Utility of endoscopy in patients with incidental gastrointestinal luminal wall thickening detected with CT

Téllez-Ávila, Félix Ignacio; García-Osogobio, Sandra; Chavez-Tapia, Norberto C; Ramírez-Luna, Miguel Ángel; Franco-Guzmán, Ada M.; Sosa-Lozano, Antonio; Giovannini, Marc

doi:10.1007/s00464-008-0274-5

Cited by 27 publications

(23 citation statements)

References 8 publications

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“…This includes a study by Tellez-Avilla et al in 2009. 5 Although only 12/31 asymptomatic patients with incidental CT findings of BWT (38.8%) had abnormalities on endoscopy, the authors still recommended this investigation.…”

Section: Methodsmentioning

confidence: 99%

“…3 Tellez-Avilla et al found that 29% of asymptomatic patients presenting with GI wall thickening (including stomach and duodenum) had cancer on endoscopy. 5 Bleibel et al showed that 18% of patients with incidental CT findings of GI wall thickening had a malignancy on endoscopy. 7 In that study, all the patients diagnosed with cancer were over 50 years of age and the authors therefore suggested the use of follow-up endoscopy in patients above this age.…”

Section: Methodsmentioning

confidence: 99%

“…[2][3][4][5][6][7][8][9][10][11][12] In addition, several reports in the literature have attempted to differentiate benign and malignant cases of BWT. [13][14][15] These studies are relatively small and, as yet, no consensus has emerged on how this issue should be tackled.…”

Section: General Surgerymentioning

confidence: 99%

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

Uzzaman

Alam

Nair

et al. 2012

annals

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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.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

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

Uzzaman

Alam

Nair

et al. 2012

annals

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“…Colonic wall thickening is frequently encountered at CT and may be related to normal variants such as diverticular disease, inflammatory conditions, and neoplastic disease [1]. Because no uniform guidance exists, debate surrounds the clinical significance of bowel wall thickening found at CT when demonstrated by both abdominopelvic CT (APCT) or CT colonography (CTC) [2][3][4][5][6][7][8][9][10][11][12][13].…”

Section: Methodsmentioning

confidence: 99%

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

et al. 2011

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“…Son yıllarda BBT'nin sık kullanılması sonucu barsak duvar kalınlaşması (BDK) sık karşılaşılan bir bulgu olmuştur. 2 Bu bulgu normalin varyantı olabileceği gibi, benign veya malign hastalıklarda da karşımıza çıkabilir. Bu nedenle etiyolojik faktörleri belirlemek için, kolonoskopi gibi ileri endoskopik incelemeler yapılabilir.…”

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The Diagnostic Significance of Bowel Wall Thickening for Inflammatory Bowel Disease

Akbulut¹,

Sağ²,

Çakır³

2016

Turkiye Klinikleri J Pediatr

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Utility of endoscopy in patients with incidental gastrointestinal luminal wall thickening detected with CT

Abstract: Endoscopic study is useful in patients with IGILWT. More than one-third of patients with IGILWT have a significant finding by endoscopic evaluation, mainly cancer. Absence of GI symptoms/signs, age or gender are not valid criteria to decide about further endoscopic evaluation.

Cited by 27 publications

References 8 publications

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

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

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

The Diagnostic Significance of Bowel Wall Thickening for Inflammatory Bowel Disease

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