A shift in the diagnostics of the small intestine tumors.

J 2007

A shift in the diagnostics of the small intestine tumors.

KALA, Zdeněk, Vlastimil VÁLEK and Petr KYSELA

Basic information

Original name

A shift in the diagnostics of the small intestine tumors.

Name in Czech

posun v diagnostice nádorů tenkého střeva.

Authors

KALA, Zdeněk (203 Czech Republic, guarantor), Vlastimil VÁLEK (203 Czech Republic) and Petr KYSELA (203 Czech Republic)

Edition

European journal of radiology, Ireland, Elsevier Science Ireland Ltd, 2007, 0720-048X

Other information

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

30000 3. Medical and Health Sciences

Country of publisher

Ireland

Confidentiality degree

není předmětem státního či obchodního tajemství

Impact factor

Impact factor: 1.915

RIV identification code

RIV/00216224:14110/07:00032288

Organization unit

Faculty of Medicine

UT WoS

000246613700003

Keywords in English

small intestine;tumor; diagnostics;ultrasound;computer tomography

Abstract

ORIG CZ

V originále

Primary, secondary, benign or malignant tumorous diseases of the small intestine are rare. They are very often diagnosed by accident or as a cause of acute abdomen. This work should answer the question, whether there is a method of making the diagnosis earlier when the disease is limited and easy to cure. METHODOLOGY: A retrospective study comprising 96 patients having undergone surgery for a small intestine tumor in our hospital from 1996 to 2005 is presented. An analysis of first symptoms, diagnostic methods and number of patients admitted during the years was made. In the year 1998 we changed our philosophy in trying to directly detect the small intestine pathology and not making the diagnosis by the exclusion only. Intestinal ultrasound was performed on the Ultramark 3000 HDI device with autofocussable convex 5 MHz and linear 7.5 MHz probes or nowadays ATL 5000 HDI, 7-12 MHz linear probe. No contrast enhancement was used. Abdominal CT engaged Somatom Plus appliance by Siemens, single detector with our conventional abdominal CT protocol. Enteroclysis was done with Micropaque suspension diluted 1:1 with HP-7000 300 ml with its application rate of 75 ml/min followed by HP-7000 solution 2000 ml, application rate of 120 ml/min. RESULTS: We treated surgically 96 patients with the small intestine tumor. A shift in the diagnostic algorithm was noticed in the bowel ultrasound now taking the lead. An enlarged portion of patients diagnosed by means of capsule endoscopy was also seen. An increase of surgically treated patients after 1998 was recorded and the majority of them could be offered an elective laparoscopic surgery in contrast to before 1998 when the majority of them had undergone surgery for an acute abdomen. CONCLUSION: The small bowel ultrasound can be recommended as the first choice method. All patients with even very moderate abdominal symptoms ought to be examined for the small intestine pathology. As a result one can get higher rate of elective surgery, if possible laparoscopic and higher number of R0 resections accompanied by longer survival.

In Czech

Článek rozebírá retrospektivně 96 pacientů s nádorem tenké kličky hospitalizovaných na chirurgii. zaměřuje se na charakterickický obraz a přínos jednotlivých zobrazovacích metod a důsledky pro léčbu.

Citovat

KALA, Zdeněk, Vlastimil VÁLEK and Petr KYSELA. A shift in the diagnostics of the small intestine tumors. European journal of radiology. Ireland: Elsevier Science Ireland Ltd, 2007, vol. 62, No 2, p. 160-5, 6 pp. ISSN 0720-048X.

@article{721872,
   author = {Kala, Zdeněk and Válek, Vlastimil and Kysela, Petr},
   article_location = {Ireland},
   article_number = {2},
   keywords = {small intestine;tumor; diagnostics;ultrasound;computer tomography},
   language = {eng},
   issn = {0720-048X},
   journal = {European journal of radiology},
   title = {A shift in the diagnostics of the small intestine tumors.},
   volume = {62},
   year = {2007}
}

TY  - JOUR
ID  - 721872
AU  - Kala, Zdeněk - Válek, Vlastimil - Kysela, Petr
PY  - 2007
TI  - A shift in the diagnostics of the small intestine tumors.
JF  - European journal of radiology
VL  - 62
IS  - 2
SP  - 160-5
EP  - 160-5
PB  - Elsevier Science Ireland Ltd
SN  - 0720048X
KW  - small intestine;tumor
KW  - diagnostics;ultrasound;computer tomography
N2  - Primary, secondary, benign or malignant tumorous diseases of the small intestine are rare. They are very often diagnosed by accident or as a cause of acute abdomen. This work should answer the question, whether there is a method of making the diagnosis earlier when the disease is limited and easy to cure. METHODOLOGY: A retrospective study comprising 96 patients having undergone surgery for a small intestine tumor in our hospital from 1996 to 2005 is presented. An analysis of first symptoms, diagnostic methods and number of patients admitted during the years was made. In the year 1998 we changed our philosophy in trying to directly detect the small intestine pathology and not making the diagnosis by the exclusion only. Intestinal ultrasound was performed on the Ultramark 3000 HDI device with autofocussable convex 5 MHz and linear 7.5 MHz probes or nowadays ATL 5000 HDI, 7-12 MHz linear probe. No contrast enhancement was used. Abdominal CT engaged Somatom Plus appliance by Siemens, single detector with our conventional abdominal CT protocol. Enteroclysis was done with Micropaque suspension diluted 1:1 with HP-7000 300 ml with its application rate of 75 ml/min followed by HP-7000 solution 2000 ml, application rate of 120 ml/min. RESULTS: We treated surgically 96 patients with the small intestine tumor. A shift in the diagnostic algorithm was noticed in the bowel ultrasound now taking the lead. An enlarged portion of patients diagnosed by means of capsule endoscopy was also seen. An increase of surgically treated patients after 1998 was recorded and the majority of them could be offered an elective laparoscopic surgery in contrast to before 1998 when the majority of them had undergone surgery for an acute abdomen. CONCLUSION: The small bowel ultrasound can be recommended as the first choice method. All patients with even very moderate abdominal symptoms ought to be examined for the small intestine pathology. As a result one can get higher rate of elective surgery, if possible laparoscopic and higher number of R0 resections accompanied by longer survival.
ER  -

KALA, Zdeněk, Vlastimil VÁLEK and Petr KYSELA. A shift in the diagnostics of the small intestine tumors. \textit{European journal of radiology}. Ireland: Elsevier Science Ireland Ltd, 2007, vol.~62, No~2, p.~160-5, 6 pp. ISSN~0720-048X.

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