Abstract
To the Editor: In their update on gastric carcinoma (July 6 issue),1 Drs. Fuchs and Mayer correctly point out the limitations inherent in determining the clinical stage of gastric carcinoma by means of abdominal computed tomographic (CT) scanning. As documented in the surgical and radiologic literature, CT often fails to detect peritoneal metastases unless ascites or a large volume of disease is present. The frequency of nontherapeutic laparotomy has therefore been as high as 50 percent in some series.2,3 To decrease the substantial morbidity and expense associated with laparotomy, we routinely perform preoperative laparoscopy to determine the stage of.
Original language | English (US) |
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Pages (from-to) | 1426-1428 |
Number of pages | 3 |
Journal | New England Journal of Medicine |
Volume | 333 |
Issue number | 21 |
DOIs | |
State | Published - Nov 23 1995 |
ASJC Scopus subject areas
- General Medicine