This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

Abdominal Computed Tomography Does Not Replace Celiotomy

Allen O. Cook, MD; Barry A. Levine, MD; Kenneth R. Sirinek, MD, PhD; Harold V. Gaskill, III, MD

Arch Surg. 1986;121(5):603-606.

Abstract
• Computed tomography (CT) has been suggested as an alternative to celiotomy for predicting the stage and resectability of gastric carcinoma. Since it is the policy at our institution to explore all patients regardless of CT findings, this experience was reviewed to see if changes were warranted. Thirty-seven patients with gastric adenocarcinoma underwent preoperative CT scanning. The extent of disease found after operation was compared with the CT assessment. Nineteen patients (51%) were found to have more extensive disease than was predicted by CT. Of the six patients predicted to have widespread disease by CT, three (50%) were found at operation to have disease confined to the stomach or regional nodes. These data support a continued role for celiotomy in managing gastric adenocarcinoma of the stomach since a significant percentage of patients whose disease is believed to be unresectable after CT have potentially curable lesions.

(Arch Surg 1986;121:603-606)

Author Affiliations
From the Department of Surgery, The University of Texas Health Science Center and the Audie L. Murphy Veterans Administration Hospital, San Antonio.

Footnotes
Accepted for publication Jan 28, 1986.

Read before the 93rd Annual Meeting of the Western Surgical Association, Rochester, Minn, Nov 18, 1985.

Reprint requests to Department of Surgery, University of Texas Health Sciences Center, 7703 Floyd Curl Dr, San Antonio, TX 78284-7842 (Dr Levine).

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

CT and PET in Stomach Cancer: Preoperative Staging and Monitoring of Response to Therapy
Lim et al.
RadioGraphics 2006;26:143-156.
ABSTRACT | FULL TEXT  

Preoperative Staging of Gastric Adenocarcinoma: Comparison of Helical CT and Endoscopic US
Habermann et al.
Radiology 2004;230:465-471.
ABSTRACT | FULL TEXT  

Spiral computed tomography and operative staging of gastric carcinoma: a comparison with histopathological staging
Davies et al.
Gut 1997;41:314-319.
ABSTRACT | FULL TEXT  

Gastric Carcinoma
Lowy et al.
NEJM 1995;333:1426-1428.
FULL TEXT  

Gastric Carcinoma
Fuchs and Mayer
NEJM 1995;333:32-41.
FULL TEXT  

Responsibility of Clinical Surgeons Who Write
ADAR
Arch Surg 1987;122:958-958.
ABSTRACT