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Updated: Sep 14, 2026

E-Patient Counseling Trial (E-PACO): Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
Published on: August 1, 2019
[The state and development of colon proctological care at the Vishnevsky Central Military Clinical Hospital]
Abstract:
The work is devoted to the assessment of gastric carcinoma spread using the method of spiral CT. It is established that CT is highly effective at carcinoma advanced stages (II-IV), that's why this method should be the main one in determining the disease spread. Besides the CT possibilities in determining the depth of tumor invasion into gastric wall are not unequivocal. The method is more informative at the advanced tumor (pT2-pT4). Without contrast amplification the CT doesn't allow to conduct differentiation according to T1-T2 invasion degree. At the same time the method gives great opportunities in revealing the tumor spread to gastric serous membrane, i.e. in detection of T3 invasion degree that is of great significance for disease prediction. The use of bolus contrast amplification widens the CT possibilities in detection of tumor invasion into gastric wall and in some cases it permits to differentiate T1 and T2 degrees.
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