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UPPER GASTROINTESTINAL ENDOSCOPİC FINDINGS IN THE WESTERN REGION OF TURKEY

A. UYANİKOGLU, C. DAVUTOGLU, A. DANALİOGLU, I. KESKUS

Vakıf Gureba Training Hospital, Istanbul, TURKEY

 

Objectives: The purpose of this trial was to evaluate outcomes of endoscopic findings in our patients with peptic ulcer and cancer incidence.

Patients and Methods: The records of 5306 esophagogastroduodenoscopy (EGD) were evaluated in Internal Medicine Clinic Endoscopy Unit of Vakif Gureba Training Hospital, between April 1998 and July 2004 retrospectively.

Results: Patients of 2538 (47.8%) were male, 2774 (52.2%) female; mean age 48.28; (range 13-94 year). 3166 patients (59.6%) had normal/antral gastritis, 790 (14.8%) duodenal ulcer, 395 (7.4%) esophagitis were most common finding. 18 (%0.33) patients had esophagus cancer, 93 (%1.75) gastric cancer, 5 (%0.09) duodenal cancer. Patients were tolerated without sedation and complication.

Conclusion: EGD well tolerated procedure without sedation and complication. We evaluated incidence of malignancy as 0.33% for eusophagus and 1.75% for stomach and 0.09% for duodenum.

 

 

CAPABILITIES OF SPIRAL COMPUTER TOMOGRAPHY IN DETERMINING THE DEGREE OF LOCAL AND DISTANT SPREAD OF CARDIOESOPHAGEAL CANCER

 

SH.T. ALIYEV, S.S. MANAFOV, N.R. KHASAYEVA, A.N. MUSTAFAYEV

RCH named after acad. M. Mirgasimov, Scientific Surgical Center named after acad. M. Topchubashev, Baku, AZERBAIJAN

 

In recent years the occurrence rate of proximal gastric cancer and cardioesophageal cancer (CE) has greatly increased.

The aim of the study. Capabilities of SCT in the assessment of the spread of CE cancer outside the hollow organ and regional lymph nodes, as well as in detection of remote metastases.

Materials and methods. Information of 55 patients examined and treated at RCH named after acad. M. Mirgasimov in the Oncologic Clinic of the Medical University and Research and Surgical Center named after acad. M. Topchubashev, Baku served as a basis of the present work.

The basis for this work was compiled on 55 patients were examined and treated at RCH them. Acad. M. Mirkasimov in Oncology Clinic and the Medical University Research Center of Surgery. Acad. M. Topchubashev Baku. All of them were exposed to X-ray examination, esophagogastroscopy, ultrasound, spiral computed tomography (55 patients).

General body of the patients (53) were patients with cancer of the proximal stomach with transition to the esophagus, and only in 2 patients there was found cancer of the distal esophagus with the transition to the stomach. 3rd and 4th clinical stages of cancer were found in 50 surveyed patients. In all patients the diagnosis of “esophageal cancer” or “gastric cancer” was morphologically verified before treatment.

Based on an analysis of the results of conducted researches, we consider that malignant invasion through the wall of a hollow organ and its spread to adjacent anatomical structures is effectively detected by SCT. Signs of invasion are blurred contours of the outer wall of the hollow organ as a result of induration of paraesophageal fatty tissue. During the SCT, the main criterion in the diagnosis of the neoplastic process in lymph node is its size. Enlargement of lymph nodes with their blurry contours and their fusion into a conglomerate means their metastatic lesion. Metastatic lesion of the liver and peritoneum was most frequently observed in CE cancer. SCT with contrast intensification makes it possible to obtain very valuable information about the remote spread of tumour in the form of single or multiple liver metastases.



We think that the main task of SCT is to determine spread of cardioesophageal cancer beyond the organ, lesion of adjacent structures and lymph nodes. From this point of view, TCS is a method of choice.

 

 


Date: 2014-12-28; view: 248


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