Greater curvature antral flattening: a radiologic sign of NSAID-related gastropathy.
We have occasionally encountered patients on nonsteroidal antiinflammatory drugs (NSAIDs) in whom double contrast barium studies revealed persistent flattening and stiffening of the distal greater curvature of the stomach. We therefore performed a study to determine the frequency of this finding in patients with NSAID-related gastropathy. Twenty-one cases of erosive gastritis, gastric ulcers, and/or gastric scarring associated with a known history of NSAID use were reviewed by two radiologists who made a joint decision regarding the presence or absence of greater curvature antral flattening. This finding was seen radiographically in five of the 21 patients (24%). Four of the five patients with antral flattening had associated erosions or ulcers in the gastric antrum. The remaining patient had antral flattening as an isolated finding. Our experience suggests that flattening of the greater curvature of the distal antrum, particularly if associated with erosive gastritis or gastric ulcers, is a useful radiologic sign of NSAID-related gastropathy.
Laveran-Stieber
R L
RL
Department of Radiology, Hospital of the University of Pennsylvania, Philadelphia 19104.
Laufer
I
I
Levine
M S
MS
D000894:Anti-Inflammatory Agents, Non-Steroidal / Q000009:adverse effects*; D001466:Barium Sulfate; D005756:Gastritis / Q000139:chemically induced* / Q000000981:diagnostic imaging*; D006801:Humans; D011706:Pyloric Antrum / Q000000981:diagnostic imaging; D011859:Radiography; D013276:Stomach Ulcer / Q000139:chemically induced* / Q000000981:diagnostic imaging*
D000894:Anti-Inflammatory Agents, Non-Steroidal; D001466:Barium Sulfate