Preoperative CT Staging of Gastric and Colorectal Neoplasms with Water as Contrast Medium

  • J. Gaa
  • M. Georgi
  • H. K. Deininger
Conference paper

Abstract

Conventional double-contrast barium studies and endoscopy continue to be the primary methods for examining tumors of the stomach and large bowel. In contrast to computed tomography (CT), however, these methods provide no information concerning tumor growth beyond the organ borders or the presence of regional lymph node and organ metastases. For more extensive diagnosis using CT, reliable opacification and adequate distension of the gastrointestinal tract are required. Aside from the commonly used iodine-containing contrast media and barium suspensions, some authors have recommended the use of water given orally or rectally as an alternative contrast medium [2, 3, 8].

Keywords

Catheter Magnesium Adenocarcinoma Pancreatitis Barium 

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Anderson DJ, Berland L (1989) CT techniques. In: Lee JKT, Sagel SS, Stanley RJ (eds) Computed body tomography, 2nd edn. Raven, New York, pp31–60Google Scholar
  2. 2.
    Angelelli G, Macarini L, Lupo L, Caputi-Jambrenghi O, Pannarale O, Memeo V (1990) Rectal carcinoma: CT staging with water as contrast medium. Radiology 177: 511–514PubMedGoogle Scholar
  3. 3.
    Baert AL, Roex L, Marchal G, Hermans P, Dewilde D, Wilms G (1989) Computed tomography of the stomach with water as an oral contrast agent: technique and preliminary results. J Comput Assist Tomogr 13: 633–636PubMedCrossRefGoogle Scholar
  4. 4.
    Balthazar EJ, Megibow AJ, Hulnick DH, Naidich DP (1988) Carcinomas of the colon: detection and preoperative staging by CT. AJR 150: 301–306PubMedGoogle Scholar
  5. 5.
    Cook AO, Levine BA, Sirinek KR, Gaskill HV (1986) Evaluation of gastric adenocarcinoma: abdominal computed tomography does not replace celiotomy. Arch Surg 121: 603–606PubMedCrossRefGoogle Scholar
  6. 6.
    Dehn TCB, Reznek RH, Nockler IB, White FE (1984) The preoperative assessment of advanced gastric cancer by computed tomography and surgery. Br J Surg 71: 413–417PubMedCrossRefGoogle Scholar
  7. 7.
    Freeny PC, Marks WM, Ryan JA, Bolen JW (1986) Colorectal carcinoma evaluation with CT: preoperative staging and detection of postoperative recurrence. Radiology 158: 347–353PubMedGoogle Scholar
  8. 8.
    Gaa J, Deininger HK (1990) Methodische Optimierung der computertomographischen Dick-darmdiagnostik. Rontgenblatter 43: 80–82PubMedGoogle Scholar
  9. 9.
    Hermanek P, Sobin LH (1987) TNM classification of malignant tumours. Springer, Berlin Heidelberg New YorkGoogle Scholar
  10. 10.
    Komaki S, Toyoshima S (1983) CT’s capibility in detecting advanced gastric cancer. Gastrointest Radiol 8: 307–308PubMedCrossRefGoogle Scholar
  11. 11.
    Megibow AJ, Zerhouni EA, Hulnick DH, Beranbaum ER, Balthazar EJ (1984) Air insufflation of the colon as an adjunct to computed tomography of the pelvis. J Comput Assist Tomogr 8: 797–800PubMedCrossRefGoogle Scholar
  12. 12.
    Moss A A, Schnyder P, Marks W, Margulis AR (1981) Gastric adenocarcinoma: a comparison of the accuracy and economics of staging by computed tomography and surgery. Gastroenterology 80: 45–50PubMedGoogle Scholar
  13. 13.
    Raptopoulos V, Davis MA, Davidoff A, Kazellas A, Hays D, D’Orsi CJ, Smith EH (1987) Fat density oral contrast agent for abdominal CT. Radiology 164: 653–656PubMedGoogle Scholar
  14. 14.
    Sussmann KS, Halvorsen RA, Illescas FF, Cohan RH, Saeed M, Silverman PM, Thompson WM, Meyers WC (1988) Gastric adenocarcinoma: CT versus surgical staging. Radiology 167: 335–340Google Scholar
  15. 15.
    Thoeni RF, Moss AA, Schnyder P, Margulis AR (1981) Detection and staging of primary rectal and rectosigmoid cancer by computed tomography. Radiology 141:135–138PubMedGoogle Scholar
  16. 16.
    Thompson WM, Halvorsen RA, Foster WL, Roberts L, Gibbons R (1986) Preoperative and postoperative CT staging of rectosigmoid carcinoma. AJR 146: 703–710PubMedGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1992

Authors and Affiliations

  • J. Gaa
  • M. Georgi
  • H. K. Deininger

There are no affiliations available

Personalised recommendations