Incidental findings of thickening luminal gastrointestinal organs on computed tomography

An absolute indication for endoscopy

Qiang Cai, Deborah A. Baumgarten, John Paul Affronti, J. Patrick Waring

Research output: Contribution to journalArticle

30 Citations (Scopus)

Abstract

OBJECTIVE: Incidental 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. METHODS: This 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. RESULTS: Ninety-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. CONCLUSIONS: Although 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.

Original languageEnglish (US)
Pages (from-to)1734-1737
Number of pages4
JournalAmerican Journal of Gastroenterology
Volume98
Issue number8
DOIs
StatePublished - Aug 1 2003

Fingerprint

Incidental Findings
Endoscopy
Tomography
Cecum
Sigmoid Colon
Rectum
Esophagus
Guidelines

ASJC Scopus subject areas

  • Hepatology
  • Gastroenterology

Cite this

Incidental findings of thickening luminal gastrointestinal organs on computed tomography : An absolute indication for endoscopy. / Cai, Qiang; Baumgarten, Deborah A.; Affronti, John Paul; Waring, J. Patrick.

In: American Journal of Gastroenterology, Vol. 98, No. 8, 01.08.2003, p. 1734-1737.

Research output: Contribution to journalArticle

Cai, Qiang ; Baumgarten, Deborah A. ; Affronti, John Paul ; Waring, J. Patrick. / Incidental findings of thickening luminal gastrointestinal organs on computed tomography : An absolute indication for endoscopy. In: American Journal of Gastroenterology. 2003 ; Vol. 98, No. 8. pp. 1734-1737.
@article{a3204c4f56634542b5e23a085f4d3cc0,
title = "Incidental findings of thickening luminal gastrointestinal organs on computed tomography: An absolute indication for endoscopy",
abstract = "OBJECTIVE: Incidental 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. METHODS: This 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. RESULTS: Ninety-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. CONCLUSIONS: Although 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.",
author = "Qiang Cai and Baumgarten, {Deborah A.} and Affronti, {John Paul} and Waring, {J. Patrick}",
year = "2003",
month = "8",
day = "1",
doi = "10.1111/j.1572-0241.2003.07604.x",
language = "English (US)",
volume = "98",
pages = "1734--1737",
journal = "American Journal of Gastroenterology",
issn = "0002-9270",
publisher = "Nature Publishing Group",
number = "8",

}

TY - JOUR

T1 - Incidental findings of thickening luminal gastrointestinal organs on computed tomography

T2 - An absolute indication for endoscopy

AU - Cai, Qiang

AU - Baumgarten, Deborah A.

AU - Affronti, John Paul

AU - Waring, J. Patrick

PY - 2003/8/1

Y1 - 2003/8/1

N2 - OBJECTIVE: Incidental 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. METHODS: This 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. RESULTS: Ninety-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. CONCLUSIONS: Although 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.

AB - OBJECTIVE: Incidental 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. METHODS: This 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. RESULTS: Ninety-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. CONCLUSIONS: Although 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.

UR - http://www.scopus.com/inward/record.url?scp=0041653317&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0041653317&partnerID=8YFLogxK

U2 - 10.1111/j.1572-0241.2003.07604.x

DO - 10.1111/j.1572-0241.2003.07604.x

M3 - Article

VL - 98

SP - 1734

EP - 1737

JO - American Journal of Gastroenterology

JF - American Journal of Gastroenterology

SN - 0002-9270

IS - 8

ER -