Abstract
Purpose
A retrospective analysis of oesophageal thickening diagnosed as an incidental finding at Computed Tomography (CT) with endoscopic and histological correlation.
Materials and methods
Retrospective review of CT studies at a University Teaching Hospital in a 3-month period was performed and those who had a correlating upper gastrointestinal endoscopy within 6 months of the CT were included in the study. The findings were correlated with results from endoscopy to histology. The CT images were reviewed by two Consultant Radiologists with a sub-speciality interest in Abdominal Imaging prior to correlation with endoscopic and histology results from the patient’s medical records.
Results
Three hundred and sixty-one patients met the inclusion, of which 20 % (n = 72) were felt to have a thickened distal oesophagus on CT. Of these, 30.6 % (n = 22) had a mass or abnormal mucosal thickening on endoscopy, found to be malignant on subsequent biopsy in 50 % (n = 11) and Barrett’s epithelium in 50 % (n = 11), a statistically significant finding compared to those who had a normal CT.
Conclusion
Endoscopic evaluation is recommended for incidental oesophageal thickening detected at Computed Tomography to exclude underlying malignancy.
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Abbreviations
- CT:
-
Computed tomography
- UGIE:
-
Upper gastrointestinal endoscopy
- SPSS:
-
Statistical Product and Service Solutions
- CT TAP:
-
Thorax, Abdomen and Pelvis
- CTPA:
-
CT Pulmonary Angiogram
- CT KUB:
-
Kidney, Ureters, Bladder
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Salati, U., Courtney, K., Kok, H.K. et al. A retrospective analysis of oesophageal thickening diagnosed as an incidental finding at Computed Tomography with endoscopic and histological correlation. Ir J Med Sci 184, 883–888 (2015). https://doi.org/10.1007/s11845-014-1213-1
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DOI: https://doi.org/10.1007/s11845-014-1213-1