Thickened gastrointestinal wall findings on computed tomography in children: A reason for endoscopy?

Journal of Pediatric Gastroenterology and Nutrition

Volumn 57, Issue 3, 2013, Pages 305-310

  Min, Steve B ^a   Nylund, Cade M ^b   Abbas, Mazen I ^a   Carter, Milissa ^a   Olsen, Cara H ^b   Biko, David M ^b   Goldman, Matheu D ^a  

^a WALTER REED ARMY MEDICAL CENTER   (United States)

^b UNIFORMED SERVICES UNIVERSITY OF THE HEALTH SCIENCES   (United States)

Author keywords

children; computed tomography; endoscopic findings; inflammatory bowel disease; thickened bowel wall

Indexed keywords

ALBUMIN; C REACTIVE PROTEIN; SERUM ALBUMIN;

ABDOMINAL PAIN; ADOLESCENT; ADULT; APPENDICITIS; ARTICLE; CHILD; CLINICAL ASSESSMENT; CLINICAL EVALUATION; COLITIS; COLON; COMPUTER ASSISTED TOMOGRAPHY; CONTROLLED STUDY; DUODENITIS; ENTERITIS; ERYTHROCYTE SEDIMENTATION RATE; FOLLOW UP; GASTROENTERITIS; GASTROINTESTINAL DISEASE; GASTROINTESTINAL ENDOSCOPY; HUMAN; ILEITIS; ILEUM; INTESTINE WALL; INTESTINE WALL THICKENING; MAJOR CLINICAL STUDY; PRESCHOOL CHILD; PRIORITY JOURNAL; RETROSPECTIVE STUDY; SCHOOL CHILD; SMALL INTESTINE; THROMBOCYTE COUNT; BLOOD; CHRONIC DISEASE; COMPLICATION; CONSTIPATION; FEMALE; GASTROINTESTINAL DISEASES; GASTROSCOPY; INFLAMMATORY BOWEL DISEASES; MALE; METABOLISM; PATHOLOGY; PROCEDURES; RADIOGRAPHY; YOUNG ADULT;

ABDOMINAL PAIN; ADOLESCENT; ADULT; APPENDICITIS; BLOOD SEDIMENTATION; C-REACTIVE PROTEIN; CHILD; CHRONIC DISEASE; COLON; CONSTIPATION; FEMALE; GASTROENTERITIS; GASTROINTESTINAL DISEASES; GASTROSCOPY; HUMANS; INFLAMMATORY BOWEL DISEASES; INTESTINE, SMALL; MALE; PLATELET COUNT; RETROSPECTIVE STUDIES; SERUM ALBUMIN; TOMOGRAPHY, X-RAY COMPUTED; YOUNG ADULT;

EID: 84883743936     PISSN: 02772116     EISSN: 15364801     Source Type: Journal    
DOI: 10.1097/MPG.0b013e3182952eaa     Document Type: Article

References (23)

1. King S, Chambers CT, Huguet A, et al The epidemiology of chronic pain in children and adolescents revisited: a systematic review. Pain 2011; 152: 2729-38.
2. Sivit CJ. Contemporary imaging in abdominal emergencies. Pediatr Radiol 2008; 38(SUPPL. 4):S675-8.
3. Tellez-Avila F.I., García-Osogobio S, Chavez-Tapia NC, et al. Utility of endoscopy in patients with incidental gastrointestinal luminal wall thickening detected with CT. Surg Endosc 2009; 23: 2191-6.
4. d'Almeida M., Jose J, Oneto J., et al. Bowel wall thickening in children: CT findings. RadioGraphics 2008; 28: 727-46.
5. Macari M, Balthazar EJ CT of bowel wall thickening: significance and pitfalls of interpretation. Am J Roentgenol 2001; 176: 1105-16. (Pubitemid 32323243)
6. Diefenbach KA, Breuer CK Pediatric inflammatory bowel disease. World J Gastroenterol 2006; 12: 3204-12. (Pubitemid 43881344)
7. Del Campo L., Arribas I, Valbuena M., et al. Spiral CT findings in active and remission phases in patients with Crohn disease. J Comput Assist Tomogr 2001; 25: 792-7. (Pubitemid 32861706)
8. Wolff JH, Rubin A, Potter J.D., et al. Clinical significance of colonoscopic findings associated with colonic thickening on computed tomography: is colonoscopy warranted when thickening is detected? J Clin Gastroenterol 2008; 42: 472-5. (Pubitemid 351572257)
9. Bleibel W, Guerrero JE, Kim S, et al The clinical significance of incidental computer tomography finding of gastrointestinal luminal wall thickening as evaluated by endoscopy. Dig Dis Sci 2007; 52: 1709-12. (Pubitemid 46870567)
10. Cai Q, Baumgarten DA, Affronti J.P., et al. Incidental findings of thickening luminal gastrointestinal organs on computed tomography: an absolute indication for endoscopy. Am J Gastroenterol 2003; 98: 1734-7. (Pubitemid 36959152)
11. Moraitis D, Singh P, Jayadevan R., et al. Colonic wall thickening on computed tomography scan and clinical correlation. Does it suggest the presence of underlying neoplasia? Am Surg 2006; 72: 269-71. (Pubitemid 351837709)
12. Saab R, Furman WL Epidemiology and management options for colorectal cancer in children. Paediatr Drugs 2008; 10: 177-92. (Pubitemid 351629673)
13. Jabra AA, Fishman EK, Taylor GA Crohn disease in the pediatric patient: CT evaluation. Radiology 1991; 179: 495-8.
14. Rufo PA, Denson LA, Sylvestor F.A., et al. Health supervision in the management of children and adolescents with IBD: NASPGHAN recommendations. J Pediatr Gastroenterol Nutr 2012; 55: 93-108.
15. Jabra AA, Fishman EK, Taylor GA CT findings in inflammatory bowel disease in children. Am J Roentgenol 1994; 1162: 975-9. (Pubitemid 24115892)
16. Choi D, Jin Lee S, Ah Cho Y, et al. Bowel wall thickening in patients with Crohn disease: CT patterns and correlation with inflammatory activity. Clin Radiol 2003; 58: 68-74. (Pubitemid 36104944)
17. Minordi LM, Vecchioli A, Guidi L., et al. CT findings and clinical activity in Crohn disease. Clin Imaging 2009; 33: 123-9.
18. Pereira JM, Sirlin CB, Pinto P.S., et al. Disproportionate fat stranding: a helpful CT sign in patients with acute abdominal pain. Radiographics 2004; 24: 703-15. (Pubitemid 38703237)
19. Anupindi SA, Darge K. Imaging choices in inflammatory bowel disease. Pediatr Radiol 2009; 39:S149-51.
20. Bremner AR, Griffiths M, Argent J.D., et al. Sonographic evaluation of inflammatory bowel disease: a prospective, blinded, comparative study. Pediatr Radiol 2006; 36: 947-53. (Pubitemid 44193157)
21. Desai RK, Tagliabue JR, Wegryn S.A., et al. CT evaluation of wall thickening in the alimentary tract. Radiographics 1991; 11: 771-83.
22. Horton KM, Corl FM, Fishman EK CT evaluation of the colon: inflammatory disease. Radiographics 2000; 20: 399-418.
23. Wiesner W, Mortele KJ, Ji H, et al Normal colonic wall thickness at CT and its relation to colonic distension. J Comput Assist Tomogr 2002; 26: 102-6. (Pubitemid 34075852)