant. Endoscopic evaluation is recommended when GWT is reported on a CT scan.

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Section: Introductionmentioning

confidence: 99%

Incidentally Detected Gastrointestinal Wall Thickness on Abdominal Computed Tomography; What Does it Mean for Endoscopy?

et al. 2021

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“…While en-doscopy is the golden standard in upper gastrointestinal assessments, CT also provides critical information. [1,2] GIS wall thickenings are also frequently noted as a result of imaging procedures taken due to non-GIS complaints. [3] Further investigation with endoscopy is recommended since it cannot be understood whether this finding is un-derlain by a malignant or benignant condition or is totally a normal finding.…”

Section: Introductionmentioning

confidence: 99%

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

Baş¹

2019

Laparosc Endosc Surg Sci

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Introduction: The objective of this study was to evaluate the endoscopy results of patients with gastric wall thickening detected in the upper gastrointestinal tract based on computed tomography imaging performed to investigate different complaints. Materials and Methods: The results of patients who were referred between October 2009 and March 2015 after computed tomography imaging demonstrated upper gastrointestinal system wall thickening and who underwent endoscopy were reviewed retrospectively. Patient data of age, gender, the location of the thickening detected with radiological imaging, hemoglobin values, endoscopy findings, and diagnosis were analyzed. Results: A total 171 patients underwent gastroscopy for upper gastrointestinal wall thickening. Forty-three (25.1%) of the patients were diagnosed with stomach cancer, 87 (50.8%) with gastritis, 8 (4.6%) had a hiatal hernia, 7 (40.09%) had a gastric polyp, and 20 (11.6%) had a gastric ulcer. Six patients (3.5%) had normal results. Patients with gastritis had a mean hemoglobin level of 12.6 g/dL compared with 10.09 g/dL in those with stomach cancer (p<0.001). Patients with an ulcer had a mean hemoglobin level of 10.8 g/dL compared with 12.6 g/dL in patients with gastritis (p<0.001). Among the patients with wall thickening in the upper gastrointestinal system and malignancy, 83.7% were over 50 years of age and 51% had a hemoglobin level below 10 g/dL. Conclusion: Wall thickening detected in the gastrointestinal system with radiological imaging may be a sign of malignancy, especially in patients who are over 50 years of age and have a hemoglobin level below 10 g/dL.

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Texture-based classification of different gastric tumors at contrast-enhanced CT

Ba‐Ssalamah

Muin

Schernthaner

et al. 2013

European Journal of Radiology

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Differentiating Malignant From Benign Wall Thickening in Postoperative Stomach Using Helical Computed Tomography

Abstract: Isoattenuation or high attenuation of thickened wall, perigastric infiltration, and wall thickening without metallic suture material are the 3 main factors distinguishing malignant from benign thickening in postoperative stomach.

Cited by 7 publications

References 14 publications

Incidentally Detected Gastrointestinal Wall Thickness on Abdominal Computed Tomography; What Does it Mean for Endoscopy?

Incidentally Detected Gastrointestinal Wall Thickness on Abdominal Computed Tomography; What Does it Mean for Endoscopy?

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

Texture-based classification of different gastric tumors at contrast-enhanced CT

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