Simulation of colonic carcinoma by ischemia

Lawrence J. Brandt, H. J. Katz, E. L. Wolf, S. Mitsudo, Scott J. Boley

Research output: Contribution to journalArticle

22 Citations (Scopus)

Abstract

Nine cases of colonic ischemia are presented in which an initial diagnosis of carcinoma was made from roentgenographic, endoscopic, or intraoperative appearance of the lesion. The clinical features were insufficient to differentiate colonic ischemia from carcinoma. In 7 patients a barium enema was interpreted as, or consistent with, carcinoma. In 3 of these patients colonoscopy also suggested malignancy. In 2 patients, endoscopy suggested a neoplasm but no barium enema was performed. Endoscopic biopsies when performed were negative for malignancy. Three patients were considered to have cancer from the gross appearance of the lesion at laparotomy. Routine use of both barium enema and colonoscopy in patients with suspected colonic neoplasms will usually identify the ischemic nature of lesions incorrectly diagnosed by one technique or the other. In the uncommon patient in whom both studies suggest a neoplasm, but biopsy specimens are negative for tumor, repeat studies 7-10 days later may identify the evolving nature of ischemic lesions and obviate the need for surgery. When no changes are seen, prompt laparotomy is indicated.

Original languageEnglish (US)
Pages (from-to)1137-1142
Number of pages6
JournalGastroenterology
Volume88
Issue number5 I
StatePublished - 1985

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Ischemia
Carcinoma
Neoplasms
Colonoscopy
Laparotomy
Biopsy
Colonic Neoplasms
Endoscopy
Barium Enema

ASJC Scopus subject areas

  • Gastroenterology

Cite this

Brandt, L. J., Katz, H. J., Wolf, E. L., Mitsudo, S., & Boley, S. J. (1985). Simulation of colonic carcinoma by ischemia. Gastroenterology, 88(5 I), 1137-1142.

Simulation of colonic carcinoma by ischemia. / Brandt, Lawrence J.; Katz, H. J.; Wolf, E. L.; Mitsudo, S.; Boley, Scott J.

In: Gastroenterology, Vol. 88, No. 5 I, 1985, p. 1137-1142.

Research output: Contribution to journalArticle

Brandt, LJ, Katz, HJ, Wolf, EL, Mitsudo, S & Boley, SJ 1985, 'Simulation of colonic carcinoma by ischemia', Gastroenterology, vol. 88, no. 5 I, pp. 1137-1142.
Brandt LJ, Katz HJ, Wolf EL, Mitsudo S, Boley SJ. Simulation of colonic carcinoma by ischemia. Gastroenterology. 1985;88(5 I):1137-1142.
Brandt, Lawrence J. ; Katz, H. J. ; Wolf, E. L. ; Mitsudo, S. ; Boley, Scott J. / Simulation of colonic carcinoma by ischemia. In: Gastroenterology. 1985 ; Vol. 88, No. 5 I. pp. 1137-1142.
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