Thickened luminal GI organs (LGIO) are often detected by computed tomography (CT), however the significance of radiologic abnormalities is unclear.
Doctors in Atlanta, USA, investigated whether endoscopy after detection of LGIO would reveal significant abnormalities.
| At present there are no clinical guidelines for the evaluation of LGIO. |
|The American Journal of Gastroenterology|
Dr Quing Qai and his team performed endoscopy on a series of patients with incidental findings of LGIO on computed tomography.
96% of patients with incidental findings of thickening of the sigmoid colon or rectum had significant abnormalities on further endoscopic work up.
81% of patients with thickening of the distal esophagus, and 13% of patients with thickening of the cecum were shown to have abnormalities by endoscopy.
Dr Qai concludes. “Although positive pathologic findings are less common in thickening of the cecum than in other LGIO, all of these incidental findings on CT warrant further endoscopic examination.”