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Chinese Journal of Digestion and Medical Imageology(Electronic Edition) ›› 2022, Vol. 12 ›› Issue (03): 150-153. doi: 10.3877/cma.j.issn.2095-2015.2022.03.006

• Original Article • Previous Articles     Next Articles

Value of enhanced multi-slice spiral CT with low tension gas filling in preoperative evaluation of endoscopic therapy for gastric lesions

Xiaobo Lyu1,(), Pengfei Fan1, Feihua Jing1, Huabo Wen1, Xiaoqiang Zhang1, Yating Meng1   

  1. 1. Department of Medical imaging, Linfen Central Hospital of Shanxi Province, Linfen 041000, China
  • Received:2021-12-30 Online:2022-06-01 Published:2022-06-25
  • Contact: Xiaobo Lyu

Abstract:

Objective

To investigate the value of enhanced multi-slice spiral CT with low tension gas filling(EMSCT-LTGF)in preoperative evaluation of endoscopic therapy for gastric lesions.

Methods

A retrospective analysis was performed on 60 cases of gastric lesions treated in Linfen Central Hospital from January 2018 to April 2019 with complete data, all of which obtained pathological results by surgery, including neuroendocrine tumor, polyp, adenoma, leiomyoma, gastrointestinal stromal tumor, lipoma, ectopic pancreas, external pressure, gastric wall abscess, gastric ulcer, etc.The lesions were evaluated by EMSCT-LTGF preoperatively and compared with pathological results.

Results

When compared with pathological findings, there was no significant difference between EMSCT-LTGF and gastroscopy in the detection of lesion ulcer.There was no significant difference between EMSCT-LTGF and pathological results in judging the depth of lesion.

Conclusion

EMSCT-LTGF is of high value in the evaluation of gastric ulcer, depth, shape, diameter, density, blood supply, lymph node and distant organ metastasis and invasion of adjacent structures, which can provide accurate basis for endoscopic treatment of gastric lesions before operation.

Key words: Gastric lesions, Low tension gas filling method, Multi-slice spiral CT, Enhanced scanning, Endoscopic therapy, Preoperative assessment

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