Journals / Laparoscopic Endoscopic Surgical Science / 2019 / Cilt: 26 - Sayı: 1

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

Pages
1–4
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Among the patients with wall thickening in the uppergastrointestinal 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.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Introduction: The objective of this study was to evaluate the endoscopy results of patients with gastric wallthickening 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.
📊
Key Findings & Data:Patient data of age, gender, the location of the thickening detected with radiological imaging, hemoglobin values, endoscopy fidings, and diagnosis were analyzed.Results: A total 171 patients underwent gastroscopy for upper gastrointestinal wall thickening.
💡
Conclusion & Impact:Among the patients with wall thickening in the uppergastrointestinal 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.
🔬Design:Review & Systematic Survey
📍Scope:2009 Verileri
⚙️Variables:Domain Parameters

Özet

Introduction: The objective of this study was to evaluate the endoscopy results of patients with gastric wallthickening 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 fidings, 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 normalresults. 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 uppergastrointestinal 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.

🔖

Cite This Article

BAŞ, B., PAKÖZ, Z. B., OYMACI, E. (2019). Endoscopic evaluation of patients with gastric wall thickening detected with computed tomography. Laparoscopic Endoscopic Surgical Science, Cilt: 26 - Sayı: 1, 1–4. https://ajindex.com/articles/345099

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (11)

  1. Fishman EK, Urban BA, Hruban RH. CT of the stomach: spectrum of disease. Radiographics 1996;16:1035–54
  2. Kim JY, Kim SH, Lee JM, Han JK, Lee JY, Choi BI. Differentiating malignant from benign wall thickening in postoperative stomach using helical computed tomography: results of multivariate analysis. J Comput Assist Tomogr 2007;31:455–62 3. Ergul B, Filik L. Clinical approach to gastrointestinal wall thickening: a prospective single center study. Endoscopy 2012;20:29–31
  3. Al-Khowaiter SS, Brahmania M, Kim E, Madden M, Harris A, Yoshida EM, et al. Clinical and endoscopic signifiance of bowel-wall thickening reported on abdominal computed tomographies in symptomatic patients with no history of gastrointestinal disease. Can Assoc Radiol J 2014;65:67–70
  4. Pickhardt PJ, Asher DB. Wall thickening of the gastric antrum as a normal fiding: multidetector CT with cadaveric comparison. AJR Am J Roentgenol 2003;181:973–9
  5. Kul S, Sert B, Sari A, Arslan M, Koşucu P, Ahmetoğlu A, et al. Effect of subclinical Helicobacter pylori infection on gastric wall thickness: multislice CT evaluation. Diagn Interv Radiol 2008;14:138–42
  6. Karim MS, Miranda MC, Shamma’a JM, Goebel SU, Sundaram U. Utility of upper endoscopy and colonoscopy in evaluating gastrointestinal luminal wall thickening found on computed tomography. W V Med J 2010;106:16–9
  7. Ba-Ssalamah A, Prokop M, Uffmann M, Pokieser P, Teleky B, Lechner G. Dedicated multidetector CT of the stomach: spectrum of diseases. Radiographics 2003;23:625–44
  8. Tongdee R, Kongkaw L, Tongdee T. A study of wall thickness of gastric antrum: comparison among normal, benign and malignant gastric conditions on MDCT scan. J Med Assoc Thai 2012;95:1441–8
  9. Insko EK, Levine MS, Birnbaum BA, Jacobs JE. Benign and malignant lesions of the stomach: evaluation of CT criteria for differentiation. Radiology 2003;228:166–71
  10. Cereceda Pérez CN, Urbasos Pascual MI, Romero Castellanos C, Carreira Gómez C, Pinto Varela JM. Helical CT of the stomach: differentiation between benign and malignant pathologies, together with the staging of gastric carcinoma. Rev Esp Enferm Dig 2002;94:601–12. [Article in English, Spanish] 12. Urban BA, Fishman EK, Hruban RH. Helicobacter pylori gastritis mimicking gastric carcinoma at CT evaluation. Radiology 1991;179:689–91
  11. Tellez-Avila FI, García-Osogobio S, Chavez-Tapia NC, Ramirez-Luna MA, Franco-Guzman A, Sosa-Lozano A, et al. Utility of endoscopy in patients with incidental gastrointestinal l