The Additional Value of Esophageal Wall Evaluation and Secondary Findings in Emergency Patients Undergoing CT Pulmonary Angiography

Kód výsledku v IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00216208%3A11110%2F18%3A10371955" target="_blank" >RIV/00216208:11110/18:10371955 - isvavai.cz</a>

Nalezeny alternativní kódy

RIV/00064165:_____/18:10371955

Výsledek na webu

<a href="http://dx.doi.org/10.5812/iranjradiol.63466" target="_blank" >http://dx.doi.org/10.5812/iranjradiol.63466</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.5812/iranjradiol.63466" target="_blank" >10.5812/iranjradiol.63466</a>

Jazyk výsledku

angličtina

Název v původním jazyce

The Additional Value of Esophageal Wall Evaluation and Secondary Findings in Emergency Patients Undergoing CT Pulmonary Angiography

Popis výsledku v původním jazyce

Background: A significant proportion of patients with chest discomfort suffer from esophageal pathology and other conditions unrelated to pulmonary embolism. Objectives: To determine the proportion of emergency patients undergoing CT pulmonary angiography, where esophageal pathology suspected from CT and other secondary findings would contribute to the explanation of their symptoms. Patients and Methods: CT scans of 434 patients who were referred from the emergency department for CT pulmonary angiography were evaluated for esophageal wall thickness and distention, the presence of pulmonary embolism and other findings that might explain acute symptoms. Esophageal pathology was considered when the distal esophageal wall was at least 5 mm thick, as previously reported. Results: Pulmonary embolism was confirmed in 27% patients. The distal esophageal wall was thickened in 87 (20%) patients. In this group, pulmonary embolism was present in 11 patients (13%) compared to 104 (30%) in patients without esophageal wall thickening (P = 0.007). From 76 patients with excluded pulmonary embolism, in 43 (56%), a suspected esophageal pathology was consistent with their symptoms. Gastroscopy confirmed CT findings in 34 of 42 patients (P = 0.0001). Conclusion: Esophageal wall thickening is common in emergency patients with excluded pulmonary embolism and this finding may help to direct the patients appropriately.

Název v anglickém jazyce

The Additional Value of Esophageal Wall Evaluation and Secondary Findings in Emergency Patients Undergoing CT Pulmonary Angiography

Popis výsledku anglicky

Background: A significant proportion of patients with chest discomfort suffer from esophageal pathology and other conditions unrelated to pulmonary embolism. Objectives: To determine the proportion of emergency patients undergoing CT pulmonary angiography, where esophageal pathology suspected from CT and other secondary findings would contribute to the explanation of their symptoms. Patients and Methods: CT scans of 434 patients who were referred from the emergency department for CT pulmonary angiography were evaluated for esophageal wall thickness and distention, the presence of pulmonary embolism and other findings that might explain acute symptoms. Esophageal pathology was considered when the distal esophageal wall was at least 5 mm thick, as previously reported. Results: Pulmonary embolism was confirmed in 27% patients. The distal esophageal wall was thickened in 87 (20%) patients. In this group, pulmonary embolism was present in 11 patients (13%) compared to 104 (30%) in patients without esophageal wall thickening (P = 0.007). From 76 patients with excluded pulmonary embolism, in 43 (56%), a suspected esophageal pathology was consistent with their symptoms. Gastroscopy confirmed CT findings in 34 of 42 patients (P = 0.0001). Conclusion: Esophageal wall thickening is common in emergency patients with excluded pulmonary embolism and this finding may help to direct the patients appropriately.

Druh

J_imp - Článek v periodiku v databázi Web of Science

CEP obor

—

OECD FORD obor

30224 - Radiology, nuclear medicine and medical imaging

Projekt

—

Návaznosti

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Rok uplatnění

2018

Kód důvěrnosti údajů

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Název periodika

Iranian Journal of Radiology

ISSN

1735-1065

e-ISSN

—

Svazek periodika

15

Číslo periodika v rámci svazku

1

Stát vydavatele periodika

IR - Íránská islámská republika

Počet stran výsledku

6

Strana od-do

—

Kód UT WoS článku

000434463200022

EID výsledku v databázi Scopus

2-s2.0-85046263310