TITLE

Incidental findings of thickening luminal gastrointestinal organs on computed tomography: an absolute indication for endoscopy

AUTHOR(S)
Cai, Qiang; Baumgarten, Deborah A.; Affronti, John P.; Waring, J. Patrick
PUB. DATE
August 2003
SOURCE
American Journal of Gastroenterology;Aug2003, Vol. 98 Issue 8, p1734
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
: ObjectiveIncidental findings of thickened luminal GI organs (LGIO) on CT are not uncommon. However, the significance of these findings is unclear. Because of the lack of scientific data, there are no clinical guidelines for the evaluation of these radiologic abnormalities. Our objective was to determine whether endoscopic evaluation of these findings revealed significant abnormalities.: MethodsThis study evaluated all incidental findings of thickened LGIO in a large medical center from October, 1997 to March, 1999 that were followed by endoscopic examinations.: ResultsNinety-six percent of patients with incidental findings of thickening of the sigmoid colon or rectum, 81% of patients with thickening of the distal esophagus, and 13% of patients with thickening of the cecum had significant abnormalities on further endoscopic work up.: ConclusionsAlthough positive pathologic findings are less common in thickening of the cecum than in other LGIO, all of these incidental findings on CT warrant further endoscopic examination.
ACCESSION #
10428270

 

Related Articles

  • Upper gastrointestinal endoscopy performed by nurses: scope for the future? Smale, S.; Bjarnason, I.; Forgacs, I.; Prasad, P.; Mukhood, M.; Wong, M.; Ng, A.; Mulcahy, H.E. // Gut;Aug2003, Vol. 52 Issue 8, p1090 

    Background: Previous researchers have shown that non-medical endoscopists can perform lower gastrointestinal endoscopy as safely and effectively as medical staff. However, it is not known if upper gastrointestinal endoscopy performed by medical and non-medical endoscopists in clinical practice...

  • Anesthesia-Assisted Sedation Getting Notice by Medicare. Hirsch, Ronald L. // Mayo Clinic Proceedings;Mar2014, Vol. 89 Issue 3, p425 

    A letter to the editor is presented in response to the article "Preprocedural Considerations in Gastrointestinal Endoscopy," by E. C. Gorospe and A. S. Oxentenko in the 2013 issue.

  • In reply--Anesthesia-Assisted Sedation Getting Notice by Medicare. Gorospe, Emmanuel C.; Oxentenko, Amy S. // Mayo Clinic Proceedings;Mar2014, Vol. 89 Issue 3, p425 

    A response by Emmanuel C. Gorospe and Amy S. Oxentenko to a letter to the editor about their article "Preprocedural Considerations in Gastrointestinal Endoscopy," in the 2013 issue is presented.

  • A 61-Year-Old Man with Dyspepsia and Weight Loss. Burton, Catherine // PLoS Medicine;Jun2005, Vol. 2 Issue 6, p0505 

    Describes the case of a 61-year-old male carpenter presented with history of dyspepsia. Symptoms experienced by the patient; Result of an endoscopy underwent by the carpenter; Treatments administered to the patient.

  • Stainahle Iron in Gastric and Duodenal Mucosa of Primary Hemochromatosis Patients and Alcoholics. Conte, D.; Velio, P.; Brunelli, L.; Mandelli, C.; Cesana, M.; Ferrario, L.; Quatrini, M.; Bianchi, P. A. // American Journal of Gastroenterology;Mar1987, Vol. 82 Issue 3, p237 

    The presence of iron in gastric and duodenal mucosa was investigated with Perls' stain in endoscopic biopsies from 13 patients with overt primary hemochromatosis, 10 chronic heavy alcohol abusers, and 10 patients with nonulcer dyspepsia. In the primary hemochromatosis patients marked iron...

  • Rapidly growing early gastric cancer with microsatellite instability. Yamashita, Kentaro; Kato, Norihiro; Takahashi, Hiroaki; Shimizu, Haruo; Suzuki, Hiromu; Motoya, Satoshi; Arimura, Yoshiaki; Endo, Takao; Ura, Hideki; Ichimiya, Shingo; Imai, Kohzoh // Journal of Gastroenterology;2003, Vol. 38 Issue 2, p170 

    A 77-year-old man underwent gastrointestinal endoscopy that revealed a small flat elevated lesion in the gastric antrum. Endoscopically, we assessed the tumor as intramucosal cancer or adenoma, and biopsy specimens were diagnosed as showing borderline malignancy. At the second examination,...

  • State of the Art. Papp, John P. // American Journal of Gastroenterology;May1979, Vol. 71 Issue 5, p516 

    Emergency endoscopy to find the site of upper gastrointestinal bleeding is now accepted as the diagnostic method of choice. Endoscopic electrocoagulation in uncontrolled series has been successful in 98% of patients so treated (142 of 147). If a vessel is seen in an ulcer bed, shine preliminary...

  • Endoscopic Sclerotherapy in Upper Gastrointestinal Bleeding Due to the Mallory-Weiss Syndrome. Battaler, Ramón; Llach, Josep; Salmerón, Joan M.; Elizalde, Josep I.; Mas, Antoni; Piqué, Josep M.; Brullet, Enric; Terés, Josep; Bordas, Josep M.; Rodés, Joan // American Journal of Gastroenterology;Dec1994, Vol. 89 Issue 12, p2147 

    Objectives: Therapeutic endoscopic techniques have changed the need for emergency surgery in gastrointestinal bleeding episodes. However, there is only little information about endoscopic therapies in severe gastrointestinal bleeding due to the Mallory-Weiss syndrome. The aim of this clinical...

  • Strongyloidiasis in a Patient with HTLV-1 Infection. Mileno, Maria D.; Ackerman, Peter // Infectious Disease Alert;Oct2011, Vol. 31 Issue 1, p8 

    A 58-year-old Liberian-born woman was in excellent general health, living and working in a large academic medical center in Rhode Island for more than 20 years, when she developed nonspecific gastrointestinal symptoms and underwent endoscopy, which revealed Strongyloides stercoralis larvae on a...

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics