Drinking Water Act in the spiral CT diagnosis of gastric cancer.docVIP

 PAGE \* MERGEFORMAT 4 Drinking Water Act in the spiral CT diagnosis of gastric cancer [Keywords:] Drinking Water Act; cancer Most scholars believe that the country [1,2], water filling method in the stomach, duodenum, pancreas and upper abdominal CT scan is a simple and practical and satisfactory way, and the structure of the gastrointestinal tract and the disease itself understanding of the unique advantages. In recent years we in the 34 patients with clinical suspicion of gastric cancer patients with CT scan, all using the water method, combined with thin spiral CT scan and low-dose intravenous contrast-enhanced (only half the conventional dose) and achieved satisfactory clinical results, are as follows. Methods and Results Fasting before the examination of patients 6 ~ 8h, CT examination 30min before the start of drinking water is about 500 ~ 750ml, can be warm water or mineral water, check the bed and then in the drinking water 200ml, to ensure the full expansion of the stomach, check the supine position usually taken or the right lateral position, such as the suspect and the pylorus and antrum disease lesions can be prone position or on the site to take a different decumbens bit different. models for the United States, GE light speed 16 layer CT, slice thickness is 1.25mm TLC, ranging from the diaphragm on the top level down to the navel, in all cases for the scan and intravenous injection of 50ml of iodine Portugal Romania amine enhanced scan, one high-pressure injection, injection speed 1-1.5ml / s, dual-phase scans are usually done arterial injection of contrast agent in the 30s after the start, the portal venous phase after injection of contrast medium in the 60s began, scan conditions for 120kv and 150mAS, according to the patient’s weight be properly adjusted. 34 cases, compared with the pathologic findings, the detection rate of gastric cancer 97% (32/34), CT and pathological staging was 77% compliance (27/34) (Figure 1). Discussi