FREE NEJM E-TOC    HOME   |   SUBSCRIBE   |   CURRENT ISSUE   |   PAST ISSUES   |   COLLECTIONS   |   Search Term  Advanced Search

Sign in | Get NEJM's E-Mail Table of Contents — Free | Subscribe

Previous Volume 333:1426-1428 November 23, 1995 Number 21 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

	Full Text Purchase this article Add to Personal Archive Add to Citation Manager Notify a Friend E-mail When Cited Related Article by Fuchs, C. S. PubMed Citation

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 disease . . . [Full Text of this Article]

References

HOME  |  SUBSCRIBE  |  SEARCH  |  CURRENT ISSUE  |  PAST ISSUES  |  COLLECTIONS  |  PRIVACY  |  HELP  |  beta.nejm.org Comments and questions? Please contact us. The New England Journal of Medicine is owned, published, and copyrighted © 2008 Massachusetts Medical Society. All rights reserved.