Tu1445 THE ROLE OF ABDOMINAL CT SCAN PREDICTING THE COURSE OF ACUTE GASTROENTERITIS (original) (raw)
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Monaldi archives for chest disease = Archivio Monaldi per le malattie del torace, 2018
The presence of increased air bubble in the lumina of esophagus on a chest CT scan may be associated with esophageal disorders. The purpose of this study was to determine the association between the appearance of air bubbles on chest CT scan and gastroesophageal Reflux Disease (GERD). In this case-control study, thirty-two patients with endoscopically proved GERD and 32 subjects without GERD underwent chest computed tomography (CT) scanning. Esophageal dilatation (ED) was defined as the presence of air bubbles greater than 10 mm in the supra ventricle (SV) and ventricle (CV), and air bubbles >15 mm in the ventricle to the lower esophageal sphincter (V-LES). The results were compared between the two groups. The GERD patients included 16 (50%) males with a mean age of 58.5±11.2 years and the control group included 17 (54.8%) males and 14 (45.1%) females with a mean age of 66.7±10.5 years. There was a significant relationship between the presence of GERD and esophageal dilation (ED)...
Clinical and Endoscopic Evaluation in Patients with Gastroesophageal Symptoms
Arquivos de Gastroenterologia, 2019
BACKGROUND: The gastroesophageal reflux disease (GERD) is the most common esophageal disease in medical practice, and it is suspected according to patients’ symptoms. GERD can be classified in erosive esophagitis (EE) according to the presence of upper gastrointestinal endoscopy findings. OBJECTIVE: To evaluate endoscopic findings in patients with symptoms suggestive of GERD comparing epicemiological and risk factors. METHODS: Upper endoscopy reports were examined retrospectively from patients with symptoms of GERD such as heartburn, regurgitation, cough, throat clearing, globus and chest pain. EE was determined based on Los Angeles classification. Comparisons between risk factors in EE and non-EE groups were done with statistical analysis. RESULTS: A total of 984 endoscopic reports were examined and 676 selected for analysis (281 with EE and 395 with non-EE form). Most were female 381 (56.36%) with a mean age of 44.01±15.40 years. Hiatal hernia was present in 47(6.96%) and smoking ...
Journal of clinical gastroenterology, 2017
The Los Angeles (LA) grade of reflux esophagitis (A to D) is assumed to reflect severity of the underlying gastroesophageal reflux disease (GERD). Thus, LA-D esophagitis patients might be expected to have the most conditions predisposing to GERD (eg, obesity, hiatal hernia), and the highest frequency of GERD symptoms. The main goal of this study is to compare clinical features of patients with the most severe (LA-D) and mildest (LA-A) grades of esophagitis. For this comparative study, we searched our endoscopy database for patients diagnosed with LA-D or LA-A esophagitis, reviewed their endoscopic images, and reviewed medical records of the first 100 we confirmed to have LA-D or LA-A esophagitis. Compared with LA-A patients, LA-D patients were older (mean age, 65±13.4 vs. 56±13.4 y; P<0.001), had lower body mass index (25.9±5.6 vs. 29.4±5.3; P<0.001), were more frequently hospitalized (70% vs. 3%; P<0.001), and in the intensive care unit (15% vs. 0%; P<0.001), and had si...
2011
Appropriateness and Diagnostic Yield of Referrals for Oesophagogastroduodenoscopy at the Korle Bu Teaching Hospital Pertinence et rendement diagnostique de références pour oesophagogastroduodenoscopy à L'hôpital Korle Bu Enseignement K. Tachi*, K. N. Nkrumah RÉSUMÉ CONTEXTE: L'augmentation de la charge de travail endoscopie en libre accès des services nécessite l'adoption de critères de pertinence pour vérifier les abus et améliorer le rendement. OBJECTIF: Pour évaluer la pertinence des références pour oesophagogastroduodenoscopy (AMG) et sa relation avec le rendement à Korle-Bu Teaching Hospital (KBTH), Accra. MÉTHODES: Les références, les signes et les symptômes de 375 patients consécutifs pour oesophagogastroduodenoscopy de diagnostic ont été évalués sur quatre mois. Les indications étaient classés comme approprié ou inapproprié à l'aide de l'American Society of Gastrointestinal Endoscopy (ASGE) des lignes directrices et les résultats endoscopiques (rendement) classés comme positifs ou négatifs. La relation entre ces a été analysée et la précision diagnostique des orientations fixées. RÉSULTATS: Il y avait 209 (55,7%) des femmes, et 316 (84,3%) à accès ouvert des procédures. L'âge moyen était de 46 ± 17 ans. La dyspepsie, 272 (72,5%) et une sensibilité épigastrique, 192 (41,4%) étaient les plus fréquentes des symptômes et de signer respectivement. Seulement 133 (35,5%) ont signalé des symptômes d'alarme. Références appropriées constitué 221 (58,9%). Taux de référence inappropriée a été similaire pour les endoscopistes et les nonendoscopistes. Rendement positif était de 62,7%. Le sexe masculin, âge> 45 ans, hématémèse, vomissements persistants, les renvois gastroentérologues et sensibilité épigastrique étaient les meilleurs prédicteurs de rendement positif. Gastrite, 121 (32,3%), ulcère duodénal, 48 (12,5%) et de l'oesophagite, 36 (9,6%) étaient les diagnostics principaux endoscopie. Carcinomes ont été signalés seulement après 45 années et 18 (81,8%) des cas avaient des symptômes d'alarme. CONCLUSIONS: Les taux de référence inapproprié pour amg est élevé à Accra. Le rendement est amélioré par l'adhésion aux directives ASGE mais son exactitude comme outil de dépistage pour les autres ministères à l'hôpital universitaire de Korle Bu est trop faible pour le recommander pour adoption.
Correlation of Manometric and Radiologic Data from the Esophagogastric Area
Radiology, 1970
Thirty patients, normal or with hiatal hernias, were examined, using simultaneous recording on the same cine film of the radiographic appearance and manometry of the distal esophagus and adjacent stomach. A closed sphincter measuring 1 to 2 em in length was found. A high-pressure zone longer than 2 ern was due to factors other than the intrinsic sphincter. The primary peristaltic wave terminated at the sphincter. The sphincter moved 1 to 4 ern cephalad with swallowing. Detection of a small segment of stomach above the diaphragm during and shortly after swallowing is normal.
Open Journal of Medical Imaging
Introduction: Acute intestinal obstruction is a serious pathology, a surgical emergency for which medical imaging plays an important role in the management. We initiated this work in order to study the contribution of imaging in the diagnosis of acute intestinal obstruction at the Point-G University Hospital. Patients and Methods: This was a prospective, descriptive and analytical study of 96 patients collected at the radiology and medical imaging department of CHU Point-G from January 2018 to January 2019. Results: The age of our patients varied from 11 to 86 years, with an average of 36 years old. There was a male predominance of 64.6% against 35.4% for women, i.e., a sex ratio of 1.82. Previous surgery was found in 61.5% of our patients. The pain was present in all patients. An unprepared abdominal X-ray was performed in 89.6% of patients. Hydroaerobic levels were found in 96.5% of patients. Abdominopelvic CT scans were performed on 12 patients
Gastrointestinal symptoms in COVID-19 patients
Vojnosanitetski pregled, 2022
Background/Aim. Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is a global threat and a huge problem for our community. There are so many opened questions. The aim of this study is to establish the frequency of gastrointestinal symptoms in hospitalized patients with this infection, but also to compare if patients with gastrointestinal symptoms have higher CT scan severity score of interstitial pneumonia. Methods. Our database comprises 322 patients who were divided into two groups, patients with and without gastrointestinal symptoms. All the information was taken from anamnestic data and patient?s history, followed by statistical analysis. Results. Thorax CT scans of 206 patients (63.97%) were described as bilateral interstitial pneumonia and 76 CT scans (36.89%) were described by radiologists as the peak of infection. Moreover, 130 patients (40.37%) had gastrointestinal symptoms, and even 58 out of 130 patients (44.62%) reported gastrointestinal symptoms as the first ...
Relationship Between GERD-Q Score with Esophagitis Findings in Endoscopy
The Indonesian Journal of Gastroenterology, Hepatology and Digestive Endoscopy, 2020
Background: Gastro-esophageal Reflux Disease (GERD) is a disease that is commonly found in daily practice and affecting the patients’ quality of life negatively. GERD-Q is a tool in the form of validated questionnaire that is quite useful and easy to use in daily practice to diagnose GERD by symptoms and signs especially in primary care that do not have endoscopy facilities. This study was built to assess the correlation between GERD-Q score and esophagitis finding in upper gastrointestinal endoscopy in Pekanbaru. Method: This was a prospective cross-sectional study with sample groups of GERD-Q score ≥8 (high GERD-Q score) and GERD-Q score < 8 (low GERD-Q score) which underwent upper gastrointestinal endoscopy to assess reflux esophagitis. GERD-Q score data were obtained by direct interview. Results: This study was participated by 65 subjects with reflux esophagitis and 51 non-esophagitis patients that had undergone upper gastrointestinal endoscopy procedure. The 65 subjects wit...
Esophagus in-field: A new predictor for esophagitis
Radiotherapy and Oncology, 2010
To define optimization parameters for limiting esophageal toxicity with concurrent chemoradiation (CRT) for non-small cell lung cancer (NSCLC). Materials and methods: A retrospective analysis of patients treated with concurrent chemoradiation at the Dana-Farber/Brigham and Women's Hospital Cancer Center was done with IRB approval. All patients were treated with concurrent CRT. All patients underwent 3-D conformal radiotherapy planned with ECLIPSE (Varian, Palo Alto, CA) treatment planning system. Patients had their esophagus contoured in two ways: the entire esophagus (Esoph) and esophagus in-field (Esoph in). Together with clinical variables, dose volume metrics including mean dose, V5-V60 of both structures (Esoph and Esoph in) were analyzed for correlation with acute esophagitis (Pgrade 3) and late esophageal stricture. The analyses and graphics were completed using R (R Development Core Team, 2006). Logistic regression analysis was used to assess the relationships between dosimetric factors and swallowing complications while controlling for non-dosimetric variables. Results: 109 patients were studied between 2000 and 2006. 25% of patients had grade 3 or greater acute esophagitis. 5/109 (5.5%) had late esophageal stricture with a six-month actuarial risk of stricture of 6.5% (95% CI = 1-11%). Mean dose and V45-V60 for both Esoph and Esoph in significantly correlated with development of acute esophagitis. V55 and V60 for both Esoph and Esoph in significantly correlated with development of stricture. On Multivariate analysis V55 of the Esoph and Esoph in was most predictive of toxicity. Limiting the V55 Esoph in to 50% was the best cut-point for acute esophagitis. Conclusions: In the setting of concurrent CRT, V55 of the Esoph or Esoph in is the best predictor of acute esophagitis.