Cic edizioni internazionali
Il Giornale di Chirurgia

Bowel wall thickening: inquire or not inquire? Our guidelines

Original Article, 41 - 44
doi: 11138/gchir/2018.39.1.041
Tag this article
Full text PDF
Introduction. Bowel wall thickening is not an uncommon finding among patient undergoing abdomen CT scan. It may be caused by neoplastic, inflammatory, infectious or ischaemic conditions but also be a normal variant. Although specific radiologic patterns may direct to a precise diagnosis, occasionally misidentification may occur. Thus, in the absence of guidelines, further and not always needed diagnostic procedures (colonoscopy, esophagogastroduodenoscopy or capsule endoscopy) are performed.
Patients and methods. We conducted a retrospective study on data collected from May 2016 to June 2017. We selected 40 adult patients, admitted in Emergency Department with “abdominal pain” and undergone an abdomen CT scan, in which bowel wall abnormalities were founded.
Results. 75% patients were found to have a benign condition vs 25% a malignant condition. In the stomach group, 50% were found to have a neoplasm, whilst 33.3% presented an aspecific pattern and 16.7% had an inflammatory disease. In the small bowel cluster, 33.3% patients had an ischaemic disease, 33.3% an aspecific pattern, 22.2% an inflammatory disease and 11.1% was diagnosed with cancer. In the colon group, 36% had an inflammatory disease, 24% a colon cancer, 24% an aspecific pattern and 16% an ischaemic condition.
Conclusions. We recommend to perform a further endoscopic procedure to all patients with gastric or colonic wall abnormalities on CT scan, on the basis of growing rate of cancer and IBD. Capsule endoscopy should be taken into account in patients with severe symptoms and after a previous negative endoscopic examination.

Vol. XXXIX (No. 2) 2018 March-April

  1. Does the Internet provide patients or clinicians with useful information regarding faecal incontinence? An observational study
    Leo C.A., Murphy J., Hodgkinson J.D., Vaizey C.J., Maeda Y.
    doi: 11138/gchir/2018.39.2.071
  2. The use of local anesthesia to perform lower limb revascularization in the fragile patient with critical limb ischemia
    Kontopodis N., Papaioannou A., Tavlas E., Papadopoulos G., Lioudaki S., Tzirakis K., Ioannou C.V.
    doi: 11138/gchir/2018.39.2.077
  3. Totally laparoscopic resection and extraction of specimens via transanal route in synchronous colon and gastric cancer
    Sumer F., Karakas S., Gundogan E., Sahin T., Kayaalp C.
    doi: 11138/gchir/2018.39.2.082
  4. Laparoscopic cholecystectomy for acute cholecystitis: are intended operative approach, timing and outcome affected by BMI? A multicenter retrospective study
    Lauro A., Vaccari S., Cervellera M., Casella G., D'Andrea V., Di Matteo F.M., Panarese A., Santoro A., Cirocchi R., Tonini V.
    doi: 11138/gchir/2018.39.2.087
  5. Severe neurological complication following adjustable gastric banding
    Martines G., Musa N., Aquilino F., Capuano P.
    doi: 11138/gchir/2018.39.2.092
  6. Malakoplakia of the large intestine: an incidental extremely rare finding
    Koutserimpas C., Ioannidis A., Demonakou M., Siaperas P., Skarpas A., Velimezis G., Karanikas I.
    doi: 11138/gchir/2018.39.2.097
  7. Superior vena cava syndrome due to central port catheter thrombosis: a real life-threatening condition
    Lianos G.D., Hasemaki N., Tzima E., Vangelis G., Tselios A., Mpailis I., Lekkas E.
    doi: 11138/gchir/2018.39.2.101
  8. Primary abdominal wall endometriosis: presentation of rarely seen two cases
    Ferhatoglu M.F., Senol K.
    doi: 11138/gchir/2018.39.2.107
  9. A case of peduncolated Brunner's gland hamartoma
    Tornambè A., Tornambè G.
    doi: 11138/gchir/2018.39.2.111
  10. Paget’s disease of the male breast: case report and a point of view from actual literature
    Vergine M., Musella A., Gulotta E., Frusone F., De Luca A., Maceli F., Libia A., Benedetti Panici P., Monti M.
    doi: 11138/gchir/2018.39.2.114
Last Viewed articles: la lista degli ultimi x visitati.
  1. Bowel wall thickening: inquire or not inquire? Our guidelines
    Iadicola D., De Marco P., Bonventre S., Grutta E.M., Barletta G., Licari L., Gulotta G.
    doi: 11138/gchir/2018.39.1.041