Whole Body MRI in the Staging of Esophageal Cancer--A Prospective Comparison with Whole Body 18F-FDG PET-CT.

Abstract:

BACKGROUND:Positron emission tomography and computed tomography (PET-CT) is established in the staging of esophageal cancer. In this study, an MRI protocol was designed to emulate the anatomical (T1-weighed (T1W) and T2W imaging) and functional information (diffusion-weighted imaging) provided by PET-CT. METHODS:In all, 49 patients with carcinoma of the esophagus underwent PET-CT and whole-body MRI (WBMRI). WBMRI was carried out using dedicated sequences tailored to detect metastatic disease at each area corresponding to the anatomical coverage of PET-CT. Nodal status was determined from histopathology and endoscopic ultrasound biopsy (EUS). RESULTS:PET-CT and WBMRI identified the primary tumor in 46/49 (94%) and 48/49 (98%) patients, respectively. Nodal analysis in patients undergoing surgery (n = 18) yielded sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV) and accuracy of 27, 100, 100, 47 and 56% for PET-CT, compared with 30, 100, 100, 53 and 61% for WBMRI. When nodal analysis included both surgical specimens and EUS criteria (n = 39), sensitivity, specificity, PPV, NPV and accuracy were 46, 91, 93, 40 and 59% for PET-CT compared with 59, 92, 94, 50 and 67% for WBMRI. Both imaging modalities identified distant metastases in 2 patients. CONCLUSION:WBMRI has similar accuracy to PET-CT in detecting the primary tumor, nodal deposits and for exclusion of systemic metastatic disease.

journal_name

Dig Surg

journal_title

Digestive surgery

authors

Malik V,Harmon M,Johnston C,Fagan AJ,Claxton Z,Ravi N,O'Toole D,Muldoon C,Keogan M,Reynolds JV,Meaney JF

doi

10.1159/000431292

subject

Has Abstract

pub_date

2015-01-01 00:00:00

pages

397-408

issue

5

eissn

0253-4886

issn

1421-9883

pii

000431292

journal_volume

32

pub_type

临床试验,杂志文章
  • In vitro function of islets of Langerhans encapsulated with a membrane of porcine chondrocytes for immunoisolation.

    abstract:BACKGROUND/AIMS:Widespread clinical application of islet transplantation remains restricted, because of insufficient methods to prevent rejection and autoimmune destruction of islet grafts. In this study we demonstrate long-term function of islets of Langerhans within a capsule of porcine chondrocytes which may serve a...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000050130

    authors: Pollok JM,Lorenzen M,Kölln PA,Török E,Kaufmann PM,Kluth D,Bohuslavizki KH,Gundlach M,Rogiers X

    更新日期:2001-01-01 00:00:00

  • Robotic-Assisted versus Laparoscopic Distal Pancreatectomy: The Results of a Case-Matched Analysis from a Tertiary Care Center.

    abstract:BACKGROUND:Laparoscopic distal pancreatectomy (LDP) has been adopted relatively slowly despite the benefits of minimally invasive approach. The robotic approach can overcome the limitations of LDP, thus increasing the acceptance of minimally invasive distal pancreatectomy. METHODS:We performed a 1:1 retrospective case...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000501428

    authors: Marino MV,Mirabella A,Gomez Ruiz M,Komorowski AL

    更新日期:2020-01-01 00:00:00

  • Primary choledochorrhaphy after common bile duct exploration.

    abstract:AIM:To prove further the safety of primary closure of the common bile duct. METHOD:Twenty patients among 99 common bile duct explorations underwent primary closure. Pre- and postoperative liver function test, ultrasound and intraoperative cholangiography data, operation time, postoperative complications and the length...

    journal_title:Digestive surgery

    pub_type: 临床试验,杂志文章

    doi:10.1159/000018706

    authors: Tu Z,Li J,Xin H,Zhu Q,Cai T

    更新日期:1999-01-01 00:00:00

  • Cost-effective utilization of a private facility to perform outpatient surgery in public hospital waiting list patients.

    abstract:BACKGROUND:Public hospitals' long waiting lists make outpatient surgery in private facilities very attractive provided a standardized protocol is applied. The aim of this study was to assess this kind of innovative collaboration in abdominal surgery from a clinical and economical perspective. METHODS:All consecutive p...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000330788

    authors: Vuilleumier H,Coquelin G,Wasserfallen JB,Demartines N

    更新日期:2011-01-01 00:00:00

  • Sclerosing encapsulating peritonitis: early and late results of surgical management in 32 cases. French Associations for Surgical Research.

    abstract:OBJECTIVE:To propose guidelines for treatment based on the study of early and late outcome after various surgical procedures for sclerosing encapsulating peritonitis (SEP). PRIMARY BACKGROUND DATA: SEP is rare. The main complication is intestinal obstruction. Ideal treatment is resection of the membrane, whenever possi...

    journal_title:Digestive surgery

    pub_type: 杂志文章,多中心研究,评审

    doi:10.1159/000018681

    authors: Célicout B,Levard H,Hay J,Msika S,Fingerhut A,Pelissier E

    更新日期:1998-01-01 00:00:00

  • Effect of multidisciplinary treatment with high dose rate intraluminal brachytherapy on survival in patients with unresectable esophageal cancer.

    abstract:BACKGROUND:Since carcinoma of the esophagus is usually diagnosed at an advanced stage, many cases of esophageal cancer are beyond possible radical resection and only palliative treatment can be performed in such cases. Therefore, a great deal of discussion has taken place concerning indications for treatment modality, ...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000018619

    authors: Iwasa M,Ohmori Y,Iwasa Y,Yamamoto A,Inoue A,Maeda H,Kume M,Ogoshi S,Nishioka A,Ogawa Y,Yoshida S

    更新日期:1998-01-01 00:00:00

  • Carcinoma of pelvic pouch following restorative proctocolectomy: report of a case and review of the literature.

    abstract::One of the possible long-term complications following an ileoanal pouch procedure is the development of malignancy in the mucosa of the rectal stump. Only 10 such cases have been reported so far. We report the case of a 23-year-old male who had ulcerative colitis with high-grade dysplasia and underwent an ileoanal pou...

    journal_title:Digestive surgery

    pub_type: 杂志文章,评审

    doi:10.1159/000068855

    authors: Negi SS,Chaudhary A,Gondal R

    更新日期:2003-01-01 00:00:00

  • Surgery for Crohn's disease: new developments.

    abstract:BACKGROUND/AIMS:Crohn's disease is a chronic relapsing inflammatory bowel disease requiring surgery in a large number of patients. This review describes new developments in surgical techniques for treating Crohn's disease. RESULTS:Single-incision laparoscopic surgery decreases abdominal wall trauma by reducing the num...

    journal_title:Digestive surgery

    pub_type: 杂志文章,评审

    doi:10.1159/000341567

    authors: Gardenbroek TJ,Tanis PJ,Buskens CJ,Bemelman WA

    更新日期:2012-01-01 00:00:00

  • Full mucosal proctectomy initiated below the dentate line may prevent the development of a perianal fistula after ileal pouch-anal anastomosis for ulcerative colitis.

    abstract:BACKGROUND:Long-term functional results of ileal pouch-anal anastomosis (IPAA) with mucosal proctectomy (MP) for ulcerative colitis (UC) are satisfactory but may be compromised by perianal fistulae. METHODS:We analyzed the effect of the level of MP (above or below the dentate line) on the risk of perianal fistulae in ...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000351443

    authors: Araki T,Okita Y,Fujikawa H,Inoue Y,Mohri Y,Kusunoki M

    更新日期:2013-01-01 00:00:00

  • General aspects of surgical treatment of pancreatic cancer.

    abstract:BACKGROUND:Different results and opinions exist concerning the use of a standard or an extended lymphadenectomy, and about the indications for portal vein resection in the surgical treatment of pancreatic cancer. The site of recurrence of pancreatic cancer may help to define the usefulness of different treatments in av...

    journal_title:Digestive surgery

    pub_type: 杂志文章,评审

    doi:10.1159/000018735

    authors: Pedrazzoli S,Pasquali C,Sperti C

    更新日期:1999-01-01 00:00:00

  • Fatal intestinal perforation secondary to fragmentation of a Celestin tube.

    abstract:BACKGROUND/AIMS:Oesophageal intubation remains one of the principal methods of palliation for an obstructing oesophageal carcinoma. We present a case which illustrates a rare but fatal complication of this procedure. METHODS:A 60-year-old female with oesophageal cancer presented with total dysphagia 9 months following...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000018886

    authors: Evans JD,Halloran CM,Mansour P,Zeiderman MR

    更新日期:2000-01-01 00:00:00

  • Does primary anastomosis with diversion have any advantages over Hartmann's procedure in acute diverticulitis?.

    abstract:BACKGROUND:The optimal treatment for acute complicated diverticulitis is still a matter of debate. We evaluated outcomes of primary anastomosis with proximal diversion (PAD) versus Hartman's procedure (HP) in acute diverticulitis. METHODS:Using the National Inpatient Sample database, we examined the clinical data of p...

    journal_title:Digestive surgery

    pub_type: 杂志文章,多中心研究

    doi:10.1159/000342549

    authors: Masoomi H,Stamos MJ,Carmichael JC,Nguyen B,Buchberg B,Mills S

    更新日期:2012-01-01 00:00:00

  • Malignant insulinoma in ectopic pancreatic tissue.

    abstract:BACKGROUND:Both ectopic pancreatic tissue and malignant insulinoma are rare. We encountered the combination of these rare entities in a patient demonstrating hypoglycemic symptoms. METHOD:A patient with episodic hypoglycemia, non-suppressed serum insulin levels, positive fasting test and a positive localization on bot...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000090998

    authors: Hennings J,Garske U,Botling J,Hellman P

    更新日期:2005-01-01 00:00:00

  • Role of contrast CT in acute lower gastrointestinal bleeding.

    abstract:OBJECTIVE:To evaluate the role of CT abdomen in the localization of acute lower gastrointestinal bleeding. SUMMARY BACKGROUND DATA:The source of bleed in acute lower gastrointestinal bleeding is often difficult to localize. The role of CT in the evaluation of this group of patients has not been clearly addressed. MET...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000080204

    authors: Rajan R,Dhar P,Praseedom RK,Sudhindran S,Moorthy S

    更新日期:2004-01-01 00:00:00

  • Safety of Proctocolectomy for Ulcerative Colitis Under Elective and Non-Elective Circumstances: Preoperative Corticosteroid Treatment Worsens Outcome.

    abstract:BACKGROUND/AIMS:Approximately 20% of patients undergoing surgery for ulcerative colitis will retain their rectum. A single-stage proctocolectomy could be an appropriate procedure in patients who are definitely not candidates for a later restorative procedure, but it is generally not advised in acutely ill patients. The...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000381033

    authors: Balachandran R,Tøttrup A

    更新日期:2015-01-01 00:00:00

  • Risk factors for conversion during laparoscopic cholecystectomy: retrospective analysis of ten years' experience at a single tertiary referral centre.

    abstract:BACKGROUND/PURPOSE:Laparoscopic cholecystectomy (LC) is the standard treatment for symptomatic benign gallbladder disease. The identification of factors that reliably predict the need to convert LC to open cholecystectomy (OC) would help with patient education and counseling. METHODS:Between January 2000 and December ...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000347164

    authors: Sultan AM,El Nakeeb A,Elshehawy T,Elhemmaly M,Elhanafy E,Atef E

    更新日期:2013-01-01 00:00:00

  • Influence of the route of reconstruction on morbidity, mortality and local recurrence after esophagectomy for cancer.

    abstract:BACKGROUND:A choice of retrosternal or orthotopic route for reconstruction exists after three-phase esophagectomy with cervical anastomosis. Whether the route of reconstruction affects postoperative morbidity, mortality and recurrence patterns remains controversial. STUDY DESIGN:Patients with cancer of the thoracic es...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000070387

    authors: Wong AC,Law S,Wong J

    更新日期:2003-01-01 00:00:00

  • Re-Operative Pancreaticoduodenectomy: Challenges and Outcomes.

    abstract:BACKGROUND:Tata Memorial Centre (TMC) is a high-volume centre for pancreatic tumour resections. We found a continually increasing referral of pancreatic tumours for re-evaluation for surgery, after an initial unsuccessful attempt at resection. AIM:To evaluate reasons of initial in-operability, the feasibility of re-op...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000489275

    authors: Bhandare MS,Mehta N,Chaudhari V,Kumar NA,Pai E,Goel M,Shrikhande SV

    更新日期:2019-01-01 00:00:00

  • Treatment of colorectal anastomotic leakage: results of a questionnaire amongst members of the Dutch Society of Gastrointestinal Surgery.

    abstract::Anastomotic leakage after colorectal surgery is correlated with considerable morbidity and mortality. Although many studies focus on risk factors and detection, studies on the treatment strategy for colorectal anastomotic leakage are scarce. A national questionnaire amongst 350 members of the Dutch Society for Gastroi...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000346348

    authors: Daams F,Slieker JC,Tedja A,Karsten TM,Lange JF

    更新日期:2012-01-01 00:00:00

  • Laparoscopic antireflux surgery--It's a wrap!

    abstract::The surgical management of gastroesophageal reflux disease has been simplified by the availability of minimally invasive techniques to treat this condition. The indications and selection of patients remain the same as for open surgery and initial results with laparoscopic antireflux surgery show long-term results equa...

    journal_title:Digestive surgery

    pub_type: 杂志文章,评审

    doi:10.1159/000018686

    authors: Hinder RA,Smith SL,Klingler PJ,Branton SA,Floch NR,Seelig MH

    更新日期:1999-01-01 00:00:00

  • Management of T tubes for common bile duct stones: a new technique.

    abstract:BACKGROUND:The optimal treatment of common bile duct (CBD) stones is controversial, and depends on local expertise, the patient's medical condition and the time of diagnosis. Current practice entails a wide variation in the duration of leaving T tubes in place, anywhere from 7 to 30 days, and in the time to postoperati...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000018612

    authors: Stein DE,Sclafani SJ,Kral JG

    更新日期:1998-01-01 00:00:00

  • Optimal Timing of Removal of Epidural and Urethral Catheters to Avoid Postoperative Urinary Retention Undergoing Abdominal Surgery.

    abstract:BACKGROUND/AIMS:Postoperative urinary retention (POUR) is one of the most frequent complications of epidural anesthesia. This study aims to clarify risk factors of POUR and to estimate the appropriate timing of urethral catheter removal. METHODS:Between September and December 2014, a retrospective cohort study was con...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000490199

    authors: Hayami S,Ueno M,Kawai M,Kuriyama T,Kawamata T,Yamaue H

    更新日期:2019-01-01 00:00:00

  • New therapeutic strategies to avoid intra- and extraperitoneal metastases during laparoscopy: results of a tumor model in the rat.

    abstract:BACKGROUND:Therapeutic strategies to prevent port site recurrences in laparoscopy surgery of malignancies have not been investigated until now. METHODS:The effects of taurolidine, heparin, and povidone iodine on the growth of rat and human colon adenocarcinoma as well as gallbladder carcinoma were investigated in vitr...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000018754

    authors: Jacobi CA,Peter FJ,Wenger FA,Ordemann J,Müller JM

    更新日期:1999-01-01 00:00:00

  • Internal drainage of infected pancreatic pseudocysts: safe or sorry?

    abstract:BACKGROUND:External drainage is the traditional surgical therapy for infected pancreatic pseudocyst, although associated with high morbidity and mortality rates. In this study it was determined whether internal drainage is feasible with acceptable postoperative morbidity and recurrence rates. METHODS:A retrospective c...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000018776

    authors: Boerma D,van Gulik TM,Obertop H,Gouma DJ

    更新日期:1999-01-01 00:00:00

  • Extent of liver resection for hilar cholangiocarcinoma (Klatskin tumor): how much is enough?

    abstract:BACKGROUND:Hilar resection in combination with extended liver resections has resulted in a higher rate of R0 resections and increased survival in patients with hilar cholangiocarcinoma (HCCA). This aggressive surgical approach is, however, associated with high rates of operative morbidity and mortality, largely due to ...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000323825

    authors: van Gulik TM,Ruys AT,Busch OR,Rauws EA,Gouma DJ

    更新日期:2011-01-01 00:00:00

  • Management and Outcome of 64 Patients with Pancreatic Serous Cystic Neoplasms.

    abstract:BACKGROUND:The optimal management approach to pancreatic serous cystic neoplasms (SCNs) is still evolving. METHODS:Consecutive patients with SCN managed at the Liverpool Pancreas Cancer Centre between 2000 and 2013 were retrospectively reviewed. RESULTS:There were 64 patients consisting of 39 women (60.9%) and 25 men...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000442094

    authors: Gomatos IP,Halloran C,Ghaneh P,Raraty M,Polydoros F,Campbell F,Evans J,Sutton R,Garry J,Whelan P,Neoptolemos JP

    更新日期:2016-01-01 00:00:00

  • Early surgical correction for isolated gastric stricture following acid corrosion injury.

    abstract:OBJECTIVE:To evaluate the feasibility and long-term results of early gastric surgery for patients with isolated gastric stricture following acid corrosion injury. MATERIALS AND METHODS:Upper gastrointestinal (UGI) series was routinely performed around the 4th week after acid corrosion injury. Patients with gastric str...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000064582

    authors: Tseng YL,Wu MH,Lin MY,Lai WW

    更新日期:2002-01-01 00:00:00

  • Characteristics and evolution of extraintestinal manifestations associated with ulcerative colitis after proctocolectomy.

    abstract:AIMS:Describe the characteristics of extraintestinal manifestations complicating ulcerative colitis present preoperatively and determine their evolution after surgery. METHODS:Between 1976 and 1986, 281 patients with ulcerative colitis exhibiting one or more extraintestinal manifestations (EIM) before either IPAA (n =...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000050097

    authors: Goudet P,Dozois RR,Kelly KA,Ilstrup DM,Phillips SF

    更新日期:2001-01-01 00:00:00

  • Severity of Diverticulitis Does Not Influence Abdominal Complaints during Long-Term Follow-Up.

    abstract:BACKGROUND:Diverticulitis can lead to localized or generalized peritonitis and consequently induce abdominal adhesion formation. If adhesions would lead to abdominal complaints, it might be expected that these would be more prominent after operation for perforated diverticulitis with peritonitis than after elective sig...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000486868

    authors: Ditzel M,Vennix S,Menon AG,Verbeek PCM,Bemelman WA,Lange JF

    更新日期:2019-01-01 00:00:00

  • Preoperative FDG-PET-scan in patients with resectable colorectal liver metastases does not improve overall survival: a retrospective analyses stratified by clinical risk score.

    abstract:BACKGROUND:The aim of this study was to determine whether selection with fluorine-18-deoxyglucose positron emission tomography (FDG-PET) imaging would result in an improved outcome in surgically treated patients with curative resection of colorectal liver metastases (CRLM), stratified by the clinical risk score (CRS) o...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000357351

    authors: Ayez N,de Ridder J,Wiering B,Oyen WJ,de Wilt JH,Verhoef C

    更新日期:2013-01-01 00:00:00