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The predictive value of computed tomography in the detection of reflux esophagitis in patients undergoing upper endoscopy
L. Lambert, G. Grusova, A. Burgetova, P. Matras, A. Lambertova, P. Kuchynka,
Jazyk angličtina Země Spojené státy americké
Typ dokumentu časopisecké články
- MeSH
- endoskopie trávicího systému MeSH
- gastroezofageální reflux diagnostické zobrazování MeSH
- lidé středního věku MeSH
- lidé MeSH
- peptická ezofagitida diagnostické zobrazování MeSH
- počítačová rentgenová tomografie * MeSH
- senioři nad 80 let MeSH
- senioři MeSH
- senzitivita a specificita MeSH
- Check Tag
- lidé středního věku MeSH
- lidé MeSH
- mužské pohlaví MeSH
- senioři nad 80 let MeSH
- senioři MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
BACKGROUND: Reflux esophagitis (RE) may mimic symptoms requiring cross-sectional imaging. METHODS: From 565 patients who had CT and esophagogastroduodenoscopy within four days apart, CT scans of 72 patients with RE confirmed by esophagogastroduodenoscopy and 108 matched patients without RE were evaluated for distal esophageal wall characteristics. RESULTS: In RE patients the distal esophageal wall thickness was greater (5.2±2.0mm) compared to patients without RE (3.5±1.2mm, p<0.0001) with AUC of 0.78 and 56% sensitivity, 88% specificity for a 5.0mm cut-off. CONCLUSIONS: There is a moderate association between distal esophageal wall thickness on CT and RE diagnosed by esophagogastroduodenoscopy as the reference standard.
Citace poskytuje Crossref.org
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- $a Lambert, Lukas $u Department of Radiology, First Faculty of Medicine, Charles University and General University Hospital in Prague, Czech Republic. Electronic address: lukas.lambert@vfn.cz.
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- $a The predictive value of computed tomography in the detection of reflux esophagitis in patients undergoing upper endoscopy / $c L. Lambert, G. Grusova, A. Burgetova, P. Matras, A. Lambertova, P. Kuchynka,
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- $a BACKGROUND: Reflux esophagitis (RE) may mimic symptoms requiring cross-sectional imaging. METHODS: From 565 patients who had CT and esophagogastroduodenoscopy within four days apart, CT scans of 72 patients with RE confirmed by esophagogastroduodenoscopy and 108 matched patients without RE were evaluated for distal esophageal wall characteristics. RESULTS: In RE patients the distal esophageal wall thickness was greater (5.2±2.0mm) compared to patients without RE (3.5±1.2mm, p<0.0001) with AUC of 0.78 and 56% sensitivity, 88% specificity for a 5.0mm cut-off. CONCLUSIONS: There is a moderate association between distal esophageal wall thickness on CT and RE diagnosed by esophagogastroduodenoscopy as the reference standard.
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- $a Grusova, Gabriela $u 4th Department of Medicine, Department of Gastroenterology and Hepatology, First Faculty of Medicine, Charles University and General University Hospital in Prague, Czech Republic.
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- $a Burgetova, Andrea $u Department of Radiology, First Faculty of Medicine, Charles University and General University Hospital in Prague, Czech Republic.
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- $a Matras, Patrik $u Department of Radiology, First Faculty of Medicine, Charles University and General University Hospital in Prague, Czech Republic.
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- $a Lambertova, Alena $u Department of Radiology, First Faculty of Medicine, Charles University and General University Hospital in Prague, Czech Republic; Department of Psychiatry, First Faculty of Medicine, Charles University and General University Hospital in Prague, Czech Republic.
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- $a Kuchynka, Petr $u 2nd Department of Medicine, Department of Cardiovascular Medicine, First Faculty of Medicine, Charles University and General University Hospital in Prague, Czech Republic.
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