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The normal thickness of the small intestinal wall is 3–5 mm, [8] and 1–5 mm in the large intestine. [9] Focal, irregular and asymmetrical gastrointestinal wall thickening on CT scan suggests a malignancy. [9] Segmental or diffuse gastrointestinal wall thickening is most often due to ischemic, inflammatory or infectious disease. [9]
Invasion of tumours through the layers of the gastrointestinal wall is used in staging of tumour spread. This affects treatment and prognosis. The normal thickness of the small intestinal wall is 3–5 mm, [6] and 1–5 mm in the large intestine. [7] Focal, irregular and asymmetrical gastrointestinal wall thickening suggests a malignancy. [7]
Linitis plastica (sometimes referred to as leather bottle stomach) is a morphological variant of diffuse stomach cancer in which the stomach wall becomes thick and rigid. [ 1 ] Linitis plastica is a type of adenocarcinoma and accounts for 3–19% of gastric adenocarcinomas. [ 1 ]
Watermelon stomach, watermelon disease: Endoscopic image of gastric antral vascular ectasia seen as a radial pattern around the pylorus before (top) and after (bottom) treatment with argon plasma coagulation: Specialty: Gastroenterology Symptoms: Bleeding in the stomach and intestines, edema, dilated blood vessels
Based on symptoms, confirmed by endoscopy or barium swallow [1] Differential diagnosis: Stomach cancer, coronary heart disease, inflammation of the stomach lining, gallbladder inflammation [1] Treatment: Medications, [1] stopping NSAIDs, stopping smoking, stopping alcohol consumption: Medication: Proton pump inhibitor, H2 blocker, antibiotics ...
Recent research has shown that autoimmune metaplastic atrophic gastritis (AMAG) is a result of the immune system attacking the parietal cells. [6]Environmental metaplastic atrophic gastritis (EMAG) is due to environmental factors, such as diet and H. pylori infection.
Other methods of imaging include computed tomography (CT) and magnetic resonance imaging (MRI). Both may depict colonic wall thickening but have decreased ability to find early signs of wall changes when compared to barium enema. In cases of severe ulcerative colitis, however, they often exhibit equivalent ability to detect colonic changes. [70]
Stomach cancers usually occur due to fluctuations in acidity level and may present with vague symptoms of abdominal fullness, weight loss and pain. The actual cause of stomach cancer is not known but has been linked to infection with Helicobacter pylori , pernicious anemia , Menetriere's disease, and nitrogenous preservatives in food.