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.[1]

Other Imaging Findings

  • 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.[2]
  • With fluoroscopy, it is also possible to visualize the functional movement of stomach wall in real time.

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).[3]
    • 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.[4]

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References

  1. Linitis plastica. Radiopedia. http://radiopaedia.org/articles/linitis-plastica Accessed on January 20, 2016.
  2. Linitis plastica. Radiopedia. http://radiopaedia.org/articles/linitis-plastica Accessed on January 20, 2016.
  3. Stomach cancer. Canadian cancer society. http://www.cancer.ca/en/cancer-information/cancer-type/stomach/diagnosis/?region=nb Accessed on December 9, 2015
  4. Linitis plastica. Radiopedia. http://radiopaedia.org/articles/linitis-plastica Accessed on December 9, 2015.
  5. Linitis plastica. Radiopedia. http://radiopaedia.org/cases/linitis-plastica Accessed on December 14, 2015


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