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首页> 外文期刊>Surgical Endoscopy >Utility of endoscopy in patients with incidental gastrointestinal luminal wall thickening detected with CT.
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Utility of endoscopy in patients with incidental gastrointestinal luminal wall thickening detected with CT.

机译：内窥镜检查在CT检测到的偶然胃肠道腔壁增厚患者中的应用。

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BACKGROUND: Reports of incidental gastrointestinal luminal wall thickening (IGILWT) on computed tomography (CT) in patients without gastrointestinal complaints are not rare. Currently there is no consensus about what to do in those cases. The aim of this study was to evaluate the utility of endoscopic study in asymptomatic patients with IGILWT. MATERIAL AND METHODS: Retrospective analysis of data obtained prospectively between September 2004 and March 2007 was carried out. Patients without gastrointestinal symptoms/signs with IGILWT and assessed by endoscopy were included. The endoscopic findings were classified as follows: normal, abnormal or nonspecific. RESULTS: A total of 10,161 abdominal/pelvic CT scans were performed. Thirty-one patients were included (14 women and 17 men). Median age was 59 years (19-84 years). Distribution of IGILWT along the gastrointestinal (GI) tract was as follows: 1 esophagus, 19 stomach, 1 small-bowel, and 10 colon. Endoscopy was normal in 19 cases (61.2%) and abnormalonspecific in 12 cases (38.8%). Nine (29%) patients had cancer as a final diagnosis (gastric cancer in six, colon cancer in two, and non-Hodgkin's lymphoma in one). On multivariate analysis hemoglobin <12 g/dl was the only significant variable to predict an abnormal result by endoscopy. CONCLUSION: 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.
机译：背景：对于没有胃肠道不适的患者，在计算机断层扫描（CT）上偶然出现胃肠腔壁增厚（IGILWT）的报道并不罕见。目前，在这些情况下该如何做尚无共识。这项研究的目的是评估内窥镜研究在无症状IGILWT患者中的实用性。材料与方法：对2004年9月至2007年3月之间前瞻性获得的数据进行回顾性分析。包括没有胃肠道症状/体征并通过内窥镜检查评估的患者。内窥镜检查结果分为：正常，异常或非特异性。结果：总共进行了10,161次腹部/骨盆CT扫描。其中包括31例患者（14名女性和17名男性）。中位年龄为59岁（19-84岁）。 IGILWT沿着胃肠道的分布如下：1食道，19胃，1小肠和10结肠。内镜检查正常19例（61.2％），异常/非特异性12例（38.8％）。九名（29％）患者最终诊断为癌症（胃癌六例，结肠癌二例，非霍奇金淋巴瘤一例）。在多变量分析中，血红蛋白<12 g / dl是通过内窥镜检查预测异常结果的唯一重要变量。结论：内镜检查对IGILWT患者是有用的。通过内窥镜评估，超过三分之一的IGILWT患者有重要发现，主要是癌症。没有胃肠道症状/体征，年龄或性别不是决定进一步内镜评估的有效标准。

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