Linitis plastica other imaging findings

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Soujanya Thummathati, MBBS [2]

Overview

Upper GI series may be helpful in the diagnosis of linitis plastica. Findings on upper GI series suggestive of linitis plastica include inadequately distended stomach with increased rigidity and a narrow stomach lumen, loss of normal mucosal fold pattern, and distorted, thickened or nodular mucosa.

Other Imaging Findings

Upper GI Series

• Upper GI series may rarely be necessary, particularly when there is a limitation for advancing the endoscope past a mechanical obstruction (for example, a concomitant tumor/stricture at the gastroesophageal junction).
  • Linitis plastica usually does not present as a mass but, as a diffuse thickening of the stomach wall.
  • Due to the increased rigidity of the wall, the stomach cannot be adequately distended, with only a narrow lumen identified. The normal mucosal fold pattern is absent, either distorted, thickened or nodular.
  • With fluoroscopy, it is also possible to visualize the functional movement of stomach wall in real time.

Gallery

• 

  Diffuse thickening of the distal gastric wall with failure to distend despite adequate ingestion of barium.

References

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