The Diagnostic Significance of Bowel Wall Thickening for Inflammatory Bowel Disease

Akbulut, Ulaş Emre; Sağ, Elif; Çakır, Murat

doi:10.5336/pediatr.2015-47639

Cited by 1 publication

(4 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Acute and chronic abdominal pain is an important cause for emergency room visits. CT has been an increasingly used method for the assessment of abdominal pain [5,12]. CWT has become a common finding as a result of the widespread use of CT [13].…”

Section: Discussionmentioning

confidence: 99%

“…Benign (inflammatory causes, diverticulum, and polyps) and malignant (tumor) diseases could lead to CWT. Besides, causes such as solid-liquid stool, inadequate bowel distention, or contraction in the lumen could also be evaluated as CWT [3][4][5].…”

Section: Introductionmentioning

confidence: 99%

“…There is no consensus on the use of colonoscopy in patients with CWT based on CT results [5,6]. Some advocate colonoscopy for these patients [7,8] while some recommend colonoscopy only for the risky group [2,9].…”

Section: Introductionmentioning

confidence: 99%

“…CWT: colon wall thickness; Hb: hemoglobin; MPV: mean platelet volume; NLR: neutrophil-to-lymphocyte ratio. Gastroenterology Research and Practice this reason, advanced endoscopic evaluations such as colonoscopy are needed to determine the etiology that may cause CWT[5,15].…”

mentioning

confidence: 99%

See 3 more Smart Citations

Colonic Wall Thickening Reported in Abdominal CT: Does It Always Imply Malignancy?

Akbaş

Bakir

Dasiran

et al. 2019

Gastroenterology Research and Practice

View full text Add to dashboard Cite

Aim/Background. Early diagnosis of patients with colon cancer is one of the most important parameters affecting the survival of patients. In this study, we aimed to examine the effect of the age, hemoglobin (Hb), albumin, neutrophil lymphocyte ratio (NLR), thrombocyte lymphocyte ratio (PLR), and mean platelet values (MPV) on the separation of benign and malignant diseases in patients with suspected colon wall thickness (CWT) observed in abdominal computed tomography (CT) examination. Method. The study included 116 patients between the ages of 18 and 95 who had CT examination where the colon wall could be evaluated and who also had colonoscopy. Patients suspected for CWT in CT with difficulties in differential diagnosis were divided into two groups according to colonoscopic-histopathological evaluations. Normal or benign pathological causes were included in the first group, while malignant causes constituted the second group. Whether the two groups differed in terms of CWT, Hb, age, albumin, NLR, PLR, and MPV values was investigated with descriptive statistics. Results. One hundred and sixteen patients (74 males, 42 females) with CT examinations and colonoscopic sampling were included in the study. After colonoscopic and histopathological evaluations, there were 64 cases in the first group and 52 in the second group. According to the results of the univariate analysis and multivariate logistic regression, CWT, Hb, NLR, and MPV were identified to be independent variables for determining colon cancer. Conclusion. A combined evaluation of Hb, NLR, and MPV values in patients with CWT in abdominal CT examination may contribute to the separation of benign and malignant pathologies.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%