335, Ρ < 0.05) (table 4). Conclusion: These findings suggest that ATF4, ATF6, XBP1 might participate in the tumorigenesis of colorectal adenoma and malignant progress of colorectal cancer. The three signaling pathways of ERS mediating the colorectal adenomas carcinogenesis and colorectal cancer malignant progress. Key Word(s): 1. ATF4/ATF6/XBP1; 2. expression; 3. colorectal; 4. tumor; Presenting Author: BING-RONG

LIU LIU Corresponding Author: BING-RONG LIU LIU Affiliations: The second affiliated hospital Stem Cell Compound Library cell line of Harbin Medical University Objective: To determine the value and sensitivity of air insufflation computed tomography (CT) on diagnosis of esophageal submucosal tumors (SMTs). Methods: Conventional CT and air

insufflation CT were performed on 40 patients who had been confirmed esophageal SMTs by gastroscopy and endoscopic ultrasonography (EUS). Air insufflation CT procedure: 1) patient fasted for 4–6 h; 2) inserting a nasogatric tube into esophageal lumen 30 cm from the incisors; 3) connecting a air bag to nasogatric tube and insufflating air continually by pressuring selleck the air bag; 4) performing chest CT scan after 5 seconds with patient’s mouth closed. Results: The sensitivity for detecting esophageal SMTs of conventional CT was 57.5% (23/40) compared with that of air insufflation CT (90.0%, 36/40), the difference was of statistical significance (X2 = 15.21, P < 0.05). Furthermore, lesions were showed more clearly by air insufflation CT (Figure. 1). Compared lesion size on air insufflation CT with that after Nutlin 3 resection, 9 cases revealed measurement error more than 30%, but EUS finding matched excisional specimen in 4/9 cases; compared lesion size on EUS with that after resection, 8 cases revealed measurement error more than 30%, but air insufflation CT finding matched excisional specimen in 3/8 cases. Conclusion: Air insufflation CT is more effective and significant

than conventional CT on diagnosis of esophageal SMTs. Combined with EUS, air insufflation CT has added value in evaluating the origin of esophageal SMTs and the anatomic features of adjacent structures which benefit to predict the risk of endoscopic treatment and surgery. Key Word(s): 1. air insufflation CT; 2. SMTs; 3. diagnosis; 4. EUS; Presenting Author: ATSUSHI IMAGAWA Additional Authors: HIROYUKI TERASAWA, KEIKO TAKEUCHI, HITOMI ENDO, AKIHIRO JINNO, EISUKE KAJI, HIDENORI HATA, AKIO MORIYA, MORIHITO NAKATSU, MASAHARU ANDO Corresponding Author: ATSUSHI IMAGAWA Affiliations: Mitoyo General Hospital Objective: Magnified observation of detailed mucosal structure and blood vessels using the narrowband imaging (NBI) system has become very common in recent years. Implementing the NBI system requires time and cost, however.