scholarly journals AB195. Management of esophageal food bolus obstruction at a university teaching hospital—a retrospective analysis

2020 ◽  
Vol 4 ◽  
pp. AB195-AB195
Author(s):  
Zeeshan Zafar Hashmi ◽  
Zeeshan Razzaq ◽  
Mudassar Majeed ◽  
David Cagney ◽  
Muhammad Aakif ◽  
...  
Keyword(s):  
Retrospective Analysis ◽  
Teaching Hospital ◽  
University Teaching ◽  
Food Bolus

scholarly journals SP5.1.13 Upper gastrointestinal (UGI) mural thickening on Computed Tomography (CT) and its significance in the multi-disciplinary team (MDT) pathway

2021 ◽  
Vol 108 (Supplement_7) ◽  
Author(s):  
Christopher Ashmore ◽  
David Hunter ◽  
Richard Kenningham ◽  
David Bowrey
Keyword(s):  
Computed Tomography ◽  
Retrospective Analysis ◽  
Hiatal Hernia ◽  
Teaching Hospital ◽  
Hiatus Hernia ◽  
Benign Disease ◽  
University Teaching ◽  
High Index Of Suspicion ◽  
Upper Gastrointestinal ◽  
Multi Disciplinary Team

Abstract Aims Patients are frequently referred to the UGI MDT based on CT reported thickening of either the oesophagus, stomach or duodenum. We have sought to illustrate the efficacy of CT within the UGI cancer referral pathway. Method A retrospective analysis was carried out on patients referred to the UGI MDT at a University Teaching Hospital over a 22-month period. Patients referred with CT evidence of UGI tract thickening prior to endoscopy were included. CT findings were correlated with symptomatology, subsequent endoscopy and histology findings. Results 442 patients were referred to the UGI MDT between April 2014 and February 2016. 125 were referred for CT thickening alone (67 (53.2%) oesophageal, 49 (39.2%) gastric, 9 (7.2%) duodenal). 49 (39.2%) patients were subsequently diagnosed with UGI cancer, 57 (45.6%) had evidence of benign disease and 18 (14.4%) patients had no abnormality evident on endoscopy. CT thickening of 15mm and above was significantly more likely be malignant versus thickening less than 15mm [42/87 (48.3%) vs 7/38 (18.4%); p < 0.05]. Patients with thickening in the presence of a hiatus hernia were significantly less likely to have an associated cancer vs those without [3/26 (13%) vs 20/42 (51.1%); p < 0.05]. Conclusion We conclude that patients should not be referred for MDT opinion on CT evidence of UGI thickening alone. All patients should have an endoscopy prior to referral, particularly those with a hiatal hernia on CT. A high index of suspicion for malignancy should be adopted in patients with thickening greater than 15mm on imaging.

Postoperative paediatric pain prevalence: A retrospective analysis in a university teaching hospital

2016 ◽  
Vol 62 ◽  
pp. 36-43 ◽  
Author(s):  
Alexander Avian ◽  
Brigitte Messerer ◽  
Gerit Wünsch ◽  
Annelie Weinberg ◽  
Andreas Sandner Kiesling ◽  
...  
Keyword(s):  
Retrospective Analysis ◽  
Teaching Hospital ◽  
University Teaching ◽  
Pain Prevalence

scholarly journals 790 Upper Gastrointestinal (UGI) Mural Thickening on Computed Tomography (CT) and its Significance in The Multi-Disciplinary Team (MDT) Pathway

2021 ◽  
Vol 108 (Supplement_6) ◽  
Author(s):  
C Ashmore ◽  
D Hunter ◽  
R Kenningham ◽  
D Bowrey
Keyword(s):  
Computed Tomography ◽  
Retrospective Analysis ◽  
Hiatal Hernia ◽  
Teaching Hospital ◽  
Hiatus Hernia ◽  
Benign Disease ◽  
University Teaching ◽  
High Index Of Suspicion ◽  
Upper Gastrointestinal ◽  
Multi Disciplinary Team

Abstract Aim Patients are frequently referred to the UGI MDT based on CT reported thickening of either the oesophagus, stomach, or duodenum. We have sought to illustrate the efficacy of CT within the UGI cancer referral pathway. Method A retrospective analysis was carried out on patients referred to the UGI MDT at a University Teaching Hospital over a 22-month period. Patients referred with CT evidence of UGI tract thickening prior to endoscopy were included. CT findings were correlated with symptomatology, subsequent endoscopy, and histology findings. Results 442 patients were referred to the UGI MDT between April 2014 and February 2016. 125 were referred for CT thickening alone (67 (53.2%) oesophageal, 49 (39.2%) gastric, 9 (7.2%) duodenal). 49 (39.2%) patients were subsequently diagnosed with UGI cancer, 57 (45.6%) had evidence of benign disease and 18 (14.4%) patients had no abnormality evident on endoscopy. CT thickening of 15mm and above was significantly more likely be malignant versus thickening less than 15mm [42/87 (48.3%) vs 7/38 (18.4%); p < 0.05]. Patients with thickening in the presence of a hiatus hernia were significantly less likely to have an associated cancer vs those without [3/26 (13%) vs 20/42 (51.1%); p < 0.05]. Conclusions We conclude that patients should not be referred for MDT opinion on CT evidence of UGI thickening alone. All patients should have an endoscopy prior to referral, particularly those with a hiatal hernia on CT. A high index of suspicion for malignancy should be adopted in patients with thickening greater than 15mm on imaging.

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