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Comparison of tomographic and colonoscopic diagnoses in the presence of colonic wall thickening

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dc.contributor.authorInce, ALİ TÜZÜN
dc.contributor.authorBAYSAL, Birol
dc.contributor.authorKAYAR, Yusuf
dc.contributor.authorArabaci, ELİF
dc.contributor.authorBilgin, MEHMET
dc.contributor.authorHAMDARD, Jamshid
dc.contributor.authorYAY, Adnan
dc.contributor.authorSenturk, HAKAN
dc.contributor.institutionauthorİNCE, ALİ TÜZÜN
dc.contributor.institutionauthorARABACI, ELİF
dc.contributor.institutionauthorBİLGİN, MEHMET
dc.contributor.institutionauthorŞENTÜRK, HAKAN
dc.date.accessioned2019-10-05T14:31:15Z
dc.date.available2019-10-05T14:31:15Z
dc.date.issued2014-01-01
dc.description.abstractIntroduction and objective: Colonic wall thickening is a common condition in a number of benignant and malignant diseases. This study investigated the accuracy of radiological diagnoses in patients diagnosed with colonic wall thickening using multislice CT (MDCT). Materials and method: Files of patients with colonic wall thickening diagnosed with 64-slice MDCT were reviewed retrospectively. The colonoscopy results of these patients were grouped under neoplastic process (cancer and adenomatous polyp), inflammatory bowel disease (IBD), diverticulitis and other etiology (nonspecific events, ischemic colitis, solitary rectal ulcer, external compression, secondary to volvulus and radiotherapy), and the results were statistically evaluated. p values < 0.05 were considered statistically significant. Results: The study was performed on 505 files (290 males [57.4%], 215 females [42.6%], mean age: 49.15 ± 18.4 years). CT and colonoscopic diagnoses were reviewed and the following CT to colonoscopy ratios was observed: neoplastic process: 44.4% vs. 40.2%; IBD: 42.4% vs. 42.4%; diverticulitis: 4% vs. 4.2%; other etiology: 9.3% vs. 3.2%. Colonoscopy failed to identify pathology in 9.9% of the patients. The sensitivity, specificity, PPV, NPV and accuracy of CT were 95.6%, 90.4%, 87.1%, 96.8% and 92.4%, respectively, in detecting neoplastic processes; 97.2%, 97.9%, 97.2%, 97.9% and 97.6%, respectively, in detecting IBD; 90.5%, 99.8%, 95%, 99.6% and 99.4%, respectively, in detecting diverticulitis, and 50%, 96,7%, 62.5%, 94.6% and 92%, respectively, in detecting other etiology. Conclusion: While, accuracy of 64 slice-CT in diagnosing colonic wall thickenings secondary especially to neoplastic processes, IBD and diverticulitis was significantly higher, but differential diagnosis is challenging in pathologies due to other etiologies.en
dc.identifier10.1016/j.ijid.2008.12.008
dc.identifier.citationInce A. T. , BAYSAL B., KAYAR Y., Arabaci E., Bilgin M., HAMDARD J., YAY A., Senturk H., -Comparison of tomographic and colonoscopic diagnoses in the presence of colonic wall thickening-, INTERNATIONAL JOURNAL OF CLINICAL AND EXPERIMENTAL MEDICINE, cilt.7, ss.4413-4419, 2014
dc.identifier.pubmed25550962
dc.identifier.scopus84918565892
dc.identifier.urihttps://hdl.handle.net/20.500.12645/4114
dc.identifier.wosWOS:000348302100073
dc.language.isoen
dc.rightsinfo:eu-repo/semantics/openAccessen
dc.titleComparison of tomographic and colonoscopic diagnoses in the presence of colonic wall thickening
dc.typeArticle
dspace.entity.typePublication
local.article.journalnameINTERNATIONAL JOURNAL OF INFECTIOUS DISEASES
local.avesis.id63d011de-30c3-4a9d-ae04-f6db509b64b1
local.avesis.response3984
local.org.facultyTıp Fakültesi
local.publication.goal03 - Sağlık ve Kaliteli Yaşam
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